CODEBOOK V2018: Prospective Cohort Study of Kidney Disease in Children 7-28-2020 L01 - Specimen Collection Form for Visit 1A Start ____Field____ Section/ Column Len Format Variable Question Description Code ------ --- --------- ---------------- ------------ ------------------------------ ------------------------------ 1 6 6.0 CASEID A.1 Participant ID 100000= 100000 . . 699999= 699999 7 3 3.0 VISIT A.2 Visit # 000= 000 . . 990= 990 10 8 $ VERSSC A.3 Form version 09/01/04= 09/01/04 . . 12/31/18= 12/31/18 18 7 7.3 SCVISDAT A.4 Date of visit in duration of 0.000= 0.000 years year from the baseline visit . . 50.000= 50.000 years -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 25 3 $ SCINITL A.5 Initials of person completing Character form 28 2 2.0 SCFEMCBP B.1 Participant is female of 1= YES child-bearing potential 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 30 7 7.3 SCUPRGDT B.2 Date of urine pregnancy test 0.000= 0.000 years in duration of year from the . baseline visit . 50.000= 50.000 years -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 37 2 2.0 SCUPRGRS B.2.b Urine pregnancy test result 1= Positive 2= Negative -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 39 2 2.0 SCMUPGFR OldB.3 Old: Make-up GFR visit 1= Yes 2= No -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 41 7 7.3 SCMUGFRD OldB.3.a Old: Make-up GFR date in 0.000= 0.000 years duration of year from the . baseline visit . 50.000= 50.000 years -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 48 2 2.0 SCMUIVIN OldB.4.a Old: Reason for make-up GFR - 1= YES IV infiltration 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 50 2 2.0 SCMU4BLD OldB.4.b Old: Reason for make-up GFR - 1= YES unable to draw 4 blood samples 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 52 2 2.0 SCMUOTHR OldB.4.c Old: Reason for make-up GFR - 1= YES other reason 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 54 50 $ SCMUOTSP OldB.4.c.i Old: Reason for make-up GFR - Character specify other reason 104 2 2.0 SCFURINE B.3.a Urine creatinine/protein/ 1= YES albumin sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 106 2 2.0 SCFURESN B.3.b Reason urine creatinine/ 1= Not required protein/albumin sample not 2= Difficult urine collection obtained 3= Participant refused 4= Collection contamination 5= Inadvertently destroyed 6= Oversight 7= Insufficient Volume -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 108 2 2.0 SCFMURIN B.3.c.i Urine creatinine/protein/ 1= YES albumin is 1st morning urine 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 110 5 time5. SCURTIME B.3.c.ii Time urine creatinine/protein/ 01:00= 01:00 albumin collected . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 115 2 2.0 SCURMER B.3.c.ii AM/PM for time urine 1= AM creatinine/protein/albumin 2= PM collected -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 117 2 2.0 SCFUHOME OldB.5.c.i Old: Urine collected at home 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 119 5 time5. SCTIMZRO C.1 Time of time zero blood draw 01:00= 01:00 . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 124 2 2.0 SCMERZRO C.1 AM/PM for time of time=zero 1= AM blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 126 2 2.0 SCRNCHEM C.2.a Renal/Iron/uric acid 1= YES chemistries sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 128 2 2.0 SCRCRESN C.2.b Reason renal/iron/uric acid 1= Not required chemistries sample not 2= Difficult blood draw obtained 3= Participant refused 4= Red blood cell contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 130 2 2.0 SCRCAPPR C.2.c Renal/iron/uric acid 1= Grossly (Dark Red) chemistries - appearance of 2= Moderately (Red/Light Red) serum after centrifuging 3= Slightly (Pink) 4= Not Hemolyzed (Yellow) -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 132 2 2.0 SCCYSTAC C.3.a Cystatin C sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 134 2 2.0 SCCCRESN C.3.b Reason Cystatin C sample not 1= Not required obtained 2= Difficult blood draw 3= Participant refused 4= Red blood cell contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 136 7 7.3 SCCCFROZ C.3.c Date Cystatin C frozen in 0.000= 0.000 years duration of year from the . baseline visit . 50.000= 50.000 years -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 143 2 2.0 SCLOCCBC C.4.a Local CBC sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 145 2 2.0 SCLCRESN C.4.b Reason Local CBC sample not 1= Not required obtained 2= Difficult blood draw 3= Participant refused 4= Red blood cell contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 147 2 2.0 SCLOCREN C.5.a Local Renal sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 149 2 2.0 SCLRRESN C.5.b Reason Local Renal sample not 1= Not required obtained 2= Difficult blood draw 3= Participant refused 4= Red blood cell contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 151 20 $ SCFAXNUM OldC.5.a Old: Fax number for results Character 171 30 $ SCRCNAME OldC.5.b Old: Recipient's name Character 201 2 2.0 SCMPLLAB OldD.1 Old: Basic metabolic panel 1= YES performed at local lab 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 203 2 2.0 SCFULLAB D.2 Urine protein-creatinine 1= YES assay performed at local 2= NO laboratory -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 205 2 2.0 SCPCIOHX D.3 Participant is completing 1= YES iohexol study visit 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 207 5 5.2 SCISWTWM E.1.a Infusion syringe weight - 5.00= 5.00 with iohexol . . 25.00= 25.00 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 212 5 5.2 SCISWTAI E.1.b Infusion syringe weight - 4.00= 4.00 after infusion . . 15.00= 15.00 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 217 5 time5. SCIOSTIM F.1.a Iohexol infusion start time 01:00= 01:00 . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 222 2 2.0 SCIOSMER F.1.a AM/PM for iohexol infusion 1= AM start time 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 224 2 2.0 SC10MBL OldF.2.a.i Old: Minutes on timer - B1 10 5= 5 minute . . 15= 15 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 226 5 time5. SC10MTIM OldF.2.a.ii Old: Time of B1 10 minute 01:00= 01:00 blood draw . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 231 2 2.0 SC10MMER OldF.2.a.ii Old: AM/PM for time of B1 10 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 233 2 2.0 SC10DIF OldF.2.a.iii Old: Difficult blood draw - 1= YES B1 10 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 235 4 4.1 SC10MBV OldF.2.a.iv Old: Blood volume collected - 0.1= 0.1 B1 10 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 239 2 2.0 SC10MCS OldF.2.a.v Old: Centrifuged at clinical 1= YES site - B1 10 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 241 2 2.0 SC10M2A OldF.2.b.i Old: Minutes on timer - B1 10 10= 10 2nd attempt . . 20= 20 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 243 5 time5. SC10M2TM OldF.2.b.ii Old: Time of B1 10 minute 01:00= 01:00 blood draw - 2nd attempt . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 248 2 2.0 SC10M2MR OldF.2.b.ii Old: AM/PM for time of B1 10 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 250 2 2.0 SC10DIF2 OldF.2.b.iii Old: Difficult blood draw - 1= YES B1 10 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 252 4 4.1 SC10M2BV OldF.2.b.iv Old: Blood volume collected - 0.1= 0.1 B1 10 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 256 2 2.0 SC10M2CS OldF.2.b.v Old: Centrifuged at clinical 1= YES site - B1 10 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 258 3 3.0 SCPSTSYS F.2.a.i Post-infusion blood pressure - 20= 20 systolic . . 240= 240 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 261 3 3.0 SCPSTDIA F.2.a.i Post-infusion blood pressure - 20= 20 diastolic . . 200= 200 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 264 5 5.1 SCPSTTMP F.2.b.i Post-infusion temperature 34.0= 34.0 (centigrade) . . 105.0= 105.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 269 2 2.0 SCCNTFAR F.2.b.i Centigrade or Farenheit 1= Centigrade Typical range: 36.1-38.3 2= Farenheit Typical range: 94.5-100.6 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 271 3 3.0 SCPSTPLS F.2.c.i Post-infusion pulse 20= 20 measurement . . 180= 180 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 274 2 2.0 SCPSTRES F.2.d.i Post-infusion respirations 4= 4 . . 44= 44 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 276 3 3.0 SC30MBL OldF.4.a.i Old: Minutes on timer - B2 30 25= 25 minute . . 99= 99 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 279 5 time5. SC30MTIM OldF.4.a.ii Old: Time of B2 30 minute 01:00= 01:00 blood draw . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 284 2 2.0 SC30MMER OldF.4.a.ii Old: AM/PM for time of B2 30 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 286 2 2.0 SC30DIF OldF.4.a.iii Old: Difficult blood draw - 1= YES B2 30 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 288 4 4.1 SC30MBV OldF.4.a.iv Old: Blood volume collected - 0.1= 0.1 B2 30 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 292 2 2.0 SC30MCS OldF.4.a.v Old: Centrifuged at clinical 1= YES site - B2 30 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 294 2 2.0 SC30M2A OldF.4.b.i Old: Minutes on timer - B2 30 25= 25 2nd attempt . . 99= 99 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 296 5 time5. SC30M2TM OldF.4.b.ii Old: Time of B2 30 minute 01:00= 01:00 blood draw - 2nd attempt . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 301 2 2.0 SC30M2MR OldF.4.b.ii Old: AM/PM for time of B2 30 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 303 2 2.0 SC30DIF2 OldF.4.b.iii Old: Difficult blood draw - 1= YES B2 30 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 305 4 4.1 SC30M2BV OldF.4.b.iv Old: Blood volume collected - 0.1= 0.1 B2 30 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 309 2 2.0 SC30M2CS OldF.4.b.v Old: Centrifuged at clinical 1= YES site - B2 30 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 311 2 2.0 SC120HBL F.3.a.i Hours on timer - B1 120 hour 1= 1 . . 3= 3 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 313 2 2.0 SC120MBL F.3.a.i Minutes on timer - B1 120 0= 0 minute . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 315 5 time5. SC120MTM F.3.a.ii Time of B1 120 minute blood 01:00= 01:00 draw . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 320 2 2.0 SC120MMR F.3.a.ii AM/PM for time of B1 120 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 322 2 2.0 SC120DIF F.3.a.iii Difficult blood draw - B1 120 1= YES minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 324 2 2.0 SC120VEN F.3.a.iv Drawn by venipuncture - B1 1= YES 120 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 326 4 4.1 SC120MBV F.3.a.v Blood volume collected - B1 0.1= 0.1 120 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 330 2 2.0 SC120MCS F.3.a.vi Centrifuged at clinical site - 1= YES B1 120 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 332 2 2.0 SC120H2A F.3.b.i Minutes on timer - B1 120 1= 1 hour 2nd attempt . . 3= 3 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 334 2 2.0 SC120M2A F.3.b.i Minutes on timer - B1 120 2nd 0= 0 attempt mins . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 336 5 time5. SC120M2T F.3.b.ii Time of B1 120 minute blood 01:00= 01:00 draw - 2nd attempt . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 341 2 2.0 SC120M2M F.3.b.ii AM/PM for time of B1 120 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 343 2 2.0 SC120DF2 F.3.b.iii Difficult blood draw - B1 120 1= YES 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 345 2 2.0 SC120VN2 F.3.b.iv Drawn by venipuncture - B1 1= YES 120 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 347 4 4.1 SC1202BV F.3.b.v Blood volume collected - B1 0.1= 0.1 120 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 351 2 2.0 SC1202CS F.3.b.vi Centrifuged at clinical site - 1= YES B1 120 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 353 2 2.0 SC300HBL F.4.a.i Hours on timer - B2 300 hour 4= 4 . . 6= 6 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 355 2 2.0 SC300MBL F.4.a.i Minutes on timer - B2 300 0= 0 minute . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 357 5 time5. SC300MTM F.4.a.ii Time of B2 300 minute blood 01:00= 01:00 draw . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 362 2 2.0 SC300MMR F.4.a.ii AM/PM for time of B2 300 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 364 2 2.0 SC300DIF F.4.a.iii Difficult blood draw - B2 300 1= YES minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 366 2 2.0 SC300VEN F.4.a.iv Drawn by venipuncture - B2 1= YES 300 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 368 4 4.1 SC300MBV F.4.a.v Blood volume collected - B2 0.1= 0.1 300 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 372 2 2.0 SC300MCS F.4.a.vi Centrifuged at clinical site - 1= YES B2 300 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 374 2 2.0 SC300H2A F.4.b.i Minutes on timer - B2 300 4= 4 hour 2nd attempt . . 6= 6 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 376 2 2.0 SC300M2A F.4.b.i Minutes on timer - B2 300 2nd 0= 0 attempt mins . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 378 5 time5. SC300M2T F.4.b.ii Time of B2 300 minute blood 01:00= 01:00 draw - 2nd attempt . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 383 2 2.0 SC300M2M F.4.b.ii AM/PM for time of B2 300 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 385 2 2.0 SC300DF2 F.4.b.iii Difficult blood draw - B2 300 1= YES 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 387 2 2.0 SC300VN2 F.4.b.iv Drawn by venipuncture - B2 1= YES 300 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 389 4 4.1 SC3002BV F.4.b.v Blood volume collected - B2 0.1= 0.1 300 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 393 2 2.0 SC3002CS F.4.b.vi Centrifuged at clinical site - 1= YES B2 300 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 395 1 $ ESTAT Edit status A.0 D= Dirty C= Clean P= Pending 396 6 $ VERSION Version number of data P01= Version 01 . . P99= Version 99