CODEBOOK V2018: Prospective Cohort Study of Kidney Disease in Children 7-28-2020 L51 - Specimen Collection Form for Visit 5 Start ____Field____ Section/ Column Len Format Variable Question Description Code ------ --- --------- ---------------- ------------ ------------------------------ ------------------------------ 1 6 6.0 CASEID A.1 Participant ID 100000= 100000 . . 699999= 699999 7 2 2.0 VISIT A.2 Visit # 00= 00 . . 99= 99 9 8 $ VERSSM A.3 Form version 09/01/04= 09/01/04 . . 12/31/18= 12/31/18 17 7 7.3 SMVISDAT A.4 Date of specimen collection 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 24 3 $ SMINITL A.5 Initials of person completing Character form 27 2 2.0 ACCELVIS A.6 Accelerated visit 1= Yes 2= No -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 29 2 2.0 SMFEMCBP 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 31 7 7.3 SMUPRGDT 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 38 2 2.0 SMUPRGRS B.2.b Urine pregnancy test result 1= Positive 2= Negative -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 40 2 2.0 SMFURINE B.3.a 1st Morning Urine - Urine 1= YES creatinine/protein/albumin 2= NO sample obtained -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 42 2 2.0 SMFURESN B.3.b Reason 1st Morning Urine - 1= Not required urine creatinine/protein/ 2= Difficult urine collection albumin sample not obtained 3= Participant refused 4= Collection contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 44 2 2.0 SMFMURIN B.3.c.i 1st Morning Urine - Urine 1= YES creatinine/protein/albumin is 2= NO 1st morning urine -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 46 5 time5. SMURTIME B.3.c.ii 1st Morning Urine - Time 01:00= 01:00 urine creatinine/protein/ . albumin collected . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 51 2 2.0 SMURMER B.3.c.ii 1st Morning Urine - AM/PM for 1= AM time urine creatinine/protein/ 2= PM albumin collected -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 53 5 time5. SMBLDRTM C.1 Time of blood draw 01:00= 01:00 . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 58 2 2.0 SMBLDRMR C.1 AM/PM for time of blood draw 1= AM 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 60 2 2.0 SMRNCHEM C.2.a Renal/iron chemistries sample 1= YES obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 62 2 2.0 SMRCRESN C.2.b Reason renal/iron chemistries 1= Not required sample not 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 64 2 2.0 SMRCAPPR C.2.c Renal/iron chemistries - 1= Grossly (Dark Red) appearance of serum after 2= Moderately (Red/Light Red) centrifuging 3= Slightly (Pink) 4= Not Hemolyzed (Yellow) -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 66 2 2.0 SMCYSTAC C.2.a.a Cystatin C sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 68 2 2.0 SMCCRESN C.2.a.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 70 7 7.3 SMCCFROZ C.2.a.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 77 2 2.0 SMSRIPTH C.3.a Serum for iPth/wCRP/Vitamin D 1= YES sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 79 2 2.0 SMSIRESN C.3.b Reason Serum for iPth/wCRP/ 1= Not required Vitamin D sample not 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 81 7 7.3 SMSIFROZ C.3.c Date serum for iPTH/wrCRP/ 0.000= 0.000 years Vitamin D frozen 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 88 2 2.0 SMLOCCBC C.4a.a Local CBC sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 90 2 2.0 SMLCRESN C.4a.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 92 2 2.0 SMLOCREN C.4b.a Local Renal sample obtained 1= YES 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 94 2 2.0 SMLRRESN C.4b.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 96 2 2.0 SMCONMCK C.5 Participant consented to have 1= Yes biological samples stored at 2= No NIDDK -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 98 2 2.0 SMSRMCKS C.6.a Serum for NIDDK Biosample 1= YES Repository sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 100 2 2.0 SMSRRESN C.6.b Reason serum for NIDDK 1= Not required Biosample Repository sample 2= Difficult blood draw not 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 102 7 7.3 SMSRFROZ C.6.c Date serum for NIDDK 0.000= 0.000 years Biosample Repository frozen . 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 109 2 2.0 SMPLMCKS C.7.a Plasma for NIDDK Biosample 1= YES Repository sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 111 2 2.0 SMPLRESN C.7.b Reason plasma for NIDDK 1= Not required Biosample Repository sample 2= Difficult blood draw not 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 113 7 7.3 SMPLFROZ C.7.c Date plasma for NIDDK 0.000= 0.000 years Biosample Repository frozen . 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 120 2 2.0 SMURMCKS D.1.a Urine for NIDDK Biosample 1= YES Repository sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 122 2 2.0 SMURRESN D.1.b Reason urine for NIDDK 1= Not required Biosample Repository sample 2= Difficult urine collection not obtained 3= Participant refused 4= Collection contamination 5= Inadvertently destroyed 6= Oversight -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 124 2 2.0 SMURCRYO D.1.c.i Supernate decanted into urine 1= YES transport cyrovials 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 126 7 7.3 SMURFROZ D.1.c.ii Date urine for NIDDK 0.000= 0.000 years Biosample Repository frozen . 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 133 2 2.0 SMCONRUT E.1 Participant consented to have 1= Yes whole blood stored at Rutgers 2= No -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 135 2 2.0 SMWBRUTG E.2.a Whole blood for Rutgers 1= YES sample obtained 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 137 2 2.0 SMWBRESN E.2.b Reason whole blood for 1= Not required Rutgers sample not 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 139 7 7.3 SMWBDATE E.2.c.i Whole blood date of blood 0.000= 0.000 years draw 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 146 3 $ SMWBINIT E.2.c.ii Whole blood initials Character 149 2 2.0 SMWBGEND E.2.c.iii Whole blood gender 1= Male 2= Female -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 151 2 2.0 SMWBAGEP E.2.c.iv Whole blood age of participant 1= 1 . . 18= 18 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 153 2 2.0 SMAVSKP1 E.3 Accelerated visit - skip 1= Yes pattern question 2= No -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 155 5 5.2 SMISWTWM F.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 160 5 5.2 SMISWTAI F.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 165 5 time5. SMIOSTIM G.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 170 2 2.0 SMIOSMER G.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 172 3 3.0 SMPSTSYS G.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 175 3 3.0 SMPSTDIA G.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 178 5 5.1 SMPSTTMP G.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 183 2 2.0 SMCNTFAR G.2.b.i Centigrade or Farenheit 1= Centigrade 2= Farenheit -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 185 3 3.0 SMPSTPLS G.2.c.i Post-infusion pulse 20= 20 measurement . . 180= 180 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 188 2 2.0 SMPSTRES G.2.d.i Post-infusion respirations 4= 4 . . 44= 44 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 190 2 2.0 SM120HBL G.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 192 2 2.0 SM120MBL G.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 194 5 time5. SM120MTM G.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 199 2 2.0 SM120MMR G.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 201 2 2.0 SM120DIF G.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 203 4 4.1 SM120MBV G.3.a.iv 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 207 2 2.0 SM120MCS G.3.a.v Centrifuged at clinical site - 1= YES B1 120 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 209 2 2.0 SM120H2A G.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 211 2 2.0 SM120M2A G.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 213 5 time5. SM120M2T G.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 218 2 2.0 SM120M2M G.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 220 2 2.0 SM120DF2 G.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 222 4 4.1 SM1202BV G.3.b.iv 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 226 2 2.0 SM1202CS G.3.b.v 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 228 2 2.0 SM240HBL G.4.a.i Hours on timer - B2 240 hour 3= 3 . . 5= 5 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 230 2 2.0 SM240MBL G.4.a.i Minutes on timer - B2 240 0= 0 minute . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 232 5 time5. SM240MTM G.4.a.ii Time of B2 240 minute blood 01:00= 01:00 draw . . 12:59= 12:59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 237 2 2.0 SM240MMR G.4.a.ii AM/PM for time of B2 240 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 239 2 2.0 SM240DIF G.4.a.iii Difficult blood draw - B2 240 1= YES minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 241 4 4.1 SM240MBV G.4.a.iv Blood volume collected - B2 0.1= 0.1 240 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 245 2 2.0 SM240MCS G.4.a.v Centrifuged at clinical site - 1= YES B2 240 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 247 2 2.0 SM240H2A G.4.b.i Minutes on timer - B2 240 3= 3 hour 2nd attempt . . 5= 5 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 249 2 2.0 SM240M2A G.4.b.i Minutes on timer - B2 240 2nd 0= 0 attempt mins . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 251 5 time5. SM240M2T G.4.b.ii Time of B2 240 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 256 2 2.0 SM240M2M G.4.b.ii AM/PM for time of B2 240 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 258 2 2.0 SM240DF2 G.4.b.iii Difficult blood draw - B2 240 1= YES 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 260 4 4.1 SM2402BV G.4.b.iv Blood volume collected - B2 0.1= 0.1 240 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 264 2 2.0 SM2402CS G.4.b.v Centrifuged at clinical site - 1= YES B2 240 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 266 2 2.0 SM300HBL G.5.a.i Hours on timer - B3 300 hour 4= 4 . . 6= 6 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 268 2 2.0 SM300MBL G.5.a.i Minutes on timer - B3 300 0= 0 minute . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 270 5 time5. SM300MTM G.5.a.ii Time of B3 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 275 2 2.0 SM300MMR G.5.a.ii AM/PM for time of B3 300 1= AM minute blood draw 2= PM -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 277 2 2.0 SM300DIF G.5.a.iii Difficult blood draw - B3 300 1= YES minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 279 4 4.1 SM300MBV G.5.a.iv Blood volume collected - B3 0.1= 0.1 300 minute . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 283 2 2.0 SM300MCS G.5.a.v Centrifuged at clinical site - 1= YES B3 300 minute 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 285 2 2.0 SM300H2A G.5.b.i Minutes on timer - B3 300 4= 4 hour 2nd attempt . . 6= 6 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 287 2 2.0 SM300M2A G.5.b.i Minutes on timer - B3 300 2nd 0= 0 attempt mins . . 59= 59 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 289 5 time5. SM300M2T G.5.b.ii Time of B3 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 294 2 2.0 SM300M2M G.5.b.ii AM/PM for time of B3 300 1= AM minute blood draw - 2nd 2= PM attempt -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 296 2 2.0 SM300DF2 G.5.b.iii Difficult blood draw - B3 300 1= YES 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 298 4 4.1 SM3002BV G.5.b.iv Blood volume collected - B3 0.1= 0.1 300 2nd attempt . . 8.0= 8.0 -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 302 2 2.0 SM3002CS G.5.b.v Centrifuged at clinical site - 1= YES B3 300 2nd attempt 2= NO -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 304 1 $ ESTAT Edit status A.0 D= Dirty C= Clean P= Pending 305 6 $ VERSION Version number of data P01= Version 01 . . P99= Version 99