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Dataset wrap
Nameadapch
Dataset2
RowSTUDYIDUSUBJIDSITEID
QSSEQ
RSSEQASEQITTFLTRTPPARAMPARAMCDPARAMNPARCAT1VISITVISITNUMAVISITAVISITN
QSDTC
RSDTCADTADY
QSORRES
RSORRES
AVAL
RSORRESU
AVALCAT1
RSLOBXFL
BASE
RSCBRFL
CHG
AVALDTYPEABLFLCOUNTRY
ANL01FL
REGION1
INVNAM
REGION1N
1STUDYXX-
101
100-P0001
101
10011YDRUG A + SOC

GDS02-Satisfied With Life

APCH1-Temperature - RectalAPCH101
GDS0201
1

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

0

DR. JOHN SMITH
2014-06-2424JUN2014-538.5-38.9CY
1
YUSANorth America1
2STUDYXX-
101
100-P0001
101
10022YDRUG A + SOC

GDS02-Dropped Activities and Interests

APCH1-Mean Arterial PressureAPCH102
GDS0202
2

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH

2014-06-2424JUN2014-5110-129mmHgY
2
YUSANorth America1
3STUDYXX-
101
100-P0001
101
10033YDRUG A + SOC

GDS02-Life Is Empty

APCH1-Heart RateAPCH103
GDS0203
3

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

NO

0

DR. JOHN SMITH
2014-06-2424JUN2014-570-109beats/minY
0
YUSANorth America1
4STUDYXX-
101
100-P0001
101
10044YDRUG A + SOC
GDS02
APCH1-
Bored Often
Respiratory Rate
GDS0204
APCH1044

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH

2014-06-2424JUN2014-525-34breaths/minY
1
YUSANorth America1
5STUDYXX-
101
100-P0001
101
10055YDRUG A

GDS02-Good Spirits Most of Time

+ SOCAPCH1-Oxygenation: A-aDO2APCH105A
GDS0205
5

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0
2012
2014-
11
06-
16
24
16NOV2012
24JUN2014
1
-5
NO



Y

1

DR. JOHN SMITH



USANorth America1
6STUDYXX-
101
100-P0001
101
10066YDRUG A + SOC

GDS02-Afraid of Something Bad Happening

APCH1-Oxygenation: PaO2APCH105B
GDS0206
6

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH

2014-06-2424JUN2014-561-70mmHgY
1
YUSANorth America1
7STUDYXX-
101
100-P0001
101
10077YDRUG A + SOC

GDS02-Feel Happy Most of Time

APCH1-Arterial pHAPCH106A
GDS0207
7

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0
2012
2014-
11
06-
16
24

16NOV2012

1

NO

1

DR. JOHN SMITH
24JUN2014-57.15-7.24
Y
3
YUSANorth America1
8STUDYXX-
101
100-P0001
101
10088YDRUG A + SOC

GDS02-Often Feel Helpless

APCH1-Serum HCO3APCH106B
GDS0208
8

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH
2014-06-2424JUN2014-5


Y


USANorth America1
9STUDYXX-
101
100-P0001
101
10099YDRUG A + SOC

GDS02-Prefer to Stay Home

APCH1-Serum SodiumAPCH107
GDS0209
9

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

2014-06-2424JUN2014-5150-154mmol/LY
16NOV2012

1

NO

0


YUSANorth America1
DR. JOHN SMITH
10STUDYXX-
101
100-P0001
101
1001010YDRUG A + SOC
GDS02
APCH1-
Memory Problems
Serum Potassium
GDS0210
APCH10810

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH
2014-06-2424JUN2014-53.5-5.4mmol/LY
0
YUSANorth America1
11STUDYXX-
101
100-P0001
101
1001111YDRUG A + SOC

GDS02-Wonderful to Be Alive

APCH1-Serum CreatinineAPCH109
GDS0211
11

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

NO

1

DR. JOHN SMITH

2014-06-2424JUN2014-5<0.6mg/dLY
2
YUSANorth America1
12STUDYXX-
101
100-P0001
101
1001212YDRUG A + SOC
GDS02
APCH1-
Feel Worthless
Hematocrit
GDS0212
APCH11012

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0
2012
2014-
11
06-
16
24
16NOV2012
24JUN2014

1

YES

1

DR. JOHN SMITH
-520-29.9%Y
2
YUSANorth America1
13STUDYXX-
101
100-P0001
101
1001313YDRUG A + SOC

GDS02-Feel Full of Energy

APCH1-White Blood CountAPCH111
GDS0213
13

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

0

2014-06-2424JUN2014-520-39.910^9/LY
2
YUSANorth America1
DR. JOHN SMITH
14STUDYXX-
101
100-P0001
101
1001414YDRUG A + SOC

GDS02-Feel Hopeless

APCH1-15 Minus Glasgow Coma ScoreAPCH112
GDS0214
14

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

YES

1

DR. JOHN SMITH

2014-06-2424JUN2014-53
Y
3
YUSANorth America1
15STUDYXX-
101
100-P0001
101
1001515YDRUG A + SOC

GDS02-Most People Better Off Than You

APCH1-A: Total Acute Physiology ScoreAPCH113
GDS0215
15

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0

2012-11-16

16NOV2012

1

NO

0

2014-06-2424JUN2014-518
Y
18
YUSANorth America1
DR. JOHN SMITH
16STUDYXX-
101
100-P0001
101
100
16YDRUG A + SOC
GDS02
APCH1-A: Total Acute Physiology Score - Analysis
GDS02TS
APCH1TPS16

GDS SHORT FORM

APACHE IISCREENING
VISIT 1
1
BASELINE
Baseline0
2012
2014-
11
06-
16
24
16NOV2012
24JUN2014
1
-5
10


Y
Possible Depression

18
10

Y
Y
USA

Y

DR. JOHN SMITH
North America1
17STUDYXX-
101
100-P0001
101
1001617YDRUG A + SOC

GDS02-Satisfied With Life

GDS0201

1

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

0

DR. JOHN SMITH

18

STUDYX

X-101-P0001

APCH1-B: Age PointsAPCH11417APACHE IISCREENING1Baseline02014-06-2424JUN2014-545-54YEARSY
2
YUSANorth America1
18STUDYXX-100-P0001100
101
1718YDRUG A + SOC

GDS02-Dropped Activities and Interests

GDS0202

2

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

0

APCH1-C: Chronic Health PointsAPCH11518APACHE IISCREENING1Baseline02014-06-2424JUN2014-5for elective postoperative patients
Y
2
YUSANorth America1
DR. JOHN SMITH
19STUDYXX-
101
100-P0001
101
1001819YDRUG A + SOC

GDS02-Life Is Empty

GDS0203

3

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

0

APCH1-Total APACHE II ScoreAPCH11619APACHE IISCREENING1Baseline02014-06-2424JUN2014-522
Y
22
YUSANorth America1
DR. JOHN SMITH
20STUDYXX-
10119
100-P0001

101

100
20YDRUG A

GDS02-Bored Often

GDS0204

4

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

1

DR. JOHN SMITH

21

STUDYX

X-101-P0001

101

+ SOCAPCH1-Total APACHE II Score - AnalysisAPCH1TS20APACHE IISCREENING1Baseline02014-06-2424JUN2014-5

Y
22
YUSANorth America1
21STUDYXX-100-P000110019
20
21YDRUG A + SOC

GDS02-Good Spirits Most of Time

GDS0205

5

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

1

APCH1-Temperature - RectalAPCH1011APACHE IIDAY 77Day 772014-07-0505JUL2014738.5-38.9C

1

USANorth America1
DR. JOHN SMITH
22STUDYXX-
101
100-P0001
101
100
21
2022YDRUG A + SOC

GDS02-Afraid of Something Bad Happening

GDS0206

6

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

1

APCH1-Mean Arterial PressureAPCH1022APACHE IIDAY 77Day 772014-07-0505JUL2014770–109mmHg

0

USANorth America1
DR. JOHN SMITH
23STUDYXX-
101
100-P0001
101
100
22
2123YDRUG A + SOC

GDS02-Feel Happy Most of Time

GDS0207

7

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

1

DR. JOHN SMITH

APCH1-Heart RateAPCH1033APACHE IIDAY 77Day 772014-07-0505JUL2014770-109beats/min

0

USANorth America1
24STUDYXX-
101
100-P0001
101
100
23
2224YDRUG A + SOC

GDS02-Often Feel Helpless

GDS0208

8

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

1

DR. JOHN SMITH
APCH1-Respiratory RateAPCH1044APACHE IIDAY 77Day 772014-07-0505JUL2014725-34breaths/min

1

USANorth America1
25STUDYXX-
101
100-P0001
101
100
24
2325YDRUG A

GDS02-Prefer to Stay Home

GDS0209

9

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

0

+ SOCAPCH1-Oxygenation: A-aDO2APCH105A5APACHE IIDAY 77Day 772014-07-0505JUL20147


Y


USANorth America1
DR. JOHN SMITH
26STUDYXX-
101
100-P0001
101
100
25
2426YDRUG A + SOC

GDS02-Memory Problems

GDS0210

10

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

0

DR. JOHN SMITH
APCH1-Oxygenation: PaO2APCH105B6APACHE IIDAY 77Day 772014-07-0505JUL2014761-70mmHg

1

USANorth America1
27STUDYXX-
101
100-P0001
101
100
26
2527YDRUG A + SOC

GDS02-Wonderful to Be Alive

GDS0211

11

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

1

DR. JOHN SMITH

APCH1-Arterial pHAPCH106A7APACHE IIDAY 77Day 772014-07-0505JUL201477.25-7.32


2

USANorth America1
28STUDYXX-
101
100-P0001
101
100
27
2628YDRUG A + SOC
GDS02
APCH1-
Feel Worthless
Serum HCO3
GDS0212
APCH106B

12

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

1

DR. JOHN SMITH
8APACHE IIDAY 77Day 772014-07-0505JUL20147


Y


USANorth America1
29STUDYXX-
101
100-P0001
101
100
28
2729YDRUG A + SOC

GDS02-Feel Full of Energy

GDS0213

13

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

0

APCH1-Serum SodiumAPCH1079APACHE IIDAY 77Day 772014-07-0505JUL20147150-154mmol/L

1

USANorth America1
DR. JOHN SMITH
30STUDYXX-
101
100-P0001
101
100
29
2830YDRUG A + SOC
GDS02
APCH1-
Feel Hopeless
Serum Potassium
GDS0214
APCH108

14

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

YES

1

DR. JOHN SMITH

10APACHE IIDAY 77Day 772014-07-0505JUL201473.5-5.4mmol/L

0

USANorth America1
31STUDYXX-
101
100-P0001
101
100
30
2931YDRUG A + SOC

GDS02-Most People Better Off Than You

GDS0215

15

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

NO

0

APCH1-Serum CreatinineAPCH10911APACHE IIDAY 77Day 772014-07-0505JUL201470.6-1.4mg/dL

0

USANorth America1
DR. JOHN SMITH
32STUDYXX-
101
100-P0001
101
1003032YDRUG A + SOC

GDS02- Total Score - Analysis

GDS02TS

16

GDS SHORT FORM

VISIT 2

2

VISIT 2

2

2012-12-15

15DEC2012

30

8

Possible Depression

10

-2

Y

DR. JOHN SMITH
APCH1-HematocritAPCH11012APACHE IIDAY 77Day 772014-07-0505JUL2014720-29.9%

2

USANorth America1
33STUDYXX-
101
100-P0001
101
1003133YDRUG A + SOC

GDS02-Satisfied With Life

GDS0201

1

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

0

APCH1-White Blood CountAPCH11113APACHE IIDAY 77Day 772014-07-0505JUL2014715-19.910^9/L

1

USANorth America1
DR. JOHN SMITH
34STUDYXX-
101
100-P0001
101
1003234YDRUG A + SOC

GDS02-Dropped Activities and Interests

GDS0202

2

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

0

APCH1-15 Minus Glasgow Coma ScoreAPCH11214APACHE IIDAY 77Day 772014-07-0505JUL201471


1

USANorth America1
DR. JOHN SMITH
35STUDYXX-
101
100-P0001
101
1003335YDRUG A + SOC

GDS02-Life Is Empty

GDS0203

3

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

APCH1-A: Total Acute Physiology ScoreAPCH11315APACHE IIDAY 77Day 772014-07-0505JUL2014710


10

USANorth America1
DR. JOHN SMITH
36STUDYXX-
101
100-P0001
101
100

34


36YDRUG A

GDS02-Bored Often

GDS0204

4

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

DR. JOHN SMITH

+ SOCAPCH1-A: Total Acute Physiology Score - AnalysisAPCH1TPS16APACHE IIDAY 77Day 772014-07-0505JUL20147



10

USANorth America1
37STUDYXX-
101
100-P0001
101
100
35
3437YDRUG A + SOC

GDS02-Good Spirits Most of Time

GDS0205

5

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

1

DR. JOHN SMITH

APCH1-B: Age PointsAPCH11417APACHE IIDAY 77Day 772014-07-0505JUL2014745-54YEARS

2

USANorth America1
38STUDYXX-
101
100-P0001
101
100
36
3538YDRUG A + SOC

GDS02-Afraid of Something Bad Happening

GDS0206

6

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

DR. JOHN SMITH

APCH1-C: Chronic Health PointsAPCH11518APACHE IIDAY 77Day 772014-07-0505JUL20147for elective postoperative patients


2

USANorth America1
39STUDYXX-
101
100-P0001
101
100
37
3639YDRUG A + SOC

GDS02-Feel Happy Most of Time

GDS0207

7

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

0

APCH1-Total APACHE II ScoreAPCH11619APACHE IIDAY 77Day 772014-07-0505JUL2014714


14

USANorth America1
DR. JOHN SMITH
40STUDYXX-
10138
100-P0001

101

100
40YDRUG A

GDS02-Often Feel Helpless

GDS0208

8

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

+ SOCAPCH1-Total APACHE II Score - AnalysisAPCH1TS20APACHE IIDAY 77Day 772014-07-0505JUL20147



14

USANorth America1
DR. JOHN SMITH
41STUDYXX-
101
100-P0001
101
100
39
3741YDRUG A + SOC

GDS02-Prefer to Stay Home

GDS0209

9

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

0

APCH1-Temperature - RectalAPCH1011APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141536-38.4C

0

USANorth America1
DR. JOHN SMITH
42STUDYXX-
101
100-P0001
101
100
40
3842YDRUG A + SOC

GDS02-Memory Problems

GDS0210

10

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

0

APCH1-Mean Arterial PressureAPCH1022APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141570–109mmHg

0

USANorth America1
DR. JOHN SMITH
43STUDYXX-
101
100-P0001
101
100
41
3943YDRUG A + SOC

GDS02-Wonderful to Be Alive

GDS0211

11

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

1

APCH1-Heart RateAPCH1033APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141570-109beats/min

0

USANorth America1
DR. JOHN SMITH
44STUDYXX-
101
100-P0001
101
100
42
4044YDRUG A + SOC
GDS02
APCH1-
Feel Worthless
Respiratory Rate
GDS0212
APCH104

12

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

4APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141512–24breaths/min

0

USANorth America1
DR. JOHN SMITH
45STUDYXX-
101
100-P0001
101
100
43
4145YDRUG A

GDS02-Feel Full of Energy

GDS0213

13

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

0

+ SOCAPCH1-Oxygenation: A-aDO2APCH105A5APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415


Y


USANorth America1
DR. JOHN SMITH
46STUDYXX-
101
100-P0001
101
100
44
4246YDRUG A + SOC

GDS02-Feel Hopeless

GDS0214

14

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

YES

1

APCH1-Oxygenation: PaO2APCH105B6APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141561-70mmHg

1

USANorth America1
DR. JOHN SMITH
47STUDYXX-
101
100-P0001
101
100
45
4347YDRUG A + SOC

GDS02-Most People Better Off Than You

GDS0215

15

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

NO

0

APCH1-Arterial pHAPCH106A7APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014157.33-7.49


0

USANorth America1
DR. JOHN SMITH
48STUDYXX-
101
100-P0001
101
100
46
4448YDRUG A + SOC

GDS02- Total Score - Analysis

GDS02TS

16

GDS SHORT FORM

UNSCHEDULED 2.01

2.01

UNSCHEDULED 2.01

2

2012-12-28

28DEC2012

43

9

Possible Depression

10

-1

DR. JOHN SMITH

APCH1-Serum HCO3APCH106B8APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415


Y


USANorth America1
49STUDYXX-
101
100-P0001100
101
4549YDRUG A + SOC

GDS02-Satisfied With Life

GDS0201

1

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

0.46

AVERAGE

DR. JOHN SMITH

50

STUDYX

X-101-P0001

APCH1-Serum SodiumAPCH1079APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415130-149mmol/L

0

USANorth America1
50STUDYXX-100-P000110046
101
50YDRUG A + SOC

GDS02-Dropped Activities and Interests

GDS0202

2

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

0.46

AVERAGE

APCH1-Serum PotassiumAPCH10810APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014153.5-5.4mmol/L

0

USANorth America1
DR. JOHN SMITH
51STUDYXX-
101
100-P0001
101
1004751YDRUG A + SOC

GDS02-Life Is Empty

GDS0203

3

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

0

APCH1-Serum CreatinineAPCH10911APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014150.6-1.4mg/dL

0

USANorth America1
DR. JOHN SMITH
52STUDYXX-
101
100-P0001
101
1004852YDRUG A + SOC
GDS02
APCH1-
Bored Often
Hematocrit
GDS0204
APCH110

4

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

0

12APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141546-49.9%

1

USANorth America1
DR. JOHN SMITH
53STUDYXX-
101
100-P0001
101
1004953YDRUG A + SOC

GDS02-Good Spirits Most of Time

GDS0205

5

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

0

APCH1-White Blood CountAPCH11113APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014153-14.910^9/L

0

USANorth America1
DR. JOHN SMITH
54STUDYXX-
101
100-P0001
101
1005054YDRUG A + SOC

GDS02-Afraid of Something Bad Happening

GDS0206

6

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

1

DR. JOHN SMITH

APCH1-15 Minus Glasgow Coma ScoreAPCH11214APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014150


0

USANorth America1
55STUDYXX-
101
100-P0001
101
1005155YDRUG A + SOC

GDS02-Feel Happy Most of Time

GDS0207

7

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

1

DR. JOHN SMITH

APCH1-A: Total Acute Physiology ScoreAPCH11315APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014152


2

USANorth America1
56STUDYXX-
10152
100-P0001

101

100
56YDRUG A

GDS02-Often Feel Helpless

GDS0208

8

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

1

+ SOCAPCH1-A: Total Acute Physiology Score - AnalysisAPCH1TPS16APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415



2

USANorth America1
DR. JOHN SMITH
57STUDYXX-
101
100-P0001
101
100
53
5257YDRUG A + SOC

GDS02-Prefer to Stay Home

GDS0209

9

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

0

APCH1-B: Age PointsAPCH11417APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL20141545-54YEARS

2

USANorth America1
DR. JOHN SMITH
58STUDYXX-
101
100-P0001
101
100
54
5358YDRUG A + SOC

GDS02-Memory Problems

GDS0210

10

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

0

APCH1-C: Chronic Health PointsAPCH11518APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415for elective postoperative patients


2

USANorth America1
DR. JOHN SMITH
59STUDYXX-
101
100-P0001
101
100
55
5459YDRUG A + SOC

GDS02-Wonderful to Be Alive

GDS0211

11

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

1

APCH1-Total APACHE II ScoreAPCH11619APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL2014156


6

USANorth America1
DR. JOHN SMITH
60STUDYXX-
10156
100-P0001

101

100
60YDRUG A

GDS02-Feel Worthless

GDS0212

12

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

1

+ SOCAPCH1-Total APACHE II Score - AnalysisAPCH1TS20APACHE IIDAY 1515Day 15 (Day of Discharge)152014-07-1313JUL201415



6

USANorth America1
DR. JOHN SMITH
61STUDYXX-
101
200-
P0001
P0002
101
200
57
1
61
1Y

DRUG A

GDS02-Feel Full of Energy

GDS0213

13

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

0

DR. JOHN SMITH

SOCAPCH1-Temperature - RectalAPCH1011APACHE IISCREENING1Baseline02014-08-0303AUG2014-238.5-38.9CY
1
YGBRNon-North America0
62STUDYXX-
101
200-
P0001
P0002
101
200
58
2
62
2Y
DRUG A
SOC

GDS02-Feel Hopeless

GDS0214

14

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

YES

1

APCH1-Mean Arterial PressureAPCH1022APACHE IISCREENING1Baseline02014-08-0303AUG2014-2110-129mmHgY
2
YGBRNon-North America0
DR. JOHN SMITH
63STUDYXX-
101
200-
P0001
P0002
101
200
59
3
63
3Y
DRUG A
SOC

GDS02-Most People Better Off Than You

GDS0215

15

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

NO

0

DR. JOHN SMITH

APCH1-Heart RateAPCH1033APACHE IISCREENING1Baseline02014-08-0303AUG2014-270-109beats/minY
0
YGBRNon-North America0
64STUDYXX-200-P000220044YSOCAPCH1-Respiratory RateAPCH1044APACHE IISCREENING1Baseline02014-08-0303AUG2014-2>=50breaths/minY
4
YGBRNon-North America0

64

STUDYX

X-101-P0001

101

64

Y

DRUG A

GDS02- Total Score - Analysis

GDS02TS

16

GDS SHORT FORM

VISIT 3

3

VISIT 3

3

2013-01-12

12JAN2013

58

7

Possible Depression

10

-3

AVERAGE

Y

DR. JOHN SMITH
65STUDYXX-
101
200-
P0001
P0002
101
200
60
5
65
5Y

DRUG A

GDS02-Satisfied With Life

GDS0201

1

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

YES

0

DR. JOHN SMITH

SOCAPCH1-Oxygenation: A-aDO2APCH105A5APACHE IISCREENING1Baseline02014-08-0303AUG2014-2


Y


GBRNon-North America0
66STUDYXX-
101
200-
P0001
P0002
101
200
61
6
66
6Y
DRUG A
SOC

GDS02-Dropped Activities and Interests

GDS0202

2

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH

APCH1-Oxygenation: PaO2APCH105B6APACHE IISCREENING1Baseline02014-08-0303AUG2014-261-70mmHgY
1
YGBRNon-North America0
67STUDYXX-
101
200-
P0001
P0002
101
200
62
7
67
7Y
DRUG A
SOC

GDS02-Life Is Empty

GDS0203

3

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

APCH1-Arterial pHAPCH106A7APACHE IISCREENING1Baseline02014-08-0303AUG2014-2<7.15
Y
4
YGBRNon-North America0
DR. JOHN SMITH
68STUDYXX-
101
200-
P0001
P0002
101
200
63
8
68
8Y
DRUG A
SOC
GDS02
APCH1-
Bored Often
Serum HCO3
GDS0204
APCH106B

4

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH

8APACHE IISCREENING1Baseline02014-08-0303AUG2014-2


Y


GBRNon-North America0
69STUDYXX-
101
200-
P0001
P0002
101
200
64
9
69
9Y
DRUG A
SOC

GDS02-Good Spirits Most of Time

GDS0205

5

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

YES

0

DR. JOHN SMITH

APCH1-Serum SodiumAPCH1079APACHE IISCREENING1Baseline02014-08-0303AUG2014-2150-154mmol/LY
1
YGBRNon-North America0
70STUDYXX-
101
200-
P0001
P0002
101
200
65
10
70
10Y
DRUG A
SOC

GDS02-Afraid of Something Bad Happening

GDS0206

6

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

YES

1

APCH1-Serum PotassiumAPCH10810APACHE IISCREENING1Baseline02014-08-0303AUG2014-23.5-5.4mmol/LY
0
YGBRNon-North America0
DR. JOHN SMITH
71STUDYXX-
101
200-
P0001
P0002
101
200
66
11
71
11Y
DRUG A
SOC

GDS02-Feel Happy Most of Time

GDS0207

7

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

1

APCH1-Serum CreatinineAPCH10911APACHE IISCREENING1Baseline02014-08-0303AUG2014-2<0.6mg/dLY
2
YGBRNon-North America0
DR. JOHN SMITH
72STUDYXX-
101
200-
P0001
P0002
101
200
67
12
72
12Y
DRUG A
SOC

GDS02-Often Feel Helpless

GDS0208

8

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

APCH1-HematocritAPCH11012APACHE IISCREENING1Baseline02014-08-0303AUG2014-220-29.9%Y
2
YGBRNon-North America0
DR. JOHN SMITH
73STUDYXX-
101
200-
P0001
P0002
101
200
68
13
73
13Y
DRUG A
SOC

GDS02-Prefer to Stay Home

GDS0209

9

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH

APCH1-White Blood CountAPCH11113APACHE IISCREENING1Baseline02014-08-0303AUG2014-2>=4010^9/LY
4
YGBRNon-North America0
74STUDYXX-
101
200-
P0001
P0002
101
200
69
14
74
14Y
DRUG A
SOC

GDS02-Memory Problems

GDS0210

10

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH

APCH1-15 Minus Glasgow Coma ScoreAPCH11214APACHE IISCREENING1Baseline02014-08-0303AUG2014-23
Y
3
YGBRNon-North America0
75STUDYXX-
101
200-
P0001
P0002
101
200
70
15
75
15Y
DRUG A
SOC

GDS02-Wonderful to Be Alive

GDS0211

11

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

1

APCH1-A: Total Acute Physiology ScoreAPCH11315APACHE IISCREENING1Baseline02014-08-0303AUG2014-224
Y
24
YGBRNon-North America0
DR. JOHN SMITH
76STUDYXX-
101
200-
P0001
P0002
101
200
71

16
76
Y
Y
SOC

DRUG A

GDS02-Feel Worthless

GDS0212

12

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH

APCH1-A: Total Acute Physiology Score - AnalysisAPCH1TPS16APACHE IISCREENING1Baseline02014-08-0303AUG2014-2

Y
24
YGBRNon-North America0
77STUDYXX-
101
200-
P0001
P0002
101
200
72
16
77
17Y
DRUG A
SOC

GDS02-Feel Full of Energy

GDS0213

13

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

YES

0

DR. JOHN SMITH

APCH1-B: Age PointsAPCH11417APACHE IISCREENING1Baseline02014-08-0303AUG2014-265-74YEARSY
5
YGBRNon-North America0
78STUDYXX-
101
200-
P0001
P0002
101
200
73
17
78
18Y
DRUG A
SOC

GDS02-Feel Hopeless

GDS0214

14

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

DR. JOHN SMITH
APCH1-C: Chronic Health PointsAPCH11518APACHE IISCREENING1Baseline02014-08-0303AUG2014-2for elective postoperative patients
Y
2
YGBRNon-North America0
79STUDYXX-
101
200-
P0001
P0002
101
200
74
18
79
19Y
DRUG A
SOC

GDS02-Most People Better Off Than You

GDS0215

15

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

NO

0

APCH1-Total APACHE II ScoreAPCH11619APACHE IISCREENING1Baseline02014-08-0303AUG2014-231
Y
31
YGBRNon-North America0
DR. JOHN SMITH
80STUDYXX-
101
200-
P0001
P0002
101
200
80

20Y
DRUG A
SOC
GDS02
APCH1-Total APACHE II Score - Analysis
GDS02TS
APCH1TS

16

GDS SHORT FORM

VISIT 4

4

VISIT 4

4

2013-02-13

13FEB2013

90

3

Normal

10

-7

Y

DR. JOHN SMITH

20APACHE IISCREENING1Baseline02014-08-0303AUG2014-2

Y
31
YGBRNon-North America0
81STUDYXX-
101
200-
P0001
P0002
101
200
81

21Y
DRUG A
SOC
GDS02
APCH1-Total APACHE II Score - Analysis
GDS02TS
APCH1TS

16

GDS SHORT FORM

VISIT 4

4

ENDPOINT

7

2013-02-13

13FEB2013

90

3

Normal

10

-7

LOV

Y

DR. JOHN SMITH
20APACHE II

Day 15 (Day of Discharge)15
09AUG20145



38WOC
GBRNon-North America

0

Update the below dataset and title according to the current QRS Short_Name instrument.  

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