{"SOC":"Blood and lymphatic system disorders","TERM":"Anemia","Grade_1":"Hemoglobin (Hgb) = signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"g/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Blood and lymphatic system disorders","TERM":"Leukocytosis","Grade_1":"-","Grade_2":"-","Grade_3":">100,000/mm3","Grade_4":"Clinical manifestations of leucostasis; urgent intervention indicated","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an increased number of white blood cells in the blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 100 ~ \"3\", signif(AVAL, signif_dig) <= 100 ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Activated partial thromboplastin time prolonged","Grade_1":">ULN - 1.5 x ULN","Grade_2":">1.5 - 2.5 x ULN","Grade_3":">2.5 x ULN; bleeding","Grade_4":"-","Grade_5":"-","Definition":"An abnormal laboratory test result in which the partial thromboplastin time is found to be greater than the control value. As a possible indicator of coagulopathy, a prolonged partial thromboplastin time (PTT) may occur in a variety of diseases and disorders, both primary and related to treatment.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(2.5*ANRHI, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(1.5*ANRHI, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Alanine aminotransferase increased","Grade_1":">ULN - 3.0 x ULN if baseline was normal; 1.5 - 3.0 x baseline if baseline was abnormal","Grade_2":">3.0 - 5.0 x ULN if baseline was normal; >3.0 - 5.0 x baseline if baseline was abnormal","Grade_3":">5.0 - 20.0 x ULN if baseline was normal; >5.0 - 20.0 x baseline if baseline was abnormal","Grade_4":">20.0 x ULN if baseline was normal; >20.0 x baseline if baseline was abnormal","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the level of alanine aminotransferase (ALT or SGPT) in the blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*ANRHI, signif_dig) ~ \"4\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*BASE, signif_dig) ~ \"4\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"3\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*BASE, signif_dig) ~ \"3\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(3*ANRHI, signif_dig) ~ \"2\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(3*BASE, signif_dig) ~ \"2\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) >= signif(1.5*BASE, signif_dig) ~ \"1\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) < signif(1.5*BASE, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI, BASE","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Alkaline phosphatase increased","Grade_1":">ULN - 2.5 x ULN if baseline was normal; 2.0 - 2.5 x baseline if baseline was abnormal","Grade_2":">2.5 - 5.0 x ULN if baseline was normal; >2.5 - 5.0 x baseline if baseline was abnormal","Grade_3":">5.0 - 20.0 x ULN if baseline was normal; >5.0 - 20.0 x baseline if baseline was abnormal","Grade_4":">20.0 x ULN if baseline was normal; >20.0 x baseline if baseline was abnormal","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the level of alkaline phosphatase in a blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*ANRHI, signif_dig) ~ \"4\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*BASE, signif_dig) ~ \"4\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"3\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*BASE, signif_dig) ~ \"3\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(2.5*ANRHI, signif_dig) ~ \"2\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(2.5*BASE, signif_dig) ~ \"2\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) >= signif(2*BASE, signif_dig) ~ \"1\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) < signif(2*BASE, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI, BASE","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Aspartate aminotransferase increased","Grade_1":">ULN - 3.0 x ULN if baseline was normal; 1.5 - 3.0 x baseline if baseline was abnormal","Grade_2":">3.0 - 5.0 x ULN if baseline was normal; >3.0 - 5.0 x baseline if baseline was abnormal","Grade_3":">5.0 - 20.0 x ULN if baseline was normal; >5.0 - 20.0 x baseline if baseline was abnormal","Grade_4":">20.0 x ULN if baseline was normal; >20.0 x baseline if baseline was abnormal","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the level of aspartate aminotransferase (AST or SGOT) in a blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*ANRHI, signif_dig) ~ \"4\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*BASE, signif_dig) ~ \"4\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"3\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*BASE, signif_dig) ~ \"3\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(3*ANRHI, signif_dig) ~ \"2\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(3*BASE, signif_dig) ~ \"2\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) >= signif(1.5*BASE, signif_dig) ~ \"1\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\", (!is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) < signif(1.5*BASE, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI, BASE","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Blood bilirubin increased","Grade_1":">ULN - 1.5 x ULN if baseline was normal; > 1.0 - 1.5 x baseline if baseline was abnormal","Grade_2":">1.5 - 3.0 x ULN if baseline was normal; >1.5 - 3.0 x baseline if baseline was abnormal","Grade_3":">3.0 - 10.0 x ULN if baseline was normal; >3.0 - 10.0 x baseline if baseline was abnormal","Grade_4":">10.0 x ULN if baseline was normal; >10.0 x baseline if baseline was abnormal","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an abnormally high level of bilirubin in the blood. Excess bilirubin is associated with jaundice.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(10*ANRHI, signif_dig) ~ \"4\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(10*BASE, signif_dig) ~ \"4\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(3*ANRHI, signif_dig) ~ \"3\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(3*BASE, signif_dig) ~ \"3\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(1.5*ANRHI, signif_dig) ~ \"2\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(1.5*BASE, signif_dig) ~ \"2\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(BASE, signif_dig) ~ \"1\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) <= signif(BASE, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI, BASE","DIRECTION":"H"} {"SOC":"Investigations","TERM":"CD4 lymphocytes decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Investigations","TERM":"Cholesterol high","Grade_1":">ULN - 300 mg/dL; >ULN - 7.75 mmol/L","Grade_2":">300 - 400 mg/dL; >7.75 - 10.34 mmol/L","Grade_3":">400 - 500 mg/dL; >10.34 - 12.92 mmol/L","Grade_4":">500 mg/dL; >12.92 mmol/L","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate higher than normal levels of cholesterol in a blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 12.92 ~ \"4\", signif(AVAL, signif_dig) > 10.34 ~ \"3\", signif(AVAL, signif_dig) > 7.75 ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"mmol/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"CPK increased","Grade_1":">ULN - 2.5 x ULN","Grade_2":">2.5 x ULN - 5 x ULN","Grade_3":">5 x ULN - 10 x ULN","Grade_4":">10 x ULN","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in levels of creatine phosphokinase in a blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(10*ANRHI, signif_dig) ~ \"4\", signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(2.5*ANRHI, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Creatinine increased","Grade_1":">ULN - 1.5 x ULN","Grade_2":">1.5 - 3.0 x baseline; >1.5 - 3.0 x ULN","Grade_3":">3.0 baseline; >3.0 - 6.0 x ULN","Grade_4":">6.0 x ULN","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate increased levels of creatinine in a biological specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, !is.na(ANRHI) & signif(AVAL, signif_dig) > signif(6*ANRHI, signif_dig) ~ \"4\", (!is.na(ANRHI) & signif(AVAL, signif_dig) > signif(3*ANRHI, signif_dig)) | (!is.na(BASE) & signif(AVAL, signif_dig) > signif(3*BASE, signif_dig)) ~ \"3\", (!is.na(ANRHI) & signif(AVAL, signif_dig) > signif(1.5*ANRHI, signif_dig)) | (!is.na(BASE) & signif(AVAL, signif_dig) > signif(1.5*BASE, signif_dig)) ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI, BASE","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Fibrinogen decreased","Grade_1":"<1.0 - 0.75 x LLN; if abnormal, <25% decrease from baseline","Grade_2":"<0.75 - 0.5 x LLN; if abnormal, 25 - <50% decrease from baseline","Grade_3":"<0.5 - 0.25 x LLN; if abnormal, 50 - <75% decrease from baseline","Grade_4":"<0.25 x LLN; if abnormal, 75% decrease from baseline; absolute value <50 mg/dL","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an decrease in levels of fibrinogen in a blood specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) < 0.5 ~ \"4\", is.na(ANRLO) ~ NA_character_, signif(AVAL, signif_dig) < signif(0.25*ANRLO, signif_dig) ~ \"4\", signif(AVAL, signif_dig) < signif(ANRLO, signif_dig) & !is.na(PCHG) & signif(PCHG, signif_dig) <= -75 ~ \"4\", signif(AVAL, signif_dig) < signif(0.5*ANRLO, signif_dig) ~ \"3\", signif(AVAL, signif_dig) < signif(ANRLO, signif_dig) & !is.na(PCHG) & signif(PCHG, signif_dig) <= -50 ~ \"3\", signif(AVAL, signif_dig) < signif(0.75*ANRLO, signif_dig) ~ \"2\", signif(AVAL, signif_dig) < signif(ANRLO, signif_dig) & !is.na(PCHG) & signif(PCHG, signif_dig) <= -25 ~ \"2\", signif(AVAL, signif_dig) < signif(ANRLO, signif_dig) ~ \"1\", signif(AVAL, signif_dig) >= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"g/L","VAR_CHECK":"AVAL, ANRLO, PCHG","DIRECTION":"L"} {"SOC":"Investigations","TERM":"GGT increased","Grade_1":">ULN - 2.5 x ULN if baseline was normal; 2.0 - 2.5 x baseline if baseline was abnormal","Grade_2":">2.5 - 5.0 x ULN if baseline was normal; >2.5 - 5.0 x baseline if baseline was abnormal","Grade_3":">5.0 - 20.0 x ULN if baseline was normal; >5.0 - 20.0 x baseline if baseline was abnormal","Grade_4":">20.0 x ULN if baseline was normal; >20.0 x baseline if baseline was abnormal","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate higher than normal levels of the enzyme gamma-glutamyltransferase in the blood specimen. GGT (gamma-glutamyltransferase ) catalyzes the transfer of a gamma glutamyl group from a gamma glutamyl peptide to another peptide, amino acids or water.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(20*ANRHI, signif_dig) ~ \"4\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(20*BASE, signif_dig) ~ \"4\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"3\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(5*BASE, signif_dig) ~ \"3\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(2.5*ANRHI, signif_dig) ~ \"2\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(2.5*BASE, signif_dig) ~ \"2\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) > signif(2*BASE, signif_dig) ~ \"1\", (is.na(BASE) | signif(BASE, signif_dig) <= signif(ANRHI, signif_dig)) & signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\", !is.na(BASE) & signif(BASE, signif_dig) > signif(ANRHI, signif_dig) & signif(AVAL, signif_dig) <= signif(2*BASE, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Haptoglobin decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Investigations","TERM":"Hemoglobin increased","Grade_1":"Increase in >0 - 2 g/Dl above ULN","Grade_2":"Increase in >2 - 4 g/dL above ULN","Grade_3":"Increase in >4 g/dL above ULN","Grade_4":"-","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate increased levels of hemoglobin above normal.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI + 40, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(ANRHI + 20, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"g/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"INR increased","Grade_1":">1.2 - 1.5; >1 - 1.5 x baseline if on anticoagulation; monitoring only indicated","Grade_2":">1.5 - 2.5; >1.5 - 2.5 x baseline if on anticoagulation; dose adjustment indicated","Grade_3":">2.5; >2.5 times above baseline if on anticoagulation","Grade_4":"-","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the ratio of the patient's prothrombin time to a control sample in the blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > signif(2.5, signif_dig) ~ \"3\", !is.na(BASE) & signif(AVAL, signif_dig) > signif(2.5*BASE, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(1.5, signif_dig) ~ \"2\", !is.na(BASE) & signif(AVAL, signif_dig) > signif(1.5*BASE, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(1.2, signif_dig) ~ \"1\", !is.na(BASE) & signif(AVAL, signif_dig) > signif(BASE, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(1.2, signif_dig) & !is.na(BASE) & signif(AVAL, signif_dig) <= signif(BASE, signif_dig) ~ \"0\", is.na(BASE) ~ NA_character_ )","VAR_CHECK":"AVAL, BASE","DIRECTION":"H","COMMENT":"Take worst case and assume \"on anticoagulation\""} {"SOC":"Investigations","TERM":"Lipase increased","Grade_1":">ULN - 1.5 x ULN","Grade_2":">1.5 - 2.0 x ULN; >2.0 - 5.0 x ULN and asymptomatic","Grade_3":">2.0 - 5.0 x ULN with signs or symptoms; >5.0 x ULN and asymptomatic","Grade_4":">5.0 x ULN and with signs or symptoms","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the level of lipase in a biological specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"4\", signif(AVAL, signif_dig) > signif(2*ANRHI, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(1.5*ANRHI, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H","COMMENT":"Take worst case and assume \"signs and symptoms\""} {"SOC":"Investigations","TERM":"Lymphocyte count decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Investigations","TERM":"Lymphocyte count increased","Grade_1":"-","Grade_2":">4000/mm3 - 20,000/mm3","Grade_3":">20,000/mm3","Grade_4":"-","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an abnormal increase in the number of lymphocytes in the blood, effusions or bone marrow.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 20 ~ \"3\", signif(AVAL, signif_dig) > 4 ~ \"2\", signif(AVAL, signif_dig) <= 4 ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Investigations","TERM":"Neutrophil count decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Investigations","TERM":"Platelet count decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Investigations","TERM":"Serum amylase increased","Grade_1":">ULN - 1.5 x ULN","Grade_2":">1.5 - 2.0 x ULN; >2.0 - 5.0 x ULN and asymptomatic","Grade_3":">2.0 - 5.0 x ULN with signs or symptoms; >5.0 x ULN and asymptomatic","Grade_4":">5.0 x ULN and with signs or symptoms","Grade_5":"-","Definition":"A finding based on laboratory test results that indicate an increase in the levels of amylase in a serum specimen.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) | is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(5*ANRHI, signif_dig) ~ \"4\", signif(AVAL, signif_dig) > signif(2*ANRHI, signif_dig) ~ \"3\", signif(AVAL, signif_dig) > signif(1.5*ANRHI, signif_dig) ~ \"2\", signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H","COMMENT":"Take worst case and assume \"signs and symptoms\""} {"SOC":"Investigations","TERM":"White blood cell decreased","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"10^9/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypercalcemia","Grade_1":"Corrected serum calcium of >ULN - 11.5 mg/dL; >ULN - 2.9 mmol/L; Ionized calcium >ULN - 1.5 mmol/L","Grade_2":"Corrected serum calcium of >11.5 - 12.5 mg/dL; >2.9 - 3.1 mmol/L; Ionized calcium >1.5 - 1.6 mmol/L; symptomatic","Grade_3":"Corrected serum calcium of >12.5 - 13.5 mg/dL;>3.1 - 3.4 mmol/L; Ionized calcium >1.6 - 1.8 mmol/L; hospitalization indicated","Grade_4":"Corrected serum calcium of >13.5 mg/dL; >3.4 mmol/L; Ionized calcium >1.8 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of calcium (corrected for albumin) in blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 3.4 ~ \"4\", signif(AVAL, signif_dig) > 3.1 ~ \"3\", signif(AVAL, signif_dig) > 2.9 ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H","COMMENT":"Split Corrected Calcium and Ionized Calcium into 2 separate terms."} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypercalcemia (Ionized)","Grade_1":"Corrected serum calcium of >ULN - 11.5 mg/dL; >ULN - 2.9 mmol/L; Ionized calcium >ULN - 1.5 mmol/L","Grade_2":"Corrected serum calcium of >11.5 - 12.5 mg/dL; >2.9 - 3.1 mmol/L; Ionized calcium >1.5 - 1.6 mmol/L; symptomatic","Grade_3":"Corrected serum calcium of >12.5 - 13.5 mg/dL;>3.1 - 3.4 mmol/L; Ionized calcium >1.6 - 1.8 mmol/L; hospitalization indicated","Grade_4":"Corrected serum calcium of >13.5 mg/dL; >3.4 mmol/L; Ionized calcium >1.8 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of calcium (corrected for albumin) in blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 1.8 ~ \"4\", signif(AVAL, signif_dig) > 1.6 ~ \"3\", signif(AVAL, signif_dig) > 1.5 ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H","COMMENT":"Split Corrected Calcium and Ionized Calcium into 2 separate terms."} {"SOC":"Metabolism and nutrition disorders","TERM":"Hyperkalemia","Grade_1":">ULN - 5.5 mmol/L","Grade_2":">5.5 - 6.0 mmol/L; intervention initiated","Grade_3":">6.0 - 7.0 mmol/L; hospitalization indicated","Grade_4":">7.0 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of potassium in the blood; associated with kidney failure or sometimes with the use of diuretic drugs.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 7 ~ \"4\", signif(AVAL, signif_dig) > 6 ~ \"3\", signif(AVAL, signif_dig) > 5.5 ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypermagnesemia","Grade_1":">ULN - 3.0 mg/dL; >ULN - 1.23 mmol/L","Grade_2":"-","Grade_3":">3.0 - 8.0 mg/dL; >1.23 - 3.30 mmol/L","Grade_4":">8.0 mg/dL; >3.30 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of magnesium in the blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 3.3 ~ \"4\", signif(AVAL, signif_dig) > 1.23 ~ \"3\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypernatremia","Grade_1":">ULN - 150 mmol/L","Grade_2":">150 - 155 mmol/L; intervention initiated","Grade_3":">155 - 160 mmol/L; hospitalization indicated","Grade_4":">160 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of sodium in the blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 160 ~ \"4\", signif(AVAL, signif_dig) > 155 ~ \"3\", signif(AVAL, signif_dig) > 150 ~ \"2\", is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"1\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypertriglyceridemia","Grade_1":"150 mg/dL - 300 mg/dL; 1.71 mmol/L - 3.42 mmol/L","Grade_2":">300 mg/dL - 500 mg/dL; >3.42 mmol/L - 5.7 mmol/L","Grade_3":">500 mg/dL - 1000 mg/dL; >5.7 mmol/L - 11.4 mmol/L","Grade_4":">1000 mg/dL; >11.4 mmol/L; life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of triglyceride concentration in the blood.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, signif(AVAL, signif_dig) > 11.4 ~ \"4\", signif(AVAL, signif_dig) > 5.7 ~ \"3\", signif(AVAL, signif_dig) > 3.42 ~ \"2\", signif(AVAL, signif_dig) > 1.71 ~ \"1\", signif(AVAL, signif_dig) <= 1.71 ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL","DIRECTION":"H"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hyperuricemia","Grade_1":">ULN without physiologic consequences","Grade_2":"-","Grade_3":">ULN with physiologic consequences","Grade_4":"Life-threatening consequences","Grade_5":"Death","Definition":"A disorder characterized by laboratory test results that indicate an elevation in the concentration of uric acid.","GRADE_CRITERIA_CODE":"case_when( is.na(AVAL) ~ NA_character_, is.na(ANRHI) ~ NA_character_, signif(AVAL, signif_dig) > signif(ANRHI, signif_dig) ~ \"3\", signif(AVAL, signif_dig) <= signif(ANRHI, signif_dig) ~ \"0\" )","VAR_CHECK":"AVAL, ANRHI","DIRECTION":"H","COMMENT":"Take worst case and assume \"with physiologic consequences\""} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypoalbuminemia","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"g/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypocalcemia","Grade_1":"Corrected serum calcium of = signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L","COMMENT":"Split Corrected Calcium and Ionized Calcium into 2 separate terms."} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypocalcemia (Ionized)","Grade_1":"Corrected serum calcium of = signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L","COMMENT":"Split Corrected Calcium and Ionized Calcium into 2 separate terms."} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypoglycemia","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypokalemia","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L","COMMENT":"Take worst case and assume \"symptomatic\""} {"SOC":"Metabolism and nutrition disorders","TERM":"Hypomagnesemia","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L"} {"SOC":"Metabolism and nutrition disorders","TERM":"Hyponatremia","Grade_1":"= signif(ANRLO, signif_dig) ~ \"0\" )","SI_UNIT_CHECK":"MMOL/L","VAR_CHECK":"AVAL, ANRLO","DIRECTION":"L","COMMENT":"Take worst case and assume \"symptomatic\""}