ID
13052
Beschrijving
Placebo controlled,double blind and randomized parallel group trial to verify effectivity and tolerability of moxaverine p.o. in patients with central nervous vertigo. Sponsor: URSAPHARM Industriestrasse 66129 Saarbrücken Phone 06805-9292-0 Fax 06805- 929288 Head of clinical trial: Univ.-Prof.Dr.med. Ralph Mösges Medical Faculty, University of Cologne Phone 0221-4783456 Fax 0221-4783465
Trefwoorden
Versies (1)
- 13-01-16 13-01-16 -
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13 januari 2016
DOI
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Licentie
Creative Commons BY-NC 3.0
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Moxaverine 200mg p.o. in patients with central nervous vertigo Pharmacovigilance
Case Report Form Pharmacovigilance
- StudyEvent: ODM
Beschrijving
Pharmacovigilance 1
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
i.e relevant clinical data,lab results, recent medical history and comorbidities
Datatype
text
Alias
- UMLS CUI [1]
- C0678257
Beschrijving
Medication plasma concentration
Datatype
boolean
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0683150
Beschrijving
Laboratory Procedure Date
Datatype
date
Alias
- UMLS CUI [1]
- C0022885
- UMLS CUI [2]
- C0011008
Beschrijving
Plasma concentration
Datatype
float
Alias
- UMLS CUI [1]
- C0022885
- UMLS CUI [2]
- C0683150
Beschrijving
Medication
Datatype
text
Alias
- UMLS CUI [1]
- C0013227
Beschrijving
Medication dose,frequency and route of administration
Datatype
text
Alias
- UMLS CUI [1]
- C3174092
- UMLS CUI [2]
- C0439603
- UMLS CUI [3]
- C0013153
Beschrijving
Start Date
Datatype
date
Alias
- UMLS CUI [1]
- C0808070
Beschrijving
End date
Datatype
date
Alias
- UMLS CUI [1]
- C0806020
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
Signature
Datatype
text
Alias
- UMLS CUI [1]
- C1519316
Beschrijving
Pharmacovigilance 2
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
Treatment of AE
Datatype
boolean
Alias
- UMLS CUI [1]
- C0087111
Beschrijving
Hospitalization
Datatype
boolean
Alias
- UMLS CUI [1]
- C0019993
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
Hospitalization
Datatype
boolean
Alias
- UMLS CUI [1]
- C0019993
Beschrijving
i.e: timing, determining factors,discontinuation of medications,clinical status of patient at this point,...
Datatype
text
Alias
- UMLS CUI [1]
- C0678257
Beschrijving
Opinion
Datatype
text
Alias
- UMLS CUI [1]
- C0871010
Beschrijving
i.e: hospital report,lab test report, other tests contributing to a diagnose
Datatype
text
Alias
- UMLS CUI [1]
- C1301746
Beschrijving
Name and qualification
Datatype
text
Alias
- UMLS CUI [1]
- C0027365
- UMLS CUI [2]
- C1547648
Beschrijving
Date
Datatype
date
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
Signature
Datatype
text
Alias
- UMLS CUI [1]
- C1519316
Similar models
Case Report Form Pharmacovigilance
- StudyEvent: ODM
C0683150 (UMLS CUI [2])
C0011008 (UMLS CUI [2])
C0683150 (UMLS CUI [2])
C0439603 (UMLS CUI [2])
C0013153 (UMLS CUI [3])
C1547648 (UMLS CUI [2])