Engelsk

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 3

1 Formulär  
General information
Beskrivning

General information

Subject Identifier
Beskrivning

Subject Identifier

Datatyp

integer

Visit Date
Beskrivning

Visit Date

Datatyp

date

Visit Description: Visit 3
Beskrivning

Visit Description

Datatyp

boolean

Investigator Instructions (See Description)
Beskrivning

Telephone the IVRS system to register the visit. (Note that if the subject is not continuing in the study, you should make a withdrawal call rather that a Visit Registration call).

Datatyp

boolean

Subject Continuation (See Description)
Beskrivning

If the subject is not continuing in the study, complete all assessments and ensure that all sections of the CRF (including the Study Conclusion section) are completely appropriately. Schedule an early withdrawal follow-up visit for 14 +/- 7 days after this visit.

Datatyp

boolean

Vital Signs
Beskrivning

Vital Signs

Weight
Beskrivning

Weight

Datatyp

float

Måttenheter
  • kg
kg
Blood pressure (See Description): Systolic
Beskrivning

Blood pressure and heart rate will be measured once, after the subject sits quietly for at least 5 minutes.

Datatyp

integer

Blood pressure: Diastolic
Beskrivning

Blood pressure

Datatyp

integer

Måttenheter
  • mmHg
mmHg
Heart Rate
Beskrivning

Heart Rate

Datatyp

integer

Måttenheter
  • bpm
bpm
Concomitant Medications (See Description)
Beskrivning

Concomitant Medications (See Description)

Adverse Events (See Description)
Beskrivning

Adverse Events (See Description)

Physical Examination (See Description)
Beskrivning

Physical Examination (See Description)

Pedal Oedema (See Description)
Beskrivning

Pedal Oedema (See Description)

Depth of Indentation
Beskrivning

Depth of Indentation

Datatyp

text

Indicate which ankle was assessed at this visit
Beskrivning

Ankle

Datatyp

text

End of visit reminder (See Description)
Beskrivning

End of visit reminder (See Description)

Tillbaka till toppen

Similar models

NCT00334568/ GSK-AVA100193: M.Alzheimer GSK - Book 3

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General information
Subject Identifier
Item
Subject Identifier
integer
Visit Date
Item
Visit Date
date
Visit Description
Item
Visit Description: Visit 3
boolean
Investigator Instructions (See Description)
Item
Investigator Instructions (See Description)
boolean
Subject Continuation (See Description)
Item
Subject Continuation (See Description)
boolean
Item Group
Vital Signs
Weight
Item
Weight
float
Blood pressure (See Description)
Item
Blood pressure (See Description): Systolic
integer
Blood pressure
Item
Blood pressure: Diastolic
integer
Heart Rate
Item
Heart Rate
integer
Item Group
Concomitant Medications (See Description)
Item Group
Adverse Events (See Description)
Item Group
Physical Examination (See Description)
Item Group
Pedal Oedema (See Description)
Item
Depth of Indentation
text
Depth of Indentation
Code List
Depth of Indentation
CL Item
< 1 mm (1)
CL Item
1-2 mm (2)
CL Item
3-5 mm (3)
CL Item
6-10 mm (4)
CL Item
> 10 mm (5)
Item
Indicate which ankle was assessed at this visit
text
Ankle
Code List
Indicate which ankle was assessed at this visit
CL Item
Right Ankle (1)
CL Item
Left Ankle (2)
Item Group
End of visit reminder (See Description)
Tillbaka till toppen