Inglês

Pharmacogenetic (PGx) Research Parkinson's Disease Patient Study On Absorption, Distribution, Metabolism And Excretion Of Ropinirole NCT00460148

1 Formulários  
Subject information
Descrição

Subject information

Alias
UMLS CUI-1
C2707520
Subject identifier
Descrição

Subject identifier

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Consent for PGx Research (DNA)
Descrição

Consent for PGx Research (DNA)

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C0031325
UMLS CUI-3
C0035168
Has informed consent been obtained for PGx research?
Descrição

Has informed consent been obtained for PGx research?

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0031325
UMLS CUI [1,3]
C0035168
If Yes, record the date informed consent obtained for PGx research
Descrição

If Yes, record the date informed consent obtained for PGx research

Tipo de dados

date

Unidades de medida
  • Day Month Year
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0021430
Day Month Year
Blood sample collection (DNA)
Descrição

Blood sample collection (DNA)

Alias
UMLS CUI-1
C0200345
UMLS CUI-2
C0012854
Has a blood sample been collected for PGx research?
Descrição

Has a blood sample been collected for PGx research?

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0200345
UMLS CUI [1,2]
C0031325
UMLS CUI [1,3]
C0035168
If Yes, record the date sample taken
Descrição

If Yes, record the date sample taken

Tipo de dados

date

Unidades de medida
  • Day Month Year
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0200345
Day Month Year
Withdrawal of consent for PGx (DNA)
Descrição

Withdrawal of consent for PGx (DNA)

Alias
UMLS CUI-1
C2349954
UMLS CUI-2
C0021430
Has subject withdrawn consent for PGx research?
Descrição

Has subject withdrawn consent for PGx research?

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2349954
UMLS CUI [1,2]
C0021430
If Yes, record the date informed consent withdrawn for PGx research
Descrição

If Yes, record the date informed consent withdrawn for PGx research

Tipo de dados

date

Unidades de medida
  • Day Month Year
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2349954
UMLS CUI [1,3]
C0021430
Day Month Year
Blood sample destruction
Descrição

Blood sample destruction

Alias
UMLS CUI-1
C1948029
UMLS CUI-2
C0178913
Has a request been made for blood sample destruction?
Descrição

Has a request been made for blood sample destruction?

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0686900
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C0178913
If Yes, choose one reason:
Descrição

If Yes, choose one reason:

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C1948029
UMLS CUI [1,3]
C0178913
If other, specify:
Descrição

If other, specify:

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0392360
UMLS CUI [1,3]
C1948029
UMLS CUI [1,4]
C0178913
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Similar models

Pharmacogenetic (PGx) Research Parkinson's Disease Patient Study On Absorption, Distribution, Metabolism And Excretion Of Ropinirole NCT00460148

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Subject information
C2707520 (UMLS CUI-1)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Item Group
Consent for PGx Research (DNA)
C0021430 (UMLS CUI-1)
C0031325 (UMLS CUI-2)
C0035168 (UMLS CUI-3)
Item
Has informed consent been obtained for PGx research?
text
C0021430 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
C0035168 (UMLS CUI [1,3])
Have liver chemistry results reached or exceeded protocol-defined investigational product stopping criteria?
Code List
Has informed consent been obtained for PGx research?
CL Item
Yes (Y)
CL Item
No (N)
If Yes, record the date informed consent obtained for PGx research
Item
If Yes, record the date informed consent obtained for PGx research
date
C0011008 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Item Group
Blood sample collection (DNA)
C0200345 (UMLS CUI-1)
C0012854 (UMLS CUI-2)
Item
Has a blood sample been collected for PGx research?
text
C0200345 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
C0035168 (UMLS CUI [1,3])
Has a blood sample been collected for PGx research?
Code List
Has a blood sample been collected for PGx research?
CL Item
Yes (Y)
CL Item
No (N)
If Yes, record the date sample taken
Item
If Yes, record the date sample taken
date
C0011008 (UMLS CUI [1,1])
C0200345 (UMLS CUI [1,2])
Item Group
Withdrawal of consent for PGx (DNA)
C2349954 (UMLS CUI-1)
C0021430 (UMLS CUI-2)
Item
Has subject withdrawn consent for PGx research?
text
C2349954 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
Has subject withdrawn consent for PGx research?
Code List
Has subject withdrawn consent for PGx research?
CL Item
Yes (Y)
CL Item
No (N)
If Yes, record the date informed consent withdrawn for PGx research
Item
If Yes, record the date informed consent withdrawn for PGx research
date
C0011008 (UMLS CUI [1,1])
C2349954 (UMLS CUI [1,2])
C0021430 (UMLS CUI [1,3])
Item Group
Blood sample destruction
C1948029 (UMLS CUI-1)
C0178913 (UMLS CUI-2)
Item
Has a request been made for blood sample destruction?
text
C0686900 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C0178913 (UMLS CUI [1,3])
Has a request been made for blood sample destruction?
Code List
Has a request been made for blood sample destruction?
CL Item
Yes (Y)
CL Item
No (N)
Item
If Yes, choose one reason:
text
C0392360 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C0178913 (UMLS CUI [1,3])
If Yes, choose one reason:
Code List
If Yes, choose one reason:
CL Item
Subject withdrew consent for PGx (3)
CL Item
Screen failure (2)
CL Item
Other (Z)
If other, specify:
Item
If other, specify:
text
C2348235 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C1948029 (UMLS CUI [1,3])
C0178913 (UMLS CUI [1,4])
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