Inglés

GW597599 and paroxetine on the pharmacokinetics of midazolam and dextromethorphan 100716 Treatment Period 1 Laboratory Collections

1 formularios  
Urinanalysis
Descripción

Urinanalysis

Alias
UMLS CUI-1
C0042014
Exact date and time of urine sampling
Descripción

urine sampling date and time

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Comments:
Descripción

comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If Yes, please record diagnosis on the Adverse Events page.
Descripción

urinanalysis normal

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C0205307
Drug Screening (Urine)
Descripción

Drug Screening (Urine)

Alias
UMLS CUI-1
C0202274
Exact date and time of sampling
Descripción

urine sampling date and time

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Where there any contra-indicated drugs detected? If YES, please record all the relevant contra-indicated drugs below.
Descripción

drug screening positive

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0202274
UMLS CUI [1,2]
C1446409
Type of drug
Descripción

drug type

Tipo de datos

text

Alias
UMLS CUI [1]
C0457591
Comment
Descripción

comment

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Alcohol Breath Test
Descripción

Alcohol Breath Test

Alias
UMLS CUI-1
C0202306
Exact date and time of test
Descripción

alcohol breath test date and time

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C0202306
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Alcohol breath test positive or negative? If positive please withdraw the subject from the study.
Descripción

alcohol breath test

Tipo de datos

text

Alias
UMLS CUI [1]
C0202306
Urine Cotinine Test
Descripción

Urine Cotinine Test

Alias
UMLS CUI-1
C1697737
Exact date and time of test
Descripción

If positive please withdraw from the study.

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C1697737
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
Serum b-HCG Pregnancy Test (Females Only)
Descripción

Serum b-HCG Pregnancy Test (Females Only)

Alias
UMLS CUI-1
C0430060
Was a pregnancy test carried out?
Descripción

pregnancy test

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0430060
If NO, please specify reason
Descripción

pregnancy test reason

Tipo de datos

text

Alias
UMLS CUI [1]
C0430060
If YES, please indicate date and time of test and result:
Descripción

pregnancy test date and time

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C0430060
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0040223
If YES, please indicate date and time of test and result: If Positive, withdraw the subject from the study.
Descripción

pregnancy test result

Tipo de datos

text

Alias
UMLS CUI [1]
C0032976
Laboratory name, if applicable
Descripción

Ensure result is included on laboratory report

Tipo de datos

text

Alias
UMLS CUI [1]
C1882331
Volver a la parte superior de la página

Similar models

GW597599 and paroxetine on the pharmacokinetics of midazolam and dextromethorphan 100716 Treatment Period 1 Laboratory Collections

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Urinanalysis
C0042014 (UMLS CUI-1)
urine sampling date and time
Item
Exact date and time of urine sampling
datetime
C0200354 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
comment
Item
Comments:
text
C0947611 (UMLS CUI [1])
urinanalysis normal
Item
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If Yes, please record diagnosis on the Adverse Events page.
boolean
C0042014 (UMLS CUI [1,1])
C0205307 (UMLS CUI [1,2])
Item Group
Drug Screening (Urine)
C0202274 (UMLS CUI-1)
urine sampling date and time
Item
Exact date and time of sampling
datetime
C0200354 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
drug screening positive
Item
Where there any contra-indicated drugs detected? If YES, please record all the relevant contra-indicated drugs below.
boolean
C0202274 (UMLS CUI [1,1])
C1446409 (UMLS CUI [1,2])
drug type
Item
Type of drug
text
C0457591 (UMLS CUI [1])
comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Item Group
Alcohol Breath Test
C0202306 (UMLS CUI-1)
alcohol breath test date and time
Item
Exact date and time of test
datetime
C0202306 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
Alcohol breath test positive or negative? If positive please withdraw the subject from the study.
text
C0202306 (UMLS CUI [1])
alcohol breath test
Code List
Alcohol breath test positive or negative? If positive please withdraw the subject from the study.
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item Group
Urine Cotinine Test
C1697737 (UMLS CUI-1)
urine cotinine test date and time
Item
Exact date and time of test
datetime
C1697737 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item Group
Serum b-HCG Pregnancy Test (Females Only)
C0430060 (UMLS CUI-1)
pregnancy test
Item
Was a pregnancy test carried out?
boolean
C0430060 (UMLS CUI [1])
pregnancy test reason
Item
If NO, please specify reason
text
C0430060 (UMLS CUI [1])
pregnancy test date and time
Item
If YES, please indicate date and time of test and result:
datetime
C0430060 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
If YES, please indicate date and time of test and result: If Positive, withdraw the subject from the study.
text
C0032976 (UMLS CUI [1])
pregnancy test result
Code List
If YES, please indicate date and time of test and result: If Positive, withdraw the subject from the study.
CL Item
Positive (Positive)
CL Item
Negative (Negative)
laboratory name
Item
Laboratory name, if applicable
text
C1882331 (UMLS CUI [1])
Volver a la parte superior de la página