ID
25151
Descripción
DEMOGRAPHY Ropinirole Case Report Form GSK Study ID: 100013 Clinical Study ID: RRL100013 A 12-Week, Double-Blind, Placebo-Controlled, Twice-Daily Dosing Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS) Requiring Extended Treatment Coverage
Palabras clave
Versiones (1)
- 27/8/17 27/8/17 -
Titular de derechos de autor
gsk
Subido en
27 de agosto de 2017
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0
Comentarios del modelo :
Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.
Comentarios de grupo de elementos para :
Comentarios del elemento para :
Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.
DEMOGRAPHY Ropinirole Case Report Form GSK RRL100013
DEMOGRAPHY Ropinirole Case Report Form GSK
- StudyEvent: ODM
Descripción
VITAL SIGNS
Descripción
Height
Tipo de datos
integer
Unidades de medida
- cm
Alias
- UMLS CUI [1]
- C0005890
Descripción
Weight
Tipo de datos
integer
Unidades de medida
- kg
Alias
- UMLS CUI [1]
- C0005910
Descripción
Blood pressure Semi-Supine
Tipo de datos
integer
Unidades de medida
- mmHg
Alias
- UMLS CUI [1,1]
- C0005823
- UMLS CUI [1,2]
- C0038846
Descripción
Blood pressure Standing position
Tipo de datos
integer
Unidades de medida
- mmHg
Alias
- UMLS CUI [1,1]
- C0005823
- UMLS CUI [1,2]
- C0231472
Descripción
Heart rate standing position
Tipo de datos
integer
Unidades de medida
- beats/minute
Alias
- UMLS CUI [1,1]
- C0018810
- UMLS CUI [1,2]
- C0231472
Descripción
Heart rate Semi-Supine
Tipo de datos
integer
Unidades de medida
- beats/minute
Alias
- UMLS CUI [1,1]
- C0018810
- UMLS CUI [1,2]
- C0038846
Descripción
RLS DIAGNOSTIC CLINICAL INTERVIEW - WORKSHEET
Descripción
Final diagnosis
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0011900
Descripción
Does subject report growing pains:
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0423693
Descripción
Have you ever had unpleasant or uncomfortable feelings in your legs that occurred mainly while you were either sitting or lying down?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C2112857
Descripción
Are these feelings painful rather than just uncomfortable?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0030193
- UMLS CUI [2]
- C2051418
Descripción
How would you describe these feelings or sensations?
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0036659
- UMLS CUI [1,2]
- C0678257
Descripción
Have you ever felt the need or urge to move your legs that occurred mainly while you were either sitting or lying down?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C4289280
Descripción
Do these feelings in your legs ever become overwhelming to the point that you cannot resist moving your legs?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0030193
Descripción
If you developed these feelings in your legs and you could not move your legs, or if someone were to hold your legs down, how would this effect the feelings in your legs?:
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0560841
Descripción
ALCOHOL INTAKE
Descripción
CAFFEINE INTAKE INVEST/GA TOR INSTRUCTIONS
Descripción
RLS SCREEN HISTORY
Descripción
What was the subject's age at the onset of RLS?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0206132
- UMLS CUI [1,2]
- C0035258
Descripción
Did the subject start any new medication near the time of their first onset of RLS symptoms that may have caused RLS?
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C0420250
Descripción
If female, did RLS symptoms develop during pregnancy?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C0032961
Descripción
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of RLS?
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C0080103
Descripción
Has the subject ever had PLMS (Periodic Limb Movements during Sleep)?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C1970020
Descripción
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of PLMS?
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1970020
- UMLS CUI [1,2]
- C0080103
Descripción
Does the subject have any sleep disorder as defined by DSM IV other than qualifying disease state for this study?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0851578
Descripción
When are the subject's current RLS symptoms mainly present?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C1457887
Descripción
Have any of the following parts of the subject's body ever been affected by RLS symptoms?
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C0035258
Descripción
Does the subject consume alcohol?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0001948
Descripción
If Yes, record the average number of units of alcohol' consumed per week
Tipo de datos
text
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0556331
Descripción
Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0948365
Descripción
INTERNATIONAL RESTLESS LEG SYNDROME STUDY GROUP (IRLSSG) DIAGNOSTIC CRITERIA
Descripción
An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0518561
- UMLS CUI [1,2]
- C0035258
Descripción
The urge to move or unpleasant sensations begin or worsen during periods of rest or inactivity such as lying or sitting.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0035258
- UMLS CUI [1,2]
- C3890554
Descripción
The urge to move or unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0080331
- UMLS CUI [1,2]
- C0600080
Descripción
The urge to move or unpleasant sensations are worse in the evening or night than during the day or only occur in the evening or night.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C3845371
Descripción
CARDIOVASCULAR MEDICAL HISTORY
Descripción
Myocardial infarction
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0027051
Descripción
Atherosclerosis
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0004153
Descripción
Cardiac valve disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0018824
Descripción
Peripheral vascular disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0085096
Descripción
Unspecified cerebrovascular disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0007820
Descripción
Transient ischaemic attack
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0007787
Descripción
Stroke
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0038454
Descripción
Cardiac arrest
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0018790
Descripción
Coronary artery disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1956346
Descripción
ischaemic heart disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0151744
Descripción
ischaemic heart disease with cardiomyopathy
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0151744
- UMLS CUI [1,2]
- C0878544
Descripción
Stable angina pectoris
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0340288
Descripción
Unstable angina
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0002965
Descripción
Heart failure
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0018801
Descripción
Arrhythmia
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0003811
Descripción
Left ventricular dysfunction
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0242698
Descripción
Pulmonary oedema
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0034063
Descripción
Hypertension
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0020538
Descripción
Oedema
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0013604
Descripción
Left ventricular hypertrophy
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0149721
Descripción
Cardiomegaly
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0018800
Descripción
Cardiomyopathy
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0878544
Descripción
Diastolic dysfunction
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0520863
Descripción
Coronary artery by-pass
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0010055
Descripción
Angioplasty
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0162577
Descripción
STENT insertion
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0398087
Descripción
Cardiac transplantation
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C3275052
Descripción
Amputation
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0002688
Descripción
Pacemaker insertion
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0189843
Descripción
Carotid endarterectomy
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C3275052
Descripción
Vascular bypass graft (other than coronary)
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0863745
Similar models
DEMOGRAPHY Ropinirole Case Report Form GSK
- StudyEvent: ODM
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0231472 (UMLS CUI [1,2])
C0038846 (UMLS CUI [1,2])
C0439544 (UMLS CUI-2)
(Comment:en)
C0332148 (UMLS CUI-2)
(Comment:en)
C2362652 (UMLS CUI-2)
(Comment:en)
C0497153 (UMLS CUI-2)
(Comment:en)
C0439544 (UMLS CUI-2)
C0332138 (UMLS CUI-3)
(Comment:en)
C2362652 (UMLS CUI-2)
C0332138 (UMLS CUI-3)
(Comment:en)
C0439673 (UMLS CUI-2)
(Comment:en)
C2051418 (UMLS CUI [2])
C0678257 (UMLS CUI [1,2])
C0035258 (UMLS CUI [1,2])
C0420250 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0080103 (UMLS CUI [1,2])
C0080103 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,2])
(Comment:en)
C0587117 (UMLS CUI-2)
(Comment:en)
C0587117 (UMLS CUI-2)
C0332169 (UMLS CUI-3)
(Comment:en)
C0035258 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0027530 (UMLS CUI-3)
(Comment:en)
C0556331 (UMLS CUI [1,2])
C0035258 (UMLS CUI [1,2])
C3890554 (UMLS CUI [1,2])
C0600080 (UMLS CUI [1,2])
C3845371 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0878544 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
C0012634 (UMLS CUI-2)
(Comment:en)
(Comment:en)