Englisch

Patient's Daily Diary determination of the maximum well-tolerated starting dose of ropinirole in Parkinson's Disease 101468/166

1 Formulare  
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient Initials
Beschreibung

patient's initials

Datentyp

text

Alias
UMLS CUI [1]
C2986440
Patient No.
Beschreibung

patient number

Datentyp

integer

Alias
UMLS CUI [1]
C1830427
Start completing this diary on
Beschreibung

start date of patient's diary

Datentyp

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0376660
If you have any questions about your study medications between visits call:
Beschreibung

telephone number for questions

Datentyp

integer

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C1522634
Number of visit
Beschreibung

visit number

Datentyp

text

Alias
UMLS CUI [1]
C1549755
Cohorts
Beschreibung

cohorts

Datentyp

text

Alias
UMLS CUI [1]
C0599755
HEALTH RELATED EVENTS
Beschreibung

HEALTH RELATED EVENTS

Alias
UMLS CUI-1
C1562065
Event
Beschreibung

event

Datentyp

text

Alias
UMLS CUI [1]
C0441471
Date and Time Started
Beschreibung

start date and time

Datentyp

datetime

Alias
UMLS CUI [1]
C0808070
UMLS CUI [2]
C1301880
Date and Time Stopped
Beschreibung

stop date and time

Datentyp

datetime

Alias
UMLS CUI [1]
C0806020
UMLS CUI [2]
C1522314
Continued
Beschreibung

Only tick the box, if the event is still going on.

Datentyp

text

Alias
UMLS CUI [1]
C0549178
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Patient's Daily Diary determination of the maximum well-tolerated starting dose of ropinirole in Parkinson's Disease 101468/166

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
patient's initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
patient number
Item
Patient No.
integer
C1830427 (UMLS CUI [1])
start date of patient's diary
Item
Start completing this diary on
date
C0808070 (UMLS CUI [1,1])
C0376660 (UMLS CUI [1,2])
telephone number for questions
Item
If you have any questions about your study medications between visits call:
integer
C1515258 (UMLS CUI [1,1])
C1522634 (UMLS CUI [1,2])
Item
Number of visit
text
C1549755 (UMLS CUI [1])
visit number
Code List
Number of visit
CL Item
Visit 2 (Visit 2)
CL Item
Visits 3-4 (Visits 3-4)
Item
Cohorts
text
C0599755 (UMLS CUI [1])
cohorts
Code List
Cohorts
CL Item
Cohorts A-D (Cohorts A-D)
CL Item
Cohort E (Cohort E)
Item Group
HEALTH RELATED EVENTS
C1562065 (UMLS CUI-1)
event
Item
Event
text
C0441471 (UMLS CUI [1])
start date and time
Item
Date and Time Started
datetime
C0808070 (UMLS CUI [1])
C1301880 (UMLS CUI [2])
stop date and time
Item
Date and Time Stopped
datetime
C0806020 (UMLS CUI [1])
C1522314 (UMLS CUI [2])
Item
Continued
text
C0549178 (UMLS CUI [1])
event continuous
Code List
Continued
CL Item
Continued (Continued)
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