Engelsk

study period ongoing concomitant medication starting dose of ropinirole Parkinson's Disease 101468/166

1 Formulär  
Administrative Data
Beskrivning

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient Initials
Beskrivning

patient's initials

Datatyp

text

Alias
UMLS CUI [1]
C2986440
Patient No.
Beskrivning

patient number

Datatyp

integer

Alias
UMLS CUI [1]
C1830427
CONCOMITANT MEDICATIONS
Beskrivning

CONCOMITANT MEDICATIONS

Alias
UMLS CUI-1
C2347852
Has the patient taken any new and/or changed concomitant medications since taking the first dose of study drug?
Beskrivning

Record .fill concomitant medication(s) (other than study drug) taken by the patient since taking the first dose of study drug through Day 14.

Datatyp

integer

Alias
UMLS CUI [1]
C2347852
CONCOMITANT MEDICATIONS
Beskrivning

CONCOMITANT MEDICATIONS

Alias
UMLS CUI-1
C2347852
MEDICATION
Beskrivning

Use generic name.

Datatyp

text

Alias
UMLS CUI [1]
C2347852
DATE STARTED
Beskrivning

start date of concomitant medication

Datatyp

date

Alias
UMLS CUI [1]
C2826734
DATE STOPPED
Beskrivning

stop date of concomitant medication

Datatyp

text

Alias
UMLS CUI [1]
C2826744
DATE STOPPED
Beskrivning

If not "continued" above, record the date.

Datatyp

date

Alias
UMLS CUI [1]
C2826744
TOTAL DAILY DOSE
Beskrivning

total daily dose of concomitant medication

Datatyp

integer

Alias
UMLS CUI [1,1]
C2348070
UMLS CUI [1,2]
C2347852
ROUTE
Beskrivning

If "other", specify.

Datatyp

text

Alias
UMLS CUI [1]
C0013153
INDICATION
Beskrivning

indication for medication

Datatyp

text

Alias
UMLS CUI [1]
C2826696
Tillbaka till toppen

Similar models

study period ongoing concomitant medication starting dose of ropinirole Parkinson's Disease 101468/166

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
Item Group
CONCOMITANT MEDICATIONS
C2347852 (UMLS CUI-1)
Item
Has the patient taken any new and/or changed concomitant medications since taking the first dose of study drug?
integer
C2347852 (UMLS CUI [1])
concomitant medication
Code List
Has the patient taken any new and/or changed concomitant medications since taking the first dose of study drug?
CL Item
Yes (1)
CL Item
No (2)
Item Group
CONCOMITANT MEDICATIONS
C2347852 (UMLS CUI-1)
concomitant medication
Item
MEDICATION
text
C2347852 (UMLS CUI [1])
start date of concomitant medication
Item
DATE STARTED
date
C2826734 (UMLS CUI [1])
Item
DATE STOPPED
text
C2826744 (UMLS CUI [1])
stop date of medication
Code List
DATE STOPPED
CL Item
Continuing (Continuing)
CL Item
Not Continuing (Not Continuing)
stop date of concomitant medication
Item
DATE STOPPED
date
C2826744 (UMLS CUI [1])
total daily dose of concomitant medication
Item
TOTAL DAILY DOSE
integer
C2348070 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Item
ROUTE
text
C0013153 (UMLS CUI [1])
route of medication administration
Code List
ROUTE
CL Item
IV (IV)
CL Item
PR (PR)
CL Item
IM (IM)
CL Item
Sublingual (Sublingual)
CL Item
PO (PO)
CL Item
Inhaled (Inhaled)
CL Item
SC (SC)
CL Item
Topical (Topical)
CL Item
Other, Specify (Other)
indication for medication
Item
INDICATION
text
C2826696 (UMLS CUI [1])
Tillbaka till toppen