AE Section GSK Ropinirole Restless Legs Syndrome 101468

Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Patient Number
Description

Patient Number

Type de données

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Description

Centre Number

Type de données

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Form D
Description

Form D

Alias
UMLS CUI-1
C0011065
Certified Cause of Death:
Description

Complete Serious Adverse Event Form.

Type de données

text

Alias
UMLS CUI [1]
C0007465
Date of Death
Description

Date of Death

Type de données

date

Unités de mesure
  • dd-mmm-yyyy
Alias
UMLS CUI [1]
C1148348
dd-mmm-yyyy
Was a post-mortem carried out?
Description

Autopsy

Type de données

boolean

Alias
UMLS CUI [1]
C0004398
Was a post-mortem carried out? If 'YES', please summarize findings (include diagnosis):
Description

Autopsy Specification

Type de données

text

Alias
UMLS CUI [1]
C2348235
Physician's Signature
Description

Investigator's Name

Type de données

text

Alias
UMLS CUI [1]
C2826892
Date
Description

Date of Report

Type de données

text

Unités de mesure
  • dd-mmm-yyyy
Alias
UMLS CUI [1]
C1302584
dd-mmm-yyyy

Similar models

AE Section GSK Ropinirole Restless Legs Syndrome 101468

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Item Group
Form D
C0011065 (UMLS CUI-1)
Cause of Death
Item
Certified Cause of Death:
text
C0007465 (UMLS CUI [1])
Date of Death
Item
Date of Death
date
C1148348 (UMLS CUI [1])
Autopsy
Item
Was a post-mortem carried out?
boolean
C0004398 (UMLS CUI [1])
Autopsy Specification
Item
Was a post-mortem carried out? If 'YES', please summarize findings (include diagnosis):
text
C2348235 (UMLS CUI [1])
Investigator's Name
Item
Physician's Signature
text
C2826892 (UMLS CUI [1])
Date of Report
Item
Date
text
C1302584 (UMLS CUI [1])