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screening prior and concomitant medication Ropinirole CR Ropinirole IR Monotherapy 101468/168

1 Formulaires  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Number
Description

subject number

Type de données

integer

Alias
UMLS CUI [1]
C2348585
PRIOR PARKINSON’S MEDICATION
Description

PRIOR PARKINSON’S MEDICATION

Alias
UMLS CUI-1
C2826257
UMLS CUI-2
C0030567
Has the subject taken any prior Parkinson’s medication within 30 days prior to the study?
Description

If Yes, record below.

Type de données

text

Alias
UMLS CUI [1,1]
C2826257
UMLS CUI [1,2]
C0030567
PRIOR PARKINSON’S MEDICATION
Description

PRIOR PARKINSON’S MEDICATION

Alias
UMLS CUI-1
C2826257
UMLS CUI-2
C0030567
Drug Name
Description

Trade Name preferred

Type de données

text

Alias
UMLS CUI [1]
C2360065
Total Daily Dose
Description

total daily dose

Type de données

integer

Alias
UMLS CUI [1]
C2348070
Units
Description

TAB = Tablet MCL = Microlitre ML = Millilitre L = Litre MCG = Microgram MG = Milligram G = Gram

Type de données

text

Alias
UMLS CUI [1]
C1519795
Route
Description

IM = Intramuscular IH = Inhalation IV = Intravenous NS = Nasal TP = Topical PO = Oral VG = Vaginal

Type de données

text

Alias
UMLS CUI [1]
C0013153
Reason for Medication
Description

indication

Type de données

text

Alias
UMLS CUI [1]
C3146298
Start Date
Description

start date

Type de données

date

Alias
UMLS CUI [1]
C0808070
Stop Date
Description

stop date

Type de données

date

Alias
UMLS CUI [1]
C0806020
Ongoing Medication?
Description

medication ongoing

Type de données

text

Alias
UMLS CUI [1]
C2826666
PRIOR OR CONCOMITANT MEDICATIONS
Description

PRIOR OR CONCOMITANT MEDICATIONS

Alias
UMLS CUI-1
C2826257
UMLS CUI-3
C2347852
Were any concomitant medications taken by the subject within 30 days prior to the study (excluding parkinson’s medications)?
Description

If Yes, record below.

Type de données

text

Alias
UMLS CUI [1]
C2347852
PRIOR OR CONCOMITANT MEDICATIONS
Description

PRIOR OR CONCOMITANT MEDICATIONS

Alias
UMLS CUI-1
C2826257
UMLS CUI-2
C2347852
Drug Name
Description

Trade Name preferred

Type de données

text

Alias
UMLS CUI [1]
C2360065
Total Daily Dose
Description

total daily dose

Type de données

integer

Alias
UMLS CUI [1]
C2348070
Units
Description

TAB = Tablet MCL = Microlitre ML = Millilitre L = Litre MCG = Microgram MG = Milligram G = Gram

Type de données

text

Alias
UMLS CUI [1]
C1519795
Route
Description

IM = Intramuscular IH = Inhalation IV = Intravenous NS = Nasal TP = Topical PO = Oral VG = Vaginal

Type de données

text

Alias
UMLS CUI [1]
C0013153
Reason for Medication
Description

indication

Type de données

text

Alias
UMLS CUI [1]
C3146298
Start Date
Description

start date

Type de données

date

Alias
UMLS CUI [1]
C0808070
Stop Date
Description

stop date

Type de données

date

Alias
UMLS CUI [1]
C0806020
Ongoing Medication?
Description

medication ongoing

Type de données

text

Alias
UMLS CUI [1]
C2826666
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Similar models

screening prior and concomitant medication Ropinirole CR Ropinirole IR Monotherapy 101468/168

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
subject number
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
PRIOR PARKINSON’S MEDICATION
C2826257 (UMLS CUI-1)
C0030567 (UMLS CUI-2)
Item
Has the subject taken any prior Parkinson’s medication within 30 days prior to the study?
text
C2826257 (UMLS CUI [1,1])
C0030567 (UMLS CUI [1,2])
prior medication due to Parkinson's disease
Code List
Has the subject taken any prior Parkinson’s medication within 30 days prior to the study?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
PRIOR PARKINSON’S MEDICATION
C2826257 (UMLS CUI-1)
C0030567 (UMLS CUI-2)
medication name
Item
Drug Name
text
C2360065 (UMLS CUI [1])
total daily dose
Item
Total Daily Dose
integer
C2348070 (UMLS CUI [1])
units
Item
Units
text
C1519795 (UMLS CUI [1])
route
Item
Route
text
C0013153 (UMLS CUI [1])
indication
Item
Reason for Medication
text
C3146298 (UMLS CUI [1])
start date
Item
Start Date
date
C0808070 (UMLS CUI [1])
stop date
Item
Stop Date
date
C0806020 (UMLS CUI [1])
Item
Ongoing Medication?
text
C2826666 (UMLS CUI [1])
medication ongoing
Code List
Ongoing Medication?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
PRIOR OR CONCOMITANT MEDICATIONS
C2826257 (UMLS CUI-1)
C2347852 (UMLS CUI-3)
Item
Were any concomitant medications taken by the subject within 30 days prior to the study (excluding parkinson’s medications)?
text
C2347852 (UMLS CUI [1])
concomitant medication
Code List
Were any concomitant medications taken by the subject within 30 days prior to the study (excluding parkinson’s medications)?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
PRIOR OR CONCOMITANT MEDICATIONS
C2826257 (UMLS CUI-1)
C2347852 (UMLS CUI-2)
medication name
Item
Drug Name
text
C2360065 (UMLS CUI [1])
total daily dose
Item
Total Daily Dose
integer
C2348070 (UMLS CUI [1])
units
Item
Units
text
C1519795 (UMLS CUI [1])
route
Item
Route
text
C0013153 (UMLS CUI [1])
indication
Item
Reason for Medication
text
C3146298 (UMLS CUI [1])
start date
Item
Start Date
date
C0808070 (UMLS CUI [1])
stop date
Item
Stop Date
date
C0806020 (UMLS CUI [1])
Item
Ongoing Medication?
text
C2826666 (UMLS CUI [1])
medication ongoing
Code List
Ongoing Medication?
CL Item
Yes (Y)
CL Item
No (N)
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