ID

25951

Descripción

Investigators Statement 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

  1. 1/10/17 1/10/17 -
Titular de derechos de autor

gsk

Subido en

1 de octubre de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0

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Investigators Statement Ropinirole Case Report Form GSK RRL100013

Investigators Statement Ropinirole Case Report Form GSK RRL100013

INVESTIGATOR’S STATEMENT
Descripción

INVESTIGATOR’S STATEMENT

Alias
UMLS CUI-1
C1710187
UMLS CUI-2
C2826892
Subject number
Descripción

Subject number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
Check all Adverse Event forms are up to date and complete
Descripción

Adverse Event

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0877248
Check that the Concomitant Medication form is up to date
Descripción

Concomitant Medication

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2347852
Check that all appropriate pages are signed (thus indicating completion) and dated
Descripción

completion

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0805732
Check that laboratory results are included
Descripción

laboratory results

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1254595
I certify to the best of my knowledge, that the observations and findings are recorded correctly and completely in this CRF.
Descripción

consent

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1511481
Investigator
Descripción

Investigator

Tipo de datos

text

Alias
UMLS CUI [1]
C2826892
Date:
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008

Similar models

Investigators Statement Ropinirole Case Report Form GSK RRL100013

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
INVESTIGATOR’S STATEMENT
C1710187 (UMLS CUI-1)
C2826892 (UMLS CUI-2)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Adverse Event
Item
Check all Adverse Event forms are up to date and complete
boolean
C0877248 (UMLS CUI [1])
Concomitant Medication
Item
Check that the Concomitant Medication form is up to date
boolean
C2347852 (UMLS CUI [1])
completion
Item
Check that all appropriate pages are signed (thus indicating completion) and dated
boolean
C0805732 (UMLS CUI [1])
laboratory results
Item
Check that laboratory results are included
boolean
C1254595 (UMLS CUI [1])
consent
Item
I certify to the best of my knowledge, that the observations and findings are recorded correctly and completely in this CRF.
boolean
C1511481 (UMLS CUI [1])
Investigator
Item
Investigator
text
C2826892 (UMLS CUI [1])
Date
Item
Date:
date
C0011008 (UMLS CUI [1])

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