ID

25951

Beschrijving

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

Trefwoorden

  1. 01-10-17 01-10-17 -
Houder van rechten

gsk

Geüploaded op

1 oktober 2017

DOI

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Licentie

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
Beschrijving

INVESTIGATOR’S STATEMENT

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

Subject number

Datatype

integer

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

Adverse Event

Datatype

boolean

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

Concomitant Medication

Datatype

boolean

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

completion

Datatype

boolean

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

laboratory results

Datatype

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.
Beschrijving

consent

Datatype

boolean

Alias
UMLS CUI [1]
C1511481
Investigator
Beschrijving

Investigator

Datatype

text

Alias
UMLS CUI [1]
C2826892
Date:
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008

Similar models

Investigators Statement Ropinirole Case Report Form GSK RRL100013

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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