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ID
25953
Description
Demography Ropinirole Case Report FormStudy 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
Keywords
Versions (2)
- 10/1/17 10/1/17 -
- 9/20/21 9/20/21 -
Copyright Holder
gsk
Uploaded on
October 1, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Screening demography Ropinirole Case Report Form GSK RRL100013
Screening demography Ropinirole Case Report Form GSK RRL100013
- StudyEvent: ODM
Similar models
Screening demography Ropinirole Case Report Form GSK RRL100013
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
subject number
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
CL Item
Male (M)
C0086582 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Female (F)
C0015780 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
American Hispanic (1)
C0019576 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Arabic/North African (2)
C0238604 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Black (3)
C0005680 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
East & South East Asian (4)
C0003983 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
South Asian (6)
C1519427 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
White/Caucasian (7)
C0043157 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Other (z)
C0205394 (UMLS CUI-1)
(Comment:en)
(Comment:en)