ID

25954

Beschrijving

Neurological Examination Early Withdrawal 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

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Versies (1)
  1. 01-10-17 01-10-17 -
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gsk

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1 oktober 2017

DOI

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Creative Commons BY-NC 3.0
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Neurological Examination Early Withdrawal Ropinirole Case Report Form GSK RRL100013

Engels

Neurological Examination Early Withdrawal Ropinirole Case Report Form GSK RRL100013

1 Formulieren  
Neurological Examination
Beschrijving

Neurological Examination

Alias
UMLS CUI-1
C0027853
Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Beschrijving

Visit Date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Mental Status
Beschrijving

Mental Status

Datatype

text

Alias
UMLS CUI [1]
C0278060
Comments Mental state
Beschrijving

Comments Mental state

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0278060
Gait
Beschrijving

Gait

Datatype

text

Alias
UMLS CUI [1]
C0016928
Comments Gait
Beschrijving

Comments Gait

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0016928
Balance
Beschrijving

Balance

Datatype

text

Alias
UMLS CUI [1]
C0560184
Comments balance
Beschrijving

Comments balance

Datatype

integer

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0560184
Coordination
Beschrijving

Coordination

Datatype

text

Alias
UMLS CUI [1]
C0242414
Comments Coordination
Beschrijving

Comments Coordination

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0242414
Cranial nerves
Beschrijving

Cranial nerves

Datatype

text

Alias
UMLS CUI [1]
C0010268
Comments Cranial Nerves
Beschrijving

Comments Cranial Nerves

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0010268
Motor
Beschrijving

Motor

Datatype

text

Alias
UMLS CUI [1]
C0026606
Comments Motor
Beschrijving

Comments Motor

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0026606
Reflexes
Beschrijving

Reflexes

Datatype

text

Alias
UMLS CUI [1]
C0034929
Comments Reflex
Beschrijving

Comments Reflex

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0034929
Sensory
Beschrijving

Sensory

Datatype

text

Alias
UMLS CUI [1]
C0682648
Comments sensory
Beschrijving

Comments sensory

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0682648
Was the neurological examination consistent with the diagnosis of Parkinson's disease?
Beschrijving

If NO, the subject is not eligible to participate in the study

Datatype

boolean

Alias
UMLS CUI [1,1]
C0027853
UMLS CUI [1,2]
C0030567
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Similar models

Neurological Examination Early Withdrawal Ropinirole Case Report Form GSK RRL100013

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Neurological Examination
C0027853 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Mental Status
text
C0278060 (UMLS CUI [1])
Mental Status
Code List
Mental Status
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Mental state
Item
Comments Mental state
text
C0947611 (UMLS CUI [1,1])
C0278060 (UMLS CUI [1,2])
Item
Gait
text
C0016928 (UMLS CUI [1])
Mental Status
Code List
Gait
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Gait
Item
Comments Gait
text
C0947611 (UMLS CUI [1,1])
C0016928 (UMLS CUI [1,2])
Item
Balance
text
C0560184 (UMLS CUI [1])
Mental Status
Code List
Balance
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments balance
Item
Comments balance
integer
C0947611 (UMLS CUI [1,1])
C0560184 (UMLS CUI [1,2])
Item
Coordination
text
C0242414 (UMLS CUI [1])
Mental Status
Code List
Coordination
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Coordination
Item
Comments Coordination
text
C0947611 (UMLS CUI [1,1])
C0242414 (UMLS CUI [1,2])
Item
Cranial nerves
text
C0010268 (UMLS CUI [1])
Mental Status
Code List
Cranial nerves
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Cranial Nerves
Item
Comments Cranial Nerves
text
C0947611 (UMLS CUI [1,1])
C0010268 (UMLS CUI [1,2])
Item
Motor
text
C0026606 (UMLS CUI [1])
Mental Status
Code List
Motor
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Motor
Item
Comments Motor
text
C0947611 (UMLS CUI [1,1])
C0026606 (UMLS CUI [1,2])
Item
Reflexes
text
C0034929 (UMLS CUI [1])
Mental Status
Code List
Reflexes
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments Reflex
Item
Comments Reflex
text
C0947611 (UMLS CUI [1,1])
C0034929 (UMLS CUI [1,2])
Item
Sensory
text
C0682648 (UMLS CUI [1])
Mental Status
Code List
Sensory
CL Item
Normal (Normal)
C0205307 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal (Abnormal)
C0205161 (UMLS CUI-1)
(Comment:en)
Comments sensory
Item
Comments sensory
text
C0947611 (UMLS CUI [1,1])
C0682648 (UMLS CUI [1,2])
neurological examination Parkinson Disease
Item
Was the neurological examination consistent with the diagnosis of Parkinson's disease?
boolean
C0027853 (UMLS CUI [1,1])
C0030567 (UMLS CUI [1,2])
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