ID

25954

Beskrivning

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

Nyckelord

Versioner (1)
  1. 2017-10-01 2017-10-01 -
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1 oktober 2017

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

Engelsk

Neurological Examination Early Withdrawal Ropinirole Case Report Form GSK RRL100013

1 Formulär  
Neurological Examination
Beskrivning

Neurological Examination

Alias
UMLS CUI-1
C0027853
Subject Identifier
Beskrivning

Subject Identifier

Datatyp

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Mental Status
Beskrivning

Mental Status

Datatyp

text

Alias
UMLS CUI [1]
C0278060
Comments Mental state
Beskrivning

Comments Mental state

Datatyp

text

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

Gait

Datatyp

text

Alias
UMLS CUI [1]
C0016928
Comments Gait
Beskrivning

Comments Gait

Datatyp

text

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

Balance

Datatyp

text

Alias
UMLS CUI [1]
C0560184
Comments balance
Beskrivning

Comments balance

Datatyp

integer

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

Coordination

Datatyp

text

Alias
UMLS CUI [1]
C0242414
Comments Coordination
Beskrivning

Comments Coordination

Datatyp

text

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

Cranial nerves

Datatyp

text

Alias
UMLS CUI [1]
C0010268
Comments Cranial Nerves
Beskrivning

Comments Cranial Nerves

Datatyp

text

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

Motor

Datatyp

text

Alias
UMLS CUI [1]
C0026606
Comments Motor
Beskrivning

Comments Motor

Datatyp

text

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

Reflexes

Datatyp

text

Alias
UMLS CUI [1]
C0034929
Comments Reflex
Beskrivning

Comments Reflex

Datatyp

text

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

Sensory

Datatyp

text

Alias
UMLS CUI [1]
C0682648
Comments sensory
Beskrivning

Comments sensory

Datatyp

text

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

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

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0027853
UMLS CUI [1,2]
C0030567
Tillbaka till toppen

Similar models

Neurological Examination Early Withdrawal Ropinirole Case Report Form GSK RRL100013

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
Tillbaka till toppen 

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