daily dose of 8 mg ropinirole
Item
Is the subject receiving a daily dose of 8 mg ropinirole CR ?
boolean
C0244821 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
daily dose > 8 mg ropinirole
Item
If NO: Is the subject receiving a daily dose > 8 mg ropinirole CR ?
boolean
C0244821 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
Item
Was a pregnancy test performed?
integer
C0032976 (UMLS CUI [1])
Code List
Was a pregnancy test performed?
CL Item
NA (male or female not of childbearing potential ) (3)
Item
If yes, what type of pregnancy test was performed?
integer
C0032976 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
If yes, what type of pregnancy test was performed?
Date of pregnancy test
Item
If Yes, Date of Test
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Result
integer
C0427777 (UMLS CUI [1])
Date of visit
Item
Time point
date
C1320303 (UMLS CUI [1])
Heart rate Semi-Supine
Item
Heart Rate semi-supine
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Heart Rate standing
Item
Heart Rate standing
integer
C2029905 (UMLS CUI [1])
Systolic blood pressure semi-supine
Item
Systolic blood pressure semi-supine
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Diastolic blood pressure semi-supine
Item
Diastolic blood pressure semi-supine
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Systolic blood pressure standing
Item
Systolic blood pressure standing
integer
C0871470 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Diastolic blood pressure standing
Item
Diastolic blood pressure standing
integer
C0428883 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Item
Has the subject had any changes in medication since the last study visit?
integer
C0580105 (UMLS CUI [1])
Code List
Has the subject had any changes in medication since the last study visit?
Item
Have the subject's smoking habits remained unchanged?
integer
C0543414 (UMLS CUI [1,1])
C0442739 (UMLS CUI [1,2])
Code List
Have the subject's smoking habits remained unchanged?
Item
Has the subject experienced any Adverse Events since the previous clinic visit?
integer
C0877248 (UMLS CUI [1])
Code List
Has the subject experienced any Adverse Events since the previous clinic visit?
study drug dose
Item
Enter the dose of study drug prescribed at this visit
float
C0013227 (UMLS CUI [1,1])
C0013175 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
Time of first dose
Item
Time of first dose
time
C0178602 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Witness 1
Item
Witness 1
text
C0682356 (UMLS CUI [1,1])
C0001555 (UMLS CUI [1,2])
Witness 2
Item
Witness 2
text
C0682356 (UMLS CUI [1,1])
C0001555 (UMLS CUI [1,2])
Witness date
Item
Witness date
date
C4263486 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Date of visit
Item
Time point
date
C1320303 (UMLS CUI [1])
Item
Post Dose
integer
C0439568 (UMLS CUI [1])
Time post dose
Item
Time of post dose
time
C0439568 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Heart rate Semi-Supine
Item
Heart Rate semi-supine
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Heart Rate standing
Item
Heart Rate standing
integer
C2029905 (UMLS CUI [1])
Systolic blood pressure semi-supine
Item
Systolic blood pressure semi-supine
integer
C0871470 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Diastolic blood pressure semi-supine
Item
Diastolic blood pressure semi-supine
integer
C0428883 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Systolic blood pressure standing
Item
Systolic blood pressure standing
integer
C0871470 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Diastolic blood pressure standing
Item
Diastolic blood pressure standing
integer
C0428883 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Item
Has the subject experienced any Adverse Events since the time of dosing?
integer
C0877248 (UMLS CUI [1])
Code List
Has the subject experienced any Adverse Events since the time of dosing?
Discharge Time
Item
Time of discharge from study site:
time
C3864299 (UMLS CUI [1])
Date of next study visit
Item
Date of next study visit
date
C1545257 (UMLS CUI [1])
Item
Was a phone call made to the patient 72 hours after Titration Visit?
integer
C0199339 (UMLS CUI [1])
Code List
Was a phone call made to the patient 72 hours after Titration Visit?
Date of call
Item
Date of call
date
C0302186 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of call
Item
Time of call
time
C0302186 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
Has the subject experienced any Adverse Events since discharge from the study site?
integer
C0877248 (UMLS CUI [1])
Code List
Has the subject experienced any Adverse Events since discharge from the study site?
Down-Titration
Item
Is the subject being down-titrated from 10mg to 8mg?
boolean
C0162621 (UMLS CUI [1,1])
C0013175 (UMLS CUI [1,2])
C0678766 (UMLS CUI [1,3])
Dosage given
Item
Dosage given
float
C0678766 (UMLS CUI [1])
Time of Dosing
Item
Time of dosing
time
C0178602 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Witness 1
Item
Witness 1
text
C0682356 (UMLS CUI [1,1])
C0001555 (UMLS CUI [1,2])
Witness 2
Item
Witness 2
text
C0682356 (UMLS CUI [1,1])
C0001555 (UMLS CUI [1,2])
Witness date
Item
Witness date
date
C4263486 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Discharge Time
Item
Time of discharge from study site:
time
C3864299 (UMLS CUI [1])
Date of next study visit
Item
Date of next study visit
date
C1545257 (UMLS CUI [1])