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Adverse Event Dose strength equivalence of ropinirole CR in healthy adults 101468/219

1 Formulär  
Adverse Event
Beskrivning

Adverse Event

Alias
UMLS CUI-1
C0877248
Adverse Event
Beskrivning

Record any Adverse event (using standard medical terminology) observed or elicited by the following direct question to the subject: "Do you feel different in any way since starting the treatment or since the last visit?" Provide the diagnosis not symptoms where possible.

Datatyp

boolean

Alias
UMLS CUI [1]
C0877248
Outcome
Beskrivning

Adverse event outcome

Datatyp

integer

Alias
UMLS CUI [1]
C1705586
Adverse Event Onset Date
Beskrivning

Adverse Event Onset Date

Datatyp

date

Alias
UMLS CUI [1]
C2985916
Adverse Event Onset Time
Beskrivning

Adverse Event Onset Time

Datatyp

time

Alias
UMLS CUI [1]
C2697889
Adverse Event End Date
Beskrivning

Adverse Event End Date

Datatyp

date

Alias
UMLS CUI [1]
C2697886
Adverse event end time
Beskrivning

Adverse event end time

Datatyp

time

Alias
UMLS CUI [1]
C2826658
Event Course
Beskrivning

adverse event course

Datatyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0750729
Number of episodes
Beskrivning

If Intermittent = "Yes"

Datatyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C4086638
Intensity (maximum)
Beskrivning

Intensity of the adverse event

Datatyp

integer

Alias
UMLS CUI [1]
C1710066
Action Taken with Respect to lnvestigational Drug
Beskrivning

Action Taken in response to event

Datatyp

integer

Alias
UMLS CUI [1,1]
C1547656
UMLS CUI [1,2]
C0304229
Relationship to lnvestigational Drug
Beskrivning

Relationship to lnvestigational Drug

Datatyp

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0304229
Corrective Therapy
Beskrivning

Corrective Therapy. If "Yes", Please record on Concomitant Medication form

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0087111
Was subject withdrawn due to this AE?
Beskrivning

withdrawn due to event

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0422727
UMLS CUI [1,2]
C0877248
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Similar models

Adverse Event Dose strength equivalence of ropinirole CR in healthy adults 101468/219

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Adverse Event
C0877248 (UMLS CUI-1)
Adverse Event
Item
Adverse Event
boolean
C0877248 (UMLS CUI [1])
Item
Outcome
integer
C1705586 (UMLS CUI [1])
Adverse event outcome
Code List
Outcome
CL Item
Resolved (1)
CL Item
Ongoing (2)
Adverse Event Onset Date
Item
Adverse Event Onset Date
date
C2985916 (UMLS CUI [1])
Adverse Event Onset Time
Item
Adverse Event Onset Time
time
C2697889 (UMLS CUI [1])
Adverse Event End Date
Item
Adverse Event End Date
date
C2697886 (UMLS CUI [1])
Adverse event end time
Item
Adverse event end time
time
C2826658 (UMLS CUI [1])
Item
Event Course
integer
C0877248 (UMLS CUI [1,1])
C0750729 (UMLS CUI [1,2])
adverse event course
Code List
Event Course
CL Item
Intermittent (1)
CL Item
Constant (2)
adverse event number of episodes
Item
Number of episodes
integer
C0877248 (UMLS CUI [1,1])
C4086638 (UMLS CUI [1,2])
Item
Intensity (maximum)
integer
C1710066 (UMLS CUI [1])
Intensity of the adverse event
Code List
Intensity (maximum)
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Item
Action Taken with Respect to lnvestigational Drug
integer
C1547656 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
Action Taken in response to event
Code List
Action Taken with Respect to lnvestigational Drug
CL Item
None (1)
CL Item
Dose reduced (2)
CL Item
Dose increased (3)
CL Item
Drug interrupted/restarted (4)
CL Item
Drug stopped (5)
Item
Relationship to lnvestigational Drug
integer
C0877248 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
Relationship to lnvestigational Drug
Code List
Relationship to lnvestigational Drug
CL Item
Related (1)
CL Item
Possibly related (2)
CL Item
Probably unrelated  (3)
CL Item
Unrelated (4)
corrective therapy
Item
Corrective Therapy
boolean
C0877248 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
withdrawn due to event
Item
Was subject withdrawn due to this AE?
boolean
C0422727 (UMLS CUI [1,1])
C0877248 (UMLS CUI [1,2])
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