Sitting blood pressure systolic
Item
Sitting blood pressure systolic
integer
C0871470 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Sitting blood pressure diastolic
Item
Sitting blood pressure diastolic
integer
C0428883 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Sitting heart rate
Item
Sitting heart rate
integer
C0018810 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Visits with physicians
Item
In the past 4 weeks...did the patient visit your site (for reasons other than study visit) or other medical practitioners?
boolean
C0583555 (UMLS CUI [1])
date of visit physician
Item
Date of Visit
date
C1320303 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Item
Type of physician
integer
C0031831 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Type of physician
CL Item
Diabetologist (2)
CL Item
Dermatologist (3)
CL Item
Endocrinologist (4)
CL Item
ENT (Ear Nose & Throat) (5)
CL Item
Gastroenterologist (6)
CL Item
General/Internal Medical (7)
CL Item
General Practitioner/Family Practitioner (8)
CL Item
Gynaecologist (10)
CL Item
Infectious Disease (11)
CL Item
Nephrologist (12)
CL Item
Psychiatrist (14)
CL Item
Ophthalmologist (17)
CL Item
Respiratory/Chest Physician (18)
CL Item
Rheumatologist (19)
CL Item
Sleep Disorder Specialist (21)
Item
Visit location
integer
C0545082 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
CL Item
Non hospital Office visit (eg GP surgery, Specialist's office etc) (1)
CL Item
Hospital Out Patient visit (2)
CL Item
At the Patient's home / domiciliary visit (3)
Item
Was the Visit RLS Related?
text
C0035258 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
Code List
Was the Visit RLS Related?
Item
Were any tests or procedures prescribed or conducted at this visit?
integer
C0430022 (UMLS CUI [1])
C0033080 (UMLS CUI [2])
Code List
Were any tests or procedures prescribed or conducted at this visit?
patient visit with paramedical practitioners
Item
In the past 4 weeks...did the patient visit any or have contact with paramedical practitioners (for reasons other than study visit)?
boolean
C0545082 (UMLS CUI [1,1])
C0030450 (UMLS CUI [1,2])
date of visit paramedical practitioner
Item
Date of visit
date
C0030450 (UMLS CUI [1,1])
C1320303 (UMLS CUI [1,2])
Item
Type of paramedical practitioner
integer
C0030450 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Type of paramedical practitioner
CL Item
Acupuncturist (1)
CL Item
Chiropodist/ Footcare Practitioner (2)
CL Item
Homeopath/Herbalist (6)
CL Item
Physiotherapist (9)
Item
Visit location
integer
C0545082 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
CL Item
Non hospital Office visit (eg GP surgery, Specialist's office etc) (1)
CL Item
Hospital Out Patient visit (2)
CL Item
At the Patient's home / domiciliary visit (3)
Item
Was the visit RLS related?
text
C0035258 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
Code List
Was the visit RLS related?
Hospitalisation
Item
In the past 4 weeks...was the patient hospitalised?
boolean
C0019993 (UMLS CUI [1])
date of admission
Item
Date of admission
date
C1302393 (UMLS CUI [1])
date of discharge
Item
Date of discharge
date
C2361123 (UMLS CUI [1])
Hospitalisation cause
Item
Main reason for stay
text
C0019993 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Item
Was the Visit RLS Related?
text
C0035258 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
Code List
Was the Visit RLS Related?
Item
Type of ward
integer
C1305702 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
CL Item
Cardiovascular (1)
CL Item
Dermatological (2)
CL Item
Endocrinological (3)
CL Item
ENT (Ear, Nose & Throat) (4)
CL Item
Gastroenterological (5)
CL Item
General Medical (6)
CL Item
Gynaecological (8)
CL Item
Infectious Disease (9)
CL Item
Nephrological (10)
CL Item
Intensive Care (11)
CL Item
Neurological (12)
CL Item
Ophthalmological (16)
CL Item
Respiratory/Chest (17)
CL Item
Rheumatological (18)
length of stay on ward
Item
Length of stay on ward
integer
C1305702 (UMLS CUI [1,1])
C0023303 (UMLS CUI [1,2])
A&E visits
Item
In the past 4 weeks...did the patient visit an Accident and Emergency or EMERGENCY ROOM?
boolean
C0562508 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
Date of visit in A&E
Item
Date of visit
date
C0562508 (UMLS CUI [1,1])
C1320303 (UMLS CUI [1,2])
Item
Was the visit RLS related?
text
C0035258 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
Code List
Was the visit RLS related?
RLS Rating Scale Score
Item
Please complete the Week 28 RLS Rating Scale. Calculate total score for Week 28 by adding all 10 items and mark here:
integer
C0681889 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
RLS Rating Scale
Item
Is the patient’s Week 28 total score ≥ 15?
boolean
C0681889 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
RLS Rating Scale
Item
If 'Yes", Is the Week 28 total score a 6 or more point increase compared with Week 24?
boolean
C0681889 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
randomisation number
Item
Record below the randomisation number supplied by RAMOS
integer
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
container number
Item
Record the container number supplied by RAMOS.
integer
C0180098 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])