ID

29051

Descripción

Prior Medication Ropinirole Case Report Form GSK RRL100013 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

Palabras clave

  1. 5/10/17 5/10/17 -
  2. 22/2/18 22/2/18 -
  3. 22/2/18 22/2/18 -
  4. 22/2/18 22/2/18 -
  5. 17/9/21 17/9/21 -
Titular de derechos de autor

gsk

Subido en

22 de febrero de 2018

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0

Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Comentarios de grupo de elementos para :

Comentarios del elemento para :

Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

Prior Medication Ropinirole Case Report Form GSK RRL100013

Prior Medication Ropinirole Case Report Form GSK RRL100013

Administrative documentation
Descripción

Administrative documentation

Alias
UMLS CUI-1
C1320722
STUDY NO.
Descripción

Study Identifier

Tipo de datos

text

Alias
UMLS CUI [1]
C2826693
Subject No.:
Descripción

Subject No.

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Panel ID:
Descripción

Panel ID

Tipo de datos

integer

Alias
UMLS CUI [1]
C0086373
Visit:
Descripción

Visit

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549755
Date:
Descripción

DD/MON/YY

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Other medication
Descripción

Other medication

Has the subject taken any prescribed medication within 14 days prior to first dosing day or any OTC medicine within 7 days before the first study day?
Descripción

If 'YES', please record the medications below.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3166216
UMLS CUI [2]
C0013231
Prior Medication
Descripción

Prior Medication

Alias
UMLS CUI-1
C2826257
DRUG NAME
Descripción

(Trade Name Preferred)

Tipo de datos

text

Alias
UMLS CUI [1]
C2360065
Single Dose/Unit
Descripción

(e.g.500 mg)

Tipo de datos

integer

Alias
UMLS CUI [1]
C1960417
Frequency of this Dose (e.g.BID, PR)
Descripción

Frequency of this Dose

Tipo de datos

integer

Alias
UMLS CUI [1]
C3476109
Route
Descripción

Route

Tipo de datos

text

Alias
UMLS CUI [1]
C0013153
Indication
Descripción

Indication

Tipo de datos

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0013227
Duration of therapy
Descripción

(e.g.6 years)

Tipo de datos

integer

Alias
UMLS CUI [1]
C0444917
End Date
Descripción

Day/Month/Year

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0806020
Continuing at end of study?
Descripción

Continuing at end of study

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1562611

Similar models

Prior Medication Ropinirole Case Report Form GSK RRL100013

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
Study Identifier
Item
STUDY NO.
text
C2826693 (UMLS CUI [1])
Subject No.
Item
Subject No.:
text
C2348585 (UMLS CUI [1])
Panel ID
Item
Panel ID:
integer
C0086373 (UMLS CUI [1])
Visit
Item
Visit:
integer
C1549755 (UMLS CUI [1])
Date
Item
Date:
date
C0011008 (UMLS CUI [1])
Item Group
Other medication
Prescribed or OTC medication
Item
Has the subject taken any prescribed medication within 14 days prior to first dosing day or any OTC medicine within 7 days before the first study day?
boolean
C3166216 (UMLS CUI [1])
C0013231 (UMLS CUI [2])
Item Group
Prior Medication
C2826257 (UMLS CUI-1)
DRUG NAME
Item
DRUG NAME
text
C2360065 (UMLS CUI [1])
Single Dose/Unit
Item
Single Dose/Unit
integer
C1960417 (UMLS CUI [1])
Frequency of this Dose
Item
Frequency of this Dose (e.g.BID, PR)
integer
C3476109 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Duration of therapy
Item
Duration of therapy
integer
C0444917 (UMLS CUI [1])
End Date
Item
End Date
date
C0013227 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Continuing at end of study
Item
Continuing at end of study?
boolean
C1562611 (UMLS CUI [1])

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial