Vital Signs
Please fill out for PET RD Day 5, 6, 7, 8, 9, 10
integer
Actual date of vital signs
date
Actual time of vital signs
time
Systolic Blood Pressure
integer
Diastolic Blood Pressure
integer
Heart rate
integer
Respiration rate
integer
Temperature
float
ECG
Following please answer specific ECG forms (f.e.: Holter ECG Abnormalities) PET RD Day 3-10: 12-lead-ECG
integer
Start Date ECG
date
Start Time ECG
time
Stop Date ECG
date
Stop Time ECG
time
Haematology
Haematology sampling date and time
datetime
Fasting
boolean
Please answer the following questions for each Haematology Analyte
integer
Type of result
integer
Haematology Numeric Result
float
Haematology Character Result
text
Clinical Chemistry
Date and time sample taken
datetime
Fasting
boolean
Please answer the following questions for each Clinical Chemistry Analyte
integer
Type of result
integer
Clinical Chemistry Numeric Result
float
Clinical Chemistry Character Result
text
Urinalysis - Local
Date sample taken
date
Time sample taken
time
Result of dipstick
integer
If Yes, provide details of repeated tests in the add entry section below
boolean
Urinalysis - Local: Dipstick Details
Please answer the following questions for each Urinalysis Analyte
integer
Type of result
integer
Urinalysis Numeric Result
float
Urinalysis Character Result
text
Urinalysis - Local: Microscopy Details
Please answer the following questions for each Urinalysis Analyte
integer
Type of result
integer
Urinalysis Numeric Result
float
Urinalysis Character Result
text
Questionnaires
Please fill out 3h after dosing
integer
The Barnes Akathisia Scale Score
integer
Abnormal Involuntary Movement Scale Score
integer
Profile of Mood States
text
Investigational Product