Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
1. Has the patient washed out from their previous RLS medication for the appropiate length of time? (DAY 1)
Item
1. Has the patient washed out from their previous RLS medication for the appropiate length of time? (DAY 1)
boolean
C1710661 (UMLS CUI [1])
C0013216 (UMLS CUI [2,1])
C0035258 (UMLS CUI [2,2])
C0205156 (UMLS CUI [2,3])
C0449238 (UMLS CUI [3])
2. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
Item
2. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
boolean
C0001948 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
3. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women? (1 unit is equivalent to 1 beer, one measure of sprits or 1 small glass of wine.)
Item
3. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women? (1 unit is equivalent to 1 beer, one measure of sprits or 1 small glass of wine.)
boolean
C0001948 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0560579 (UMLS CUI [2])
C0559430 (UMLS CUI [3])
C0043188 (UMLS CUI [4])
4. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
Item
4. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
boolean
C1514989 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0008952 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
5. Has the patient maintained their normal smoking practice?
Item
5. Has the patient maintained their normal smoking practice?
boolean
C1519386 (UMLS CUI [1])
6. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
Item
6. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
boolean
C0279494 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
C0231241 (UMLS CUI [1,3])
C0282402 (UMLS CUI [1,4])
C0029151 (UMLS CUI [2])
7. Taking medication (activity); Other; Restricted | OTC - Over The Counter | Medicinal Herbs | Clinic Visits; Before | Interferes with; Procedure (set of actions); Clinical Research
Item
7. Has the patient refrained from taking other medication (OTC or herbal remedies) for 48 hours prior to the clinic visit? Patients who have taken OTC medication may still be able to continue in the study, if, in the opinion of the Investigator, the medication received will not interfere with the study procedures or compromise safety.
boolean
C1290952 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0443288 (UMLS CUI [1,3])
C2709201 (UMLS CUI [2])
C0025125 (UMLS CUI [3])
C0008952 (UMLS CUI [4,1])
C0332152 (UMLS CUI [4,2])
C0521102 (UMLS CUI [5,1])
C2700391 (UMLS CUI [5,2])
C0008972 (UMLS CUI [5,3])
8. Has the patient washed out from any previous prohibited medication for the appropriate length of time?
Item
8. Has the patient washed out from any previous prohibited medication for the appropriate length of time?
boolean
C1710661 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0683610 (UMLS CUI [1,3])
C0205156 (UMLS CUI [1,4])
C0449238 (UMLS CUI [2])
9. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant
Item
9. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
boolean
C2347852 (UMLS CUI [1,1])
C1827490 (UMLS CUI [1,2])
C0207509 (UMLS CUI [2,1])
C0178623 (UMLS CUI [2,2])
C1827504 (UMLS CUI [3])
C0178602 (UMLS CUI [4,1])
C1948059 (UMLS CUI [4,2])
C0282402 (UMLS CUI [5])
10. Has the patient completed 2 consecutive nights of baseline actigraphy and ambulatory sleep EEG recordings at home?
Item
10. Has the patient completed 2 consecutive nights of baseline actigraphy and ambulatory sleep EEG recordings at home?
boolean
C1442488 (UMLS CUI [1])
C1171301 (UMLS CUI [2,1])
C0013819 (UMLS CUI [2,2])
C0037313 (UMLS CUI [2,3])
C0013819 (UMLS CUI [3,1])
C0037313 (UMLS CUI [3,2])
C0439841 (UMLS CUI [3,3])
11. Has the patient completed the St Mary’s Sleep Questionnaire at home?
Item
11. Has the patient completed the St Mary’s Sleep Questionnaire at home?
boolean
C0034394 (UMLS CUI [1,1])
C0037313 (UMLS CUI [1,2])
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
Item
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
boolean
C0001948 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women?
Item
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women? (1 unit is equivalent to 1 beer, one measure of sprits or 1 small glass of wine.)
boolean
C0001948 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0560579 (UMLS CUI [2])
C0559430 (UMLS CUI [3])
C0043188 (UMLS CUI [4])
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
Item
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
boolean
C1514989 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0008952 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
4. Has the patient maintained their normal smoking practice?
Item
4. Has the patient maintained their normal smoking practice?
boolean
C1519386 (UMLS CUI [1])
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
Item
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
boolean
C0279494 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
C0231241 (UMLS CUI [1,3])
C0282402 (UMLS CUI [1,4])
C0029151 (UMLS CUI [2])
6. Taking medication (activity); Other; Restricted | OTC - Over The Counter | Medicinal Herbs | Clinic Visits; Before | Interferes with; Procedure (set of actions); Clinical Research
Item
6. Has the patient refrained from taking other medication (OTC or herbal remedies) for 48 hours prior to the clinic visit? Patients who have taken OTC medication may still be able to continue in the study, if, in the opinion of the Investigator, the medication received will not interfere with the study procedures or compromise safety.
boolean
C1290952 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0443288 (UMLS CUI [1,3])
C2709201 (UMLS CUI [2])
C0025125 (UMLS CUI [3])
C0008952 (UMLS CUI [4,1])
C0332152 (UMLS CUI [4,2])
C0521102 (UMLS CUI [5,1])
C2700391 (UMLS CUI [5,2])
C0008972 (UMLS CUI [5,3])
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
Item
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
boolean
C2347852 (UMLS CUI [1,1])
C1827490 (UMLS CUI [1,2])
C0207509 (UMLS CUI [2,1])
C0178623 (UMLS CUI [2,2])
C1827504 (UMLS CUI [3])
C0178602 (UMLS CUI [4,1])
C1948059 (UMLS CUI [4,2])
C0282402 (UMLS CUI [5])
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
Item
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
boolean
C0001948 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women?
Item
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women? (1 unit is equivalent to 1 beer, one measure of sprits or 1 small glass of wine.)
boolean
C0001948 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0560579 (UMLS CUI [2])
C0559430 (UMLS CUI [3])
C0043188 (UMLS CUI [4])
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
Item
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
boolean
C1514989 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0008952 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
4. Has the patient maintained their normal smoking practice?
Item
4. Has the patient maintained their normal smoking practice?
boolean
C1519386 (UMLS CUI [1])
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
Item
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
boolean
C0279494 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
C0231241 (UMLS CUI [1,3])
C0282402 (UMLS CUI [1,4])
C0029151 (UMLS CUI [2])
6. Taking medication (activity); Other; Restricted | OTC - Over The Counter | Medicinal Herbs | Clinic Visits; Before | Interferes with; Procedure (set of actions); Clinical Research
Item
6. Has the patient refrained from taking other medication (OTC or herbal remedies) for 48 hours prior to the clinic visit? Patients who have taken OTC medication may still be able to continue in the study, if, in the opinion of the Investigator, the medication received will not interfere with the study procedures or compromise safety.
boolean
C1290952 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0443288 (UMLS CUI [1,3])
C2709201 (UMLS CUI [2])
C0025125 (UMLS CUI [3])
C0008952 (UMLS CUI [4,1])
C0332152 (UMLS CUI [4,2])
C0521102 (UMLS CUI [5,1])
C2700391 (UMLS CUI [5,2])
C0008972 (UMLS CUI [5,3])
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
Item
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
boolean
C2347852 (UMLS CUI [1,1])
C1827490 (UMLS CUI [1,2])
C0207509 (UMLS CUI [2,1])
C0178623 (UMLS CUI [2,2])
C1827504 (UMLS CUI [3])
C0178602 (UMLS CUI [4,1])
C1948059 (UMLS CUI [4,2])
C0282402 (UMLS CUI [5])
8. Has the patient completed actigraphy and EEG recordings on 2 consecutive nights and completed the St Mary’s Sleep Questionnaire
Item
8. Has the patient completed actigraphy and EEG recordings on 2 consecutive nights and completed the St Mary’s Sleep Questionnaire
boolean
C1171301 (UMLS CUI [1])
C0013819 (UMLS CUI [2])
C0034394 (UMLS CUI [3,1])
C0037313 (UMLS CUI [3,2])
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
Item
1. Has the patient refrained from consuming alcohol for 24 hours prior to the clinic visit?
boolean
C0001948 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women?
Item
2. Has the patient limited their daily alcohol consumption to no more than 3 units for men and 2 units for women? (1 unit is equivalent to 1 beer, one measure of sprits or 1 small glass of wine.)
boolean
C0001948 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0560579 (UMLS CUI [2])
C0559430 (UMLS CUI [3])
C0043188 (UMLS CUI [4])
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
Item
3. Has the patient refrained from strenuous exercise (outside of normal routine) from 48 hours before the clinic visit?
boolean
C1514989 (UMLS CUI [1,1])
C0443288 (UMLS CUI [1,2])
C0008952 (UMLS CUI [2,1])
C0332152 (UMLS CUI [2,2])
4. Has the patient maintained their normal smoking practice?
Item
4. Has the patient maintained their normal smoking practice?
boolean
C1519386 (UMLS CUI [1])
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
Item
5. Has the patient refrained from fluctuating dose of oestrogen ie. in hormone replacement therapy (HRT) or oral contraceptives?
boolean
C0279494 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
C0231241 (UMLS CUI [1,3])
C0282402 (UMLS CUI [1,4])
C0029151 (UMLS CUI [2])
6. Taking medication (activity); Other; Restricted | OTC - Over The Counter | Medicinal Herbs | Clinic Visits; Before | Interferes with; Procedure (set of actions); Clinical Research
Item
6. Has the patient refrained from taking other medication (OTC or herbal remedies) for 48 hours prior to the clinic visit? Patients who have taken OTC medication may still be able to continue in the study, if, in the opinion of the Investigator, the medication received will not interfere with the study procedures or compromise safety.
boolean
C1290952 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0443288 (UMLS CUI [1,3])
C2709201 (UMLS CUI [2])
C0025125 (UMLS CUI [3])
C0008952 (UMLS CUI [4,1])
C0332152 (UMLS CUI [4,2])
C0521102 (UMLS CUI [5,1])
C2700391 (UMLS CUI [5,2])
C0008972 (UMLS CUI [5,3])
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
Item
7. For the concomitant medications which are CYP1A2 inducers, substrates or inhibitors, has the patient kept the dose constant? (this includes women taking hormone replacement therapy (HRT) or oestrogen containing medications)
boolean
C2347852 (UMLS CUI [1,1])
C1827490 (UMLS CUI [1,2])
C0207509 (UMLS CUI [2,1])
C0178623 (UMLS CUI [2,2])
C1827504 (UMLS CUI [3])
C0178602 (UMLS CUI [4,1])
C1948059 (UMLS CUI [4,2])
C0282402 (UMLS CUI [5])
8. Has the patient completed actigraphy and EEG recordings on 2 consecutive nights and completed the St Mary’s Sleep Questionnaire
Item
8. Has the patient completed actigraphy and EEG recordings on 2 consecutive nights and completed the St Mary’s Sleep Questionnaire
boolean
C1171301 (UMLS CUI [1])
C0013819 (UMLS CUI [2])
C0034394 (UMLS CUI [3,1])
C0037313 (UMLS CUI [3,2])