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ID

43690

Beschrijving

Demography Ropinirole Case Report FormStudy 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

Trefwoorden

Versies (2)
  1. 01-10-17 01-10-17 -
  2. 20-09-21 20-09-21 -
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gsk

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20 september 2021

DOI

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Licentie

Creative Commons BY-NC 3.0
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    Screening demography Ropinirole Case Report Form GSK RRL100013

    Engels

    Screening demography Ropinirole Case Report Form GSK RRL100013

    1 Formulieren  
    Administrative Data
    Beschrijving

    Administrative Data

    Alias
    UMLS CUI-1
    C1320722 (Administrative documentation)
    SNOMED
    405624007
    Subject Number
    Beschrijving

    subject number

    Datatype

    integer

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    Date of visit
    Beschrijving

    Date of visit

    Datatype

    date

    Alias
    UMLS CUI [1]
    C1320303 (Date of visit)
    SNOMED
    406543005
    DEMOGRAPHY
    Beschrijving

    DEMOGRAPHY

    Alias
    UMLS CUI-1
    C0011298 (Demography)
    LOINC
    LP204151-7
    Date of birth
    Beschrijving

    date of birth

    Datatype

    date

    Alias
    UMLS CUI [1]
    C0421451 (Patient date of birth)
    SNOMED
    184099003
    LOINC
    LP57552-9
    Sex
    Beschrijving

    sex

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0079399 (Gender)
    SNOMED
    263495000
    LOINC
    LP61312-2
    Race
    Beschrijving

    Race

    Datatype

    text

    Alias
    UMLS CUI [1]
    C0034510 (Racial group)
    SNOMED
    415229000
    LOINC
    LP7528-5
    Terug naar het begin van de pagina

    Similar models

    Screening demography Ropinirole Case Report Form GSK RRL100013

    1 Formulieren
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Item Group
    Administrative Data
    C1320722 (UMLS CUI-1)
    subject number
    Item
    Subject Number
    integer
    C2348585 (UMLS CUI [1])
    Date of visit
    Item
    Date of visit
    date
    C1320303 (UMLS CUI [1])
    Item Group
    DEMOGRAPHY
    C0011298 (UMLS CUI-1)
    date of birth
    Item
    Date of birth
    date
    C0421451 (UMLS CUI [1])
    Item
    Sex
    text
    C0079399 (UMLS CUI [1])
    sex
    Code List
    Sex
    CL Item
    Male (M)
    C0086582 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Female (F)
    C0086287 (UMLS CUI-1)
    (Comment:en)
    Item
    Race
    text
    C0034510 (UMLS CUI [1])
    race
    Code List
    Race
    CL Item
    American Hispanic (1)
    C0019576 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Arabic/North African (2)
    C0238604 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Black (3)
    C0005680 (UMLS CUI-1)
    (Comment:en)
    CL Item
    East & South East Asian (4)
    C0003983 (UMLS CUI-1)
    (Comment:en)
    CL Item
    South Asian (6)
    C1519427 (UMLS CUI-1)
    (Comment:en)
    CL Item
    White/Caucasian (7)
    C0043157 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Other (z)
    C0205394 (UMLS CUI-1)
    (Comment:en)
    Terug naar het begin van de pagina 

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