Information:
Error:
ID
43736
Description
Protocol Identifier RRL 100013 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
Keywords
Versions (2)
- 5/9/17 5/9/17 -
- 9/20/21 9/20/21 -
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0
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Case Report Form GSK
Case report form RRL 100013
- StudyEvent: ODM
Similar models
Case report form RRL 100013
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
CL Item
male (m)
C0086582 (UMLS CUI-1)
CL Item
female (f)
C0086287 (UMLS CUI-1)
CL Item
Hispanic or Latino (1)
C0019576 (UMLS CUI-1)
CL Item
Not Hispanic or Latino (2)
C1518424 (UMLS CUI-1)
CL Item
African American/African Heritage (1)
C0085756 (UMLS CUI-1)
CL Item
American Indian or Alaskan Native (2)
C0682125 (UMLS CUI-1)
CL Item
Asian - Central/South Asian Heritage (3)
CL Item
Asian - East Asian Heritage (4)
CL Item
Asian - Japanese Heritage (5)
CL Item
Asian - South East Asian Heritage (6)
CL Item
Native Hawaiian or Other Pacific Islander (7)
CL Item
White - Arabic/North African Heritage (8)
CL Item
White - White/Caucasian/European Heritage (9)