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Month 3: Vital Signs Multiple Sclerosis ALAIN01 NCT02419378

- 2/6/16 - 1 Formulär, 1 Item-grupp, 30 Dataelement, 1 Språk
Item-grupp: Vital Signs
Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential (ALAIN01) https://clinicaltrials.gov/ct2/show/NCT02419378 Principal Investigator Prof. Dr. Dr. Sven Meuth, University Hospital Muenster, Germany Please document clinically significant findings as Adverse Events. Clinical Significance is defined as any variation in physical findings that has medical relevance and may result in an alteration in medical care. Safety Blood and Urine Examinations: Please document the results for Serum Creatinine, Platelets and TSH on CRF-Pages "Safety Laboratory Assessments". Part: Month 3

Month 6: Vital Signs Multiple Sclerosis ALAIN01 NCT02419378

- 2/6/16 - 1 Formulär, 1 Item-grupp, 32 Dataelement, 1 Språk
Item-grupp: Vital Signs
Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential (ALAIN01) https://clinicaltrials.gov/ct2/show/NCT02419378 Principal Investigator Prof. Dr. Dr. Sven Meuth, University Hospital Muenster, Germany Please document clinically significant findings as Adverse Events. Clinical Significance is defined as any variation in physical findings that has medical relevance and may result in an alteration in medical care. Safety Blood and Urine Examinations: Please document the results for Serum Creatinine, Platelets and TSH on CRF-Pages "Safety Laboratory Assessments". Part: Month 6

Month 9: Vital Signs Multiple Sclerosis ALAIN01 NCT02419378

- 2/6/16 - 1 Formulär, 1 Item-grupp, 30 Dataelement, 1 Språk
Item-grupp: Vital Signs
Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential (ALAIN01) https://clinicaltrials.gov/ct2/show/NCT02419378 Principal Investigator Prof. Dr. Dr. Sven Meuth, University Hospital Muenster, Germany Please document clinically significant findings as Adverse Events. Clinical Significance is defined as any variation in physical findings that has medical relevance and may result in an alteration in medical care. Safety Blood and Urine Examinations: Please document the results for Serum Creatinine, Platelets and TSH on CRF-Pages "Safety Laboratory Assessments". Part: Month 9

Vital signs, Social Environment Nursing Documentation UK Erlangen

- 15/5/16 - 1 Formulär, 1 Item-grupp, 10 Dataelement, 1 Språk
Item-grupp: Vital signs
Vital signs Social Environment Nursing Documentation UK Erlangen Erlangen Pflegestammdaten: Soziales Umfeld/Wissen zum Krankheitsgeschehen

NINDS CDE Vital Signs Friedreich´s Ataxia - Vital Signs

- 29/4/16 - 1 Formulär, 1 Item-grupp, 16 Dataelement, 1 Språk
Item-grupp: Vital Signs
NINDS Common Data Elements (Vital Signs Friedreich´s Ataxia) Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

NINDS CDE Vital Signs Amyotrophic Lateral Sclerosis - Vital Signs

- 21/3/16 - 1 Formulär, 1 Item-grupp, 16 Dataelement, 1 Språk
Item-grupp: Vital Signs
NINDS Common Data Elements (Vital Signs Amyotrophic Lateral Sclerosis) Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Notaufnahmeprotokoll - Basismodul - Emergency protocol- Module Basis

- 8/9/15 - 4 Formulär, 1 Item-grupp, 8 Dataelement, 2 Språk
Item-grupp: Patient Information
Emergency protocol by the DIVI (Deutsche Interdisziplinre Vereinigung für Intensiv- und Notfallmedizin). ODM derived from "Notaufnahmeprotokoll Modul Basis".

Vital signs and other informations

2 Item-grupper 19 Dataelement

Diagnostics

1 Item-grupp 30 Dataelement

Anamnesis

1 Item-grupp 15 Dataelement

On-Study - VITAL SIGNS - VITAL SIGNS

- 26/6/15 - 1 Formulär, 2 Item-grupper, 16 Dataelement, 1 Språk
Item-grupper: VITAL SIGNS, COMMENTS
The Vital Signs form for C3D 3.12 Adopters On-Study - VITAL SIGNS Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0139EB40-6292-1375-E044-0003BA3F9857

Vital Signs - 3281249v1.0 - Vital Signs

- 8/8/14 - 1 Formulär, 1 Item-grupp, 18 Dataelement, 1 Språk
Item-grupp: Vital Signs
Record the patient's Vital Signs while on study. Please note that if Vital Signs are taken as a part of protocol specific Physical Exam, record those Vital Signs on the Physical Exam eCRF. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD24E1F2-5206-264F-E040-BB89AD430ED7

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