Trial screening ×
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Table of contents
  1. 1. Clinical Trial
  2. 2. Routine Documentation
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
Selected data models

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- 2/18/22 - 1 form, 18 itemgroups, 97 items, 1 language
Itemgroups: Cover Page,Informed Consent,Inclusion Criteria,Exclusion Criteria,Demographics,Primary Diagnosis,Subject Characteristics,Date of Visit,Tobacco History,Alcohol History,Urinary Tract Infection History,Genital Infection History,Physical Examination,Orthostatic vital signs,12 Lead ECG 1,Height and Weight,Previous Diabetes Medication Use,Pregnancy Test
- 9/27/21 - 1 form, 13 itemgroups, 116 items, 1 language
Itemgroups: Administrative documentation,Demography,childbearing potential,Vital signs; Body Temperature,Comorbidity,Physical examination,Urinalysis,Laboratory,Blood sampling,Kurtzke Expanded Disability Status Scale Questionnaire,Inclusion criteria,Exclusion criteria,inclusion
- 9/20/21 - 1 form, 15 itemgroups, 79 items, 1 language
Itemgroups: Administrative documentation,Restless Legs Syndrome, Screening procedure, Medical History,Restless Legs Syndrome, Diagnostic criteria,Demography,Vital Signs,Taking orthostatic vital signs,12 lead ECG,Physical Examination,Laboratory Procedures, Evaluation,Urine dipstick test,Urine pregnancy test,Medical History, History of surgical procedures, Physical Examination,Prior Medication Usage; Concomitant Agent,Restless Legs Syndrome, Pharmaceutical Preparations, Medical History,Eligibility Determination
- 9/20/21 - 1 form, 15 itemgroups, 90 items, 1 language
Itemgroups: Neuropsychological Tests,Demography,Alzheimers disease diagnosis and course,Vital Signs,Education History,Neurological Examination,Physical Examination,Pedal Edema,Tobacco use,Medical History,Concomitant Medication,Screening summary,Eligibility Inclusion criteria,Eligibility Exclusion criteria,Investigator Signature

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