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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Drugs
CRF: Medication and Other Treatments
Item count: 17 (17 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C19256
Study protocol name
StudyProtocolName
Name of study protocol
Study Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/5/2014
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C17402
Site name
SiteName
The name of the site for the study
Site Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/5/2014
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
 
255
Free-Form Entry
       
C19500
Assessment performed date
AssessmentPerformedDate
The date of assessment of the examination being performed.
Date:
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/18/2014
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Free-Form Entry
       
C02014
Medication prior or concomitant name
MedctnPriorConcomName
Name of the prior/concomitant agent or drug administered.
Medication/supplement name
  
Alphanumeric
Please list ALL medications (including prescription drugs, over the counter drugs, dietary supplements (including vitamins), herbal, homeopathic and health food preparations) taken routinely or in the last four weeks.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant name
4000
Free-Form Entry
     
3162728
 
C02006
Medication prior or concomitant dose
MedctnPriorConcomDose
Dose of prior/concomitant medication taken per administration.
Dose
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant dose
 
Free-Form Entry
     
3162729
 
C02013
Medication prior or concomitant dose unit of measure UCUM code
MedctnPriorConcomDoseUOMUCUMCd
Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM).
Dose units
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant dose unit of measure UCUM code
255
Free-Form Entry
       
C02015
Medication prior or concomitant route type
MedctnPriorConcomRteTy
Type of access route for the administration of the prior/concomitant medication.
Route of Administration
Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify;
Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By Ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant route type
 
Single Pre-Defined Value Selected
     
3162743
 
C02011
Medication prior or concomitant dose frequency
MedctnPriorConcmtntDoseFreq
Frequency of use of a prior/concomitant medication.
Prescribe dosing schedule
BID;TID;QID;q2h;q4h;q6h;q8h;QAM;QPM;QD;AD;HS;PRN;OTH;UNK;NA;
twice daily;three times a day;four times a day;every 2 hours;every 4 hours;every 6 hours;every 8 hours;one dose in morning;one dose in evening;once daily;alternating day (every other day);at bedtime;as needed;Other, specify;unknown;Not applicable;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/24/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant dose frequency
 
Single Pre-Defined Value Selected
     
3162733
 
C02016
Medication prior or concomitant start date and time
MedctnPriorConcomStrtDateTime
The date (and time, if applicable and known) on which the prior/concomitant medication usage began.
Taking since when?
  
Date or Date & Time
Enter start date began medication, dietary supplement, etc….
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant start date and time
 
Free-Form Entry
     
3162752
 
C58389
Medication actual use schedule frequency
MedActualUseScheduleFreq
Actual frequency of use of medication.
Actual usage schedule
  
Numeric Values
Write 'same' or write how often you are actually taking
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/8/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Free-Form Entry
       
C02024
Medication prior or concomitant indication text
MedctnPriorConcomIndTxt
Text describing reason for administration of a prior/concomitant (nonstudy) agent or measure. This is not the pharmacologic classification of an agent (antibiotic, analgesic, etc.), but the reason for its administration to the participant/subject.
Reason for taking?
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
Medication prior or concomitant indication text
4000
Free-Form Entry
     
3158920
 
C58390
Medication symptom status
MedicationSymptomStat
Status of symptoms with medication use.
If this medicine was prescribed for your ME/CFS, list symptoms that the medicine has improved, and list those (if any) the medicine has made worse. If medicine not prescribed for ME/CFS, write “NA” (not applicable)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/8/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
 
255
Free-Form Entry
       
C58129
Other treatments reason type
OtherTreatmentsReasonTyp
Type of reason for other treatments given to subject/participant..
Treatment
Dietary changes;Cognitive/Behavioral therapy;Gradual exercise program;Other, specify:;
Dietary changes;Cognitive/Behavioral therapy;Gradual exercise program;Other, specify:;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/2/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58395
Other treatments reason type text
OthrTreatmntsReasonTypeTxt
Text specifying other subject/participant treatments.
Other (Specify):
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/8/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Free-Form Entry
       
C58130
Other treatments date
OtherTreatmentDate
Date(s) when other treatments were given to subject/participant.
Date(s) When Treated
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/2/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Free-Form Entry
       
C58131
Other treatments result type
OtherTreatmentResultTyp
Type of treatment result experienced by the subject/participant.
Result of Treatment
Helped;Hurt;No effect;
Helped;Hurt;No effect;
Alphanumeric
Circle one
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/2/2018
Aliases for variable name not defined
Medication and Other Treatments
Drugs
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
12-14-2018
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