CDE Detailed Report
Subdomain Name: Drugs
CRF: Non-Parkinson's Disease Medication Log
Displaying 1 - 16 of 16
CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
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C18736 | Medication prior or concomitant dose unit of measure other text | MedctnPriorOrConcomDoseUoMOTH | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administered | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administere | Other, specify | Alphanumeric |
Record the units for the dosage of medication the participant/subject is taking or was taking. |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental | 2.10 | 2022-08-02 14:27:44.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162730 | ||||||||
C02008 | Medication prior or concomitant end date and time | MedctnPriorOrConcomEndDateTime | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended. | End Date | Date or Date & Time |
Record the date (and time) the participant/subject stopped taking the medication. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database. Stop Date should be recorded if Continuing Medication is answered No. Conversely, Stop Date should remain blank if Continuing Medication is answered Yes. |
ISO 8601 - https://www.iso.org/iso-8601-date-and-time-format.html | Adult | Supplemental | 3.10 | 2022-08-02 16:59:51.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162753 | |||||||||
C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | SubjectID | Alphanumeric | No references available | Adult | Supplemental | 1.00 | 2014-06-05 13:10:49.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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C02013 | Medication prior or concomitant dose unit of measure UCUM code | MedctnPriorOrConDseUOMUCUMCode | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | Alphanumeric |
Code the unit of measure of the medication dosage using Unified Code for Units of Measure (UCUM). |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental | 3.10 | 2022-08-02 14:42:09.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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C59040 | Medication prior use report duration | MedctnPriorUseRprtDur | Duration in days prior to the study that participant/subject should report taking any medications, specified by the study protocol | Duration in days prior to the study that participant/subject should report taking any medications, specified by the study protocol | Did the subject take any medications before or during the study? (days) | Numeric Values |
No instructions available |
No references available | Adult | Supplemental | 1.00 | 2022-07-19 12:44:45.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | Medication Name (Trade or generic name) | Alphanumeric |
Record the verbatim name (generic or trade name) of the medication the participant/subject reports taking. |
RXNorm (https://www.nlm.nih.gov/research/umls/rxnorm/index.html) | Adult | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162728 | ||||||||
C59041 | Medication prior or concomitant as needed dose average frequency | MedctnPriorCnmAsNdDoseAvgFreq | The frequency of use on average of the prior/concomitant medication taken by the participant/subject on an as needed basis (PRN). | The frequency of use on average of the prior/concomitant medication taken by the participant/subject on an as needed basis (PRN). | If PRN, Average Frequency (with units e.g., times per month) | Numeric Values |
Only answer if the medication is taken PRN. |
No references available | Adult | Supplemental | 1.00 | 2022-07-19 13:14:28.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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C02016 | Medication prior or concomitant start date and time | MedctnPriorOrConcmStrtDateTime | The date (and time, if applicable and known) on which the prior/concomitant medication usage began | The date (and time, if applicable and known) on which the prior/concomitant medication usage began. | Start Date | Date or Date & Time |
Record the date (and time) the participant/subject started taking the medication. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database. Start Date can be used to distinguish between prior medications and concomitant medications. |
ISO 8601 - https://www.iso.org/iso-8601-date-and-time-format.html | Adult | Supplemental | 3.10 | 2022-08-02 16:58:56.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162752 | |||||||||
C02022 | Medication prior or concomitant dose unit of measure | MedctnPriorOrConcomDoseUOM | Dosage unit of measure of the prior or concomitant medication administered | Dosage unit of measure of the prior or concomitant medication administered | Unit of Measure | g;mcg;mcL;mg;mL;oz;Other, specify;Unknown;NA | gram;microgram;microliter;milligram;milliliter;ounce;Other, specify;Unknown;Not applicable | Alphanumeric |
Record the units for the dosage of medication the participant/subject is taking or was taking. |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental | 3.10 | 2022-08-02 14:36:00.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162730 | |||||||
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 | 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/subjec | Indication | Alphanumeric |
Record the reason the participant/subject gives for taking the medication. If given for an AE, enter exact term from Adverse Event CRF. |
No references available | Adult | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3158920 | ||||||||
C02025 | Medication prior or concomitant RXNorm code | MedctnPriorConcomRxNormCode | Code for name of the prior/concomitant agent or drug administered | Code for name of the prior/concomitant agent or drug administere | Medication Name | Alphanumeric |
Code the verbatim name (generic or trade name) of the medication using RXNorm. |
RXNorm (https://www.nlm.nih.gov/research/umls/rxnorm/index.html) | Adult | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
3162728 | ||||||||
C08216 | Medication prior or concomitant total daily as needed dose measurement | MedctnPrrCnmTotDalyPRNDosMeasr | Total daily dose or PRN (as needed) dose of the non-Parkinson's disease (PD) medication taken by the participant/subject | Total daily dose or PRN (as needed) dose of the prior or concomitant medication taken by the participant/subject | Total Daily Dose or PRN Dose (with units) | Numeric Values |
Record the total strength of the medication the participant/subject is taking or was taking on a daily basis or on an as needed basis. |
RXNorm (https://www.nlm.nih.gov/research/umls/rxnorm/index.html) | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162729 | |||||||||
C08217 | Medication prior taken as needed indicator | MedctnPrrTknPRNInd | Indicator of whether the medication is being taken PRN (as needed) | Indicator of whether the medication is being taken PRN (as needed) | PRN Med? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No should be answered for chronic medications that are taken on a regular basis |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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C02002 | Medication prior or concomitant use indicator | MedctnPriorConcomUseInd | Indicator of whether the participant/subject reported taking any medications during the time period relevant to the study protocol | Indicator of whether the participant/subject reported taking any medications during the time period relevant to the study protocol | Did the subject take any medications before or during the study? (days) | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If YES is answered then at least one medication should be recorded. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
2220500 | |||||||
C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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C02003 | Medication prior or concomitant ongoing indicator | MedctPrConcomOngoingInd | Indicator of or description that the prior/concomitant medication usage is ongoing | Indicator of or description that the prior/concomitant medication usage is ongoin | Medication Use Ongoing? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Answer YES if the participant/subject is still taking the medication or NO if the participant/subject has stopped taking the medication. |
No references available | Adult | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Non-Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
2321822 |