CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: Drugs
CRF: Medications (Prior and Current)

Displaying 1 - 13 of 13
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C02022 Medication prior or concomitant dose unit of measure MedctnPriorConcomDoseUo Dosage unit of measure of the prior or concomitant medication administered. Dosage unit of measure of the prior or concomitant medication administered. Medication 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 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) 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/subject. Medication Indication Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data 4000

Free-Form Entry

3158920
C18035 Medication prior name MedctnPrrNm Name of the prior/concomitant agent or drug administered Name of the prior/concomitant agent or drug administered Medication Name Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:46:24.96 Medications (Prior and Current) Drugs Treatment/Intervention Data 255

Free-Form Entry

3162728
C18736 Medication prior or concomitant dose unit of measure other text MedctnPriorConcomDoseUoMOTH 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 administered. Other, specify: Alphanumeric Adult;Pediatric Supplemental 2.00 2018-03-13 16:27:22.0 Medications (Prior and Current) Drugs Treatment/Intervention Data 4000

Free-Form Entry

3162730
C18737 Medication prior or concomitant route other text MedctnPriorConcomRteOTH The free-text field related to 'Medication prior or concomitant route type' specifying other text. Type of access route for the administration of the prior/concomitant medication. The free-text field related to 'Medication prior or concomitant route type' specifying other text. Type of access route for the administration of the prior/concomitant medication. Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Medications (Prior and Current) Drugs Treatment/Intervention Data 4000

Free-Form Entry

3162743
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 ongoing. Medication Ongoing Indicator Yes;No;Unknown Yes;No;Unknown Alphanumeric Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data

Single Pre-Defined Value Selected

2321822
C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed. The date of assessment of the examination being performed. Date Date or Date & Time Adult;Pediatric Supplemental 1.00 2014-06-18 08:10:12.0 Medications (Prior and Current) Drugs Treatment/Intervention Data

Free-Form Entry

C02006 Medication prior or concomitant dose MedctnPriorConcomDose Dose of prior/concomitant medication taken per administration. Dose of prior/concomitant medication taken per administration. Medication Dose Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data

Free-Form Entry

3162729
C22710 Medication prior or concomitant dose frequency other text MedctnPriorConcomDoseFreqOTH The free-text field related to 'Medication prior or concomitant dose frequency' specifying other text. Dosing frequency for the administration of the prior/concomitant medication. The free-text field related to 'Medication prior or concomitant dose frequency' specifying other text. Dosing frequency for the administration of the prior/concomitant medication. Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-10 10:30:18.0 Medications (Prior and Current) Drugs Treatment/Intervention Data 255

Free-Form Entry

C02008 Medication prior or concomitant end date and time MedctnPriorConcomEndDateTime 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. Medication End Date Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data

Free-Form Entry

3162753
C02011 Medication prior or concomitant dose frequency MedctnPriorConcmtntDoseFreq Frequency of use of a prior/concomitant medication. Frequency of use of a prior/concomitant medication. Medication Dose Frequency 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 Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Medications (Prior and Current) Drugs Treatment/Intervention Data

Single Pre-Defined Value Selected

3162733
C02015 Medication prior or concomitant route type MedctnPriorConcomRteTy Type of access route for the administration of the prior/concomitant medication. Type of access route for the administration of the prior/concomitant medication. Medication Route Type 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 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data

Single Pre-Defined Value Selected

3162743
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. The date (and time, if applicable and known) on which the prior/concomitant medication usage began. Medication Start Date Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medications (Prior and Current) Drugs Treatment/Intervention Data

Free-Form Entry

3162752
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