CDE Detailed Report
Disease: Chiari I Malformation
Subdomain Name: Drugs
CRF: Medications (Prior and Current)
Displaying 1 - 13 of 13
Subdomain Name: Drugs
CRF: Medications (Prior and Current)
Displaying 1 - 13 of 13
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C02015 | Medication prior or concomitant route type | MedctnPriorOrConcomRteTyp | 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 | 3.10 | 2022-08-02 14:44:16.0 | Medications (Prior and Current) | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162743 | |||||||||
| 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. | Medication Start Date | Date or Date & Time | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 16:58:56.0 | Medications (Prior and Current) | 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 | 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 | 3.10 | 2022-08-02 14:36:00.0 | 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/subjec | 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 | 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 | Adult;Pediatric | Supplemental | 2.10 | 2022-08-02 14:27:44.0 | Medications (Prior and Current) | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162730 | ||||||||||
| C18737 | Medication prior or concomitant route type other text | MedctnPriorOrConcomRteTypOTH | 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 | 2.00 | 2022-08-02 16:52:05.0 | 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 ongoin | 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 |
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| C02006 | Medication prior or concomitant dose | MedctnPriorOrConcomDose | Dose of prior/concomitant medication taken per administration | Dose of prior/concomitant medication taken per administration | Medication Dose | Numeric Values | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:33:32.0 | 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 medicatio | 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 |
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| 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. | Medication End Date | Date or Date & Time | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 16:59:51.0 | 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 medicatio | Medication Dose Frequency | BID;TID;QID;q2h;q4h;q6h;q8h;QAM;QPM;QD;alt. d.;HS;PRN;OTH;UNK;NA | twice a day;three times a day;four times a day;every 2 hours;every 4 hours;every 6 hours;every 8 hours;every morning;every evening;one a day;every other day (on alternate days);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 |
