CDE Detailed Report
Disease: content
Subdomain Name: Drugs
CRF: welcome
Displaying 1 - 17 of 17
Subdomain Name: Drugs
CRF: welcome
Displaying 1 - 17 of 17
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-05 13:10:49.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C19256 | Study protocol name | StudyProtocolName | Name of study protocol | Name of study protocol | Study Name | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-05 16:38:14.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| 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-Highly Recommended | 1.00 | 2014-06-18 08:10:12.0 | Medication and Other Treatments | 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 | Dose | Numeric Values | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:33:32.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162729 | |||||||||||
| C58129 | Other treatments reason type | OtherTreatmentsReasonTyp | Type of reason for other treatments given to subject/participant | Type of reason for other treatments given to subject/participant | Treatment | Gradual exercise program;Dietary changes;Cognitive/Behavioral therapy;Other, specify: | Gradual exercise program;Dietary changes;Cognitive/Behavioral therapy;Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-02 15:57:52.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C02011 | Medication prior or concomitant dose frequency | MedctnPriorConcmtntDoseFreq | Frequency of use of a prior/concomitant medication | Frequency of use of a prior/concomitant medicatio | Prescribe dosing schedule | 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-Highly Recommended | 3.00 | 2013-07-24 21:00:23.88 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162733 | |||||||||
| C58130 | Other treatments date | OtherTreatmentDate | Date(s) when other treatments were given to subject/participant | Date(s) when other treatments were given to subject/participan | Date(s) When Treated | Date or Date & Time | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-02 16:07:33.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
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) | Dose units | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:42:09.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58131 | Other treatments result type | OtherTreatmentResultTyp | Type of treatment result experienced by the subject/participant | Type of treatment result experienced by the subject/participan | Result of Treatment | Helped;Hurt;No effect | Helped;Hurt;No effect | Alphanumeric |
Circle one |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-02 16:10:06.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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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/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. |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162728 | |||||||||
| C58389 | Medication actual use schedule frequency | MedActualUseScheduleFreq | Actual frequency of use of medication | Actual frequency of use of medicatio | Actual usage schedule | Numeric Values |
Write 'same' or write how often you are actually taking |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-08 15:06:56.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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| 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 | 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 | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:44:16.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162743 | |||||||||
| C58390 | Medication symptom status | MedicationSymptomStat | Status of symptoms with medication use | Status of symptoms with medication us | 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 | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-08 15:09:52.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 255 |
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. | Taking since when? | Date or Date & Time |
Enter start date began medication, dietary supplement, etc…. |
Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2022-08-02 16:58:56.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162752 | ||||||||||
| C58395 | Other treatments reason type text | OthrTreatmntsReasonTypeTxt | Text specifying other subject/participant treatments | Text specifying other subject/participant treatment | Other (Specify): | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-02-08 15:35:54.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 500 |
Free-Form Entry |
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| 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 | Reason for taking? | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3158920 | ||||||||||
| C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-06-21 00:00:00.0 | Medication and Other Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
