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Description
Value Range
Notes
Data Structures with shared data
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Medication Accountability Form

mac

01

Download Definition as
Download Submission Template as
Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
src_subject_idString20RequiredSubject ID how it's defined in lab/projectrandid
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired field
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
genderString20RequiredSex of the subjectM;FM = Male; F = Female
studyString100RecommendedStudystudyid
siteString100RecommendedSiteStudy Sitesiteid
visitString50RecommendedVisit nameCharacter description of each type of visitint1
completedIntegerRecommendedChecks if form is completed0::20=No; 1=Yes; 2=Yes, lostformcomp
subtrial_nameIntegerRecommendedName of subtrial1::31=Crossover; 2=Guanfacine; 3= Open Label MPH
prescript_letterString1RecommendedPrescription letterA;B;C;D;E
pmstdtIntegerRecommendedDate medication/treatment began in days from the randomization dateprescript_stdt
pmstopIntegerRecommendedDate medication/treatment stopped in days from the randomization dateprescript_enddt
med_q1aaIntegerRecommendedPrescription A from bottle A0::200
med_q1abIntegerRecommendedPrescription A from bottle B0::200
med_q1acIntegerRecommendedPrescription A from bottle C0::200
med_q1adIntegerRecommendedPrescription A from bottle D0::200
med_q1baIntegerRecommendedPrescription B from bottle A0::200
med_q1bbIntegerRecommendedPrescription B from bottle B0::200
med_q1bcIntegerRecommendedPrescription B from bottle C0::200
med_q1bdIntegerRecommendedPrescription B from bottle D0::200
med_q1caIntegerRecommendedPrescription C from bottle A0::200
med_q1cbIntegerRecommendedPrescription C from bottle B0::200
med_q1ccIntegerRecommendedPrescription C from bottle C0::200
med_q1cdIntegerRecommendedPrescription C from bottle D0::200
med_q1daIntegerRecommendedPrescription D from bottle A0::200
med_q1dbIntegerRecommendedPrescription D from bottle B0::200
med_q1dcIntegerRecommendedPrescription D from bottle C0::200
med_q1ddIntegerRecommendedPrescription D from bottle D0::200
med_q1eaIntegerRecommendedPrescription E from bottle A0::200
med_q1ebIntegerRecommendedPrescription E from bottle B0::200
med_q1ecIntegerRecommendedPrescription E from bottle C0::200
med_q1edIntegerRecommendedPrescription E from bottle D0::200
prescript_amFloatRecommendedPrescription AM
prescript_noonFloatRecommendedPrescription Noon
prescript_pmFloatRecommendedPrescription PM
prescript_seesubIntegerRecommendedDid you see the subject?1;21=Yes 2=No
prescript_botletString1RecommendedBottle letterA;B;C;D
prescript_botdispFloatRecommendedPills dispensed from bottle
prescript_botexpFloatRecommendedExpected returned from bottle
prescript_botretFloatRecommendedActual returned from bottle
prescript_botmissFloatRecommendedMissed from bottle
prescript_botextrFloatRecommendedExtra from bottle
prescript_botlostFloatRecommendedLost from bottle
prescript_reteqexpIntegerRecommendedDid returned equal expected?1;21=Yes 2=No
prescript_tookmedIntegerRecommendedTook all meds as prescribed?1;21=Yes 2=No
med_q4aIntegerRecommendedWeek D1 Bottle am pills0::200
med_q4bIntegerRecommendedWeek D1 Bottle noon pills0::200
med_q4cIntegerRecommendedWeek D1 Bottle pm pills0::200
med_q4dIntegerRecommendedWeek D1 Bottle pills0::200
daysrzIntegerRecommendeddays since randomizationvisitdt
weekFloatRecommendedWeek in level/study99=week 10-week 14
rand_numIntegerRecommendedRandomization Number0::2
ma_blupropFloatRecommendedblue pills proportion taken0::100
ma_grepropFloatRecommendedgreen pills proportion taken0::100
ma_orapropFloatRecommendedorange pills proportion taken0::100
bludoseFloatRecommendedDosage per blue pill (MG)
gredoseFloatRecommendedDosage per green pill (MG)
apcurdoseFloatRecommendedantipsychotic current capsules/dayCurrent antipsychotic dose in MG
stpnm1String250RecommendedStudy med name1drug_name
mr_apschedIntegerRecommendedantipsychotic dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_apschedsString20Recommendedantipsychotic dosing schedule, describe
mr_apdoseeqIntegerRecommendedantipsychotic are doses equal1::31=yes; 2=more in morning; 3=more after noon
mr_apchangeIntegerRecommendedantipsychotic change in prescribed dose0::21=yes; 0=no; 2=Re-randomized
mr_apnewdoseIntegerRecommendedmed record 4, antipsychotic new number of capsules/day0::8
mr_hospinfoIntegerRecommendedsubject hospitalized from info gathered this visit0;10=No; 1=Yes
mr_becurdoseFloatRecommendedbenztrpine current total dose
mr_beschedIntegerRecommendedbenztrpine dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_beschedprnIntegerRecommendedbenztrpine dosing schedule PRN dosage
mr_bechangeIntegerRecommendedbenztrpine change in prescribed dose0;10=No; 1=Yes
mr_benewdoseFloatRecommendedbenztrpine new dose
mr_trcurdoseIntegerRecommendedtrihexphenydyl current total dose
mr_trschedIntegerRecommendedtrihexphenydyl dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_trschedprnIntegerRecommendedtrihexphenydyl dosing schedule PRN dosage
mr_trchangeIntegerRecommendedtrihexphenydyl change in prescribed dose0;10=No; 1=Yes
mr_trnewdoseIntegerRecommendedtrihexphenydyl new dose
mr_prcurdoseIntegerRecommendedpropranolol current total dose
mr_prschedIntegerRecommendedpropranolol dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_prschedprnIntegerRecommendedpropranolol dosing schedule PRN dosage
mr_prchangeIntegerRecommendedpropranolol change in prescribed dose0;10=No; 1=Yes
mr_prnewdoseIntegerRecommendedpropranolol new dose
mr_locurdoseFloatRecommendedlorazepam current total dose
mr_loschedIntegerRecommendedlorazepam dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_loschedsString20Recommendedlorazepam dosing schedule, describe
mr_loschedprnIntegerRecommendedlorazepam dosing schedule PRN dosage
mr_lochangeIntegerRecommendedlorazepam change in prescribed dose0;10=No; 1=Yes
mr_lonewdoseIntegerRecommendedlorazepam new dose
mr_clcurdoseFloatRecommendedclonazepam current total dose
mr_clschedIntegerRecommendedclonazepam dosing schedule1::61=qD=once a day; 2=BID=twice a day; 3=TID=three times a day; 4=QID=four times a day; 5=PRN=as needed; 6=Oth=Other
mr_clschedsString20Recommendedclonazepam dosing schedule, describe
mr_clschedprnFloatRecommendedclonazepam dosing schedule PRN dosage
mr_clchangeIntegerRecommendedclonazepam change in prescribed dose0;10=No; 1=Yes
mr_clnewdoseFloatRecommendedclonazepam new dose0::3
mr_antideprIntegerRecommendedany concomitant meds antidepressants0;10=No; 1=Yes
mr_moodstabIntegerRecommendedany concomitant meds mood stabilizers0;10=No; 1=Yes
mr_securdoseFloatRecommendedsertraline current total dose
mr_flcurdoseIntegerRecommendedfluoxetine current total dose
mr_vacurdoseIntegerRecommendedvalproic acid current total dose
mr_varecdoseFloatRecommendedvalproic acid most recent level on dose
mr_licurdoseIntegerRecommendedlithium current total dose
mr_lirecdoseFloatRecommendedlithium most recent level on this dose
antidep1IntegerRecommendedCode for antidepressant #130=AMITRIPTYLINE; 31=BUPROPION; 32=CITALOPRAM; 33=DESVENLAFAXINE; 34=DOXEPIN; 35 = DULOXETINE; 36=ESCITALOPRAM OXALATE; 37=FLUOXETINE; 38=FLUVOXAMINE; 39=MIRTAZAPINE; 40=NORTRIPTYLINE; 41=PAROXETINE; 42=SERTRALINE; 43=TRAZODONE; 44=VENLAFAXINEmr_antidep1
antidep2IntegerRecommendedCode for antidepressant #230=AMITRIPTYLINE; 31=BUPROPION; 32=CITALOPRAM; 33=DESVENLAFAXINE; 34=DOXEPIN; 35 = DULOXETINE; 36=ESCITALOPRAM OXALATE; 37=FLUOXETINE; 38=FLUVOXAMINE; 39=MIRTAZAPINE; 40=NORTRIPTYLINE; 41=PAROXETINE; 42=SERTRALINE; 43=TRAZODONE; 44=VENLAFAXINEmr_antidep2
mr_mdstab1String20Recommendedmood stabilizer use 1
mr_mdstab2String20Recommendedmood stabilizer use 2
ssq2edString75RecommendedName of antibiotics(or condition treated)mr_antibiotic
mr_anticholinString20Recommendedanticholin use
mr_propranololString20Recommendedprpranolol use
benzo_nameString50RecommendedBenzodiazepines name?mr_benzo
mr_diphenString20RecommendedDiphenhydramine use
mr_antipsych1String20Recommendedantipsychotic use 1
mr_antipsych2String20Recommendedantipsychotic use 2
mr_oth1String20Recommendedother drug use 1otdrug
mr_oth2String20Recommendedother drug use 2
mr_oth3String20Recommendedother drug use 3
mr_oth4String20Recommendedother drug use 4
treatString1RecommendedTreatment for RandomizationX;Y;Ztreatment
stdate1String20RecommendedMedication start date 1mm/dd/yyyy or write out month year
spdate1String20RecommendedMedication stop date 1mm/dd/yyyy or write out month year
stds1FloatRecommendedPrescribed med daily dose 1
ma1a_abIntegerRecommendedDose 1: Active or Blinded1;21=Active; 2=Blinded
stdate2String20RecommendedMedication start date 2mm/dd/yyyy or write out month year
spdate2String20RecommendedMedication stop date 2mm/dd/yyyy or write out month year
stds2FloatRecommendedPrescribed med daily dose 2
ma1b_abIntegerRecommendedDose 2: Active or Blinded1;21=Active; 2=Blinded
stdate3String20RecommendedMedication start date 3mm/dd/yyyy or write out month year
spdate3String20RecommendedMedication stop date 3mm/dd/yyyy or write out month year
stds3FloatRecommendedPrescribed med daily dose 3
ma1c_abIntegerRecommendedDose 3: Active or Blinded1;21=Active; 2=Blinded
stdate4String20RecommendedMedication start date 4mm/dd/yyyy or write out month year
spdate4String20RecommendedMedication stop date 4mm/dd/yyyy or write out month year
stds4FloatRecommendedPrescribed med daily dose 4
ma1d_abIntegerRecommendedDose 4: Active or Blinded1;21=Active; 2=Blinded
stdate5String20RecommendedMedication start date 5mm/dd/yyyy or write out month year
spdate5String20RecommendedMedication stop date 5mm/dd/yyyy or write out month year
stds5String50RecommendedPrescribed med daily dose 5
ma1e_abIntegerRecommendedDose 5: Active or Blinded1;21=Active; 2=Blinded
stdate6String20RecommendedMedication start date 6mm/dd/yyyy or write out month year
spdate6String20RecommendedMedication stop date 6mm/dd/yyyy or write out month year
stds6String50RecommendedPrescribed med daily dose 6
ma1f_abIntegerRecommendedDose 6: Active or Blinded1;21=Active; 2=Blinded
stdate7String20RecommendedMedication start date 7mm/dd/yyyy or write out month year
spdate7String20RecommendedMedication stop date 7mm/dd/yyyy or write out month year
stds7FloatRecommended
ma1g_abIntegerRecommendedDose 7: Active or Blinded1;21=Active; 2=Blinded
ma3_reasonString250RecommendedReason Medication Was Not Taken As Prescribed or How Dose Was Lost
version_formString100RecommendedForm used
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

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Please email the The NDA Help Desk with any questions.

Distribution for DataStructure: mac01 and Element:
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