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Medication Accountability Form

399 Shared Subjects

N/A
Clinical Assessments
Treatment
04/13/2015
mac01
03/22/2023
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project randid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age 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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
study String 100 Recommended Study; The code for each individual study studyid
site String 101 Recommended Site Study Site siteid
Query visit String 60 Recommended Visit name int1
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified formcomp
Query subtrial_name Integer Recommended Name of subtrial 1::3 1=Crossover; 2=Guanfacine; 3= Open Label MPH
Query prescript_letter String 1 Recommended Prescription letter A;B;C;D;E
Query pmstdt Integer Recommended Date medication/treatment began in days from the randomization date prescript_stdt
Query pmstop Integer Recommended Date medication/treatment stopped in days from the randomization date prescript_enddt
Query med_q1aa Integer Recommended Prescription A from bottle A 0::200
Query med_q1ab Integer Recommended Prescription A from bottle B 0::200
Query med_q1ac Integer Recommended Prescription A from bottle C 0::200
Query med_q1ad Integer Recommended Prescription A from bottle D 0::200
Query med_q1ba Integer Recommended Prescription B from bottle A 0::200
Query med_q1bb Integer Recommended Prescription B from bottle B 0::200
Query med_q1bc Integer Recommended Prescription B from bottle C 0::200
Query med_q1bd Integer Recommended Prescription B from bottle D 0::200
Query med_q1ca Integer Recommended Prescription C from bottle A 0::200
Query med_q1cb Integer Recommended Prescription C from bottle B 0::200
Query med_q1cc Integer Recommended Prescription C from bottle C 0::200
Query med_q1cd Integer Recommended Prescription C from bottle D 0::200
Query med_q1da Integer Recommended Prescription D from bottle A 0::200
Query med_q1db Integer Recommended Prescription D from bottle B 0::200
Query med_q1dc Integer Recommended Prescription D from bottle C 0::200
Query med_q1dd Integer Recommended Prescription D from bottle D 0::200
Query med_q1ea Integer Recommended Prescription E from bottle A 0::200
Query med_q1eb Integer Recommended Prescription E from bottle B 0::200
Query med_q1ec Integer Recommended Prescription E from bottle C 0::200
Query med_q1ed Integer Recommended Prescription E from bottle D 0::200
Query prescript_am Float Recommended Prescription AM
Query prescript_noon Float Recommended Prescription Noon
Query prescript_pm Float Recommended Prescription PM
Query prescript_seesub Integer Recommended Did you see the subject? 1;2 1=Yes 2=No
Query prescript_botlet String 1 Recommended Bottle letter A;B;C;D
Query prescript_botdisp Float Recommended Pills dispensed from bottle
Query prescript_botexp Float Recommended Expected returned from bottle
Query prescript_botret Float Recommended Actual returned from bottle
Query prescript_botmiss Float Recommended Missed from bottle
Query prescript_botextr Float Recommended Extra from bottle
Query prescript_botlost Float Recommended Lost from bottle
Query prescript_reteqexp Integer Recommended Did returned equal expected? 1;2 1=Yes 2=No
Query prescript_tookmed Integer Recommended Took all meds as prescribed? 1;2 1=Yes 2=No
Query med_q4a Integer Recommended Week D1 Bottle am pills 0::200
Query med_q4b Integer Recommended Week D1 Bottle noon pills 0::200
Query med_q4c Integer Recommended Week D1 Bottle pm pills 0::200
Query med_q4d Integer Recommended Week D1 Bottle pills 0::200
Query daysrz Integer Recommended days since randomization visitdt
Query week Float Recommended Week in level/study 99=week 10-week 14
Query rand_num Integer Recommended Randomization Number 0::2
Query ma_bluprop Float Recommended blue pills proportion taken 0::100
Query ma_greprop Float Recommended green pills proportion taken 0::100
Query ma_oraprop Float Recommended orange pills proportion taken 0::100
Query bludose Float Recommended Dosage per blue pill (MG)
Query gredose Float Recommended Dosage per green pill (MG)
Query apcurdose Float Recommended antipsychotic current capsules/day Current antipsychotic dose in MG
stpnm1 String 250 Recommended Study med name1 drug_name
Query mr_apsched Integer Recommended antipsychotic dosing schedule 1::6 1=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_apscheds String 20 Recommended antipsychotic dosing schedule, describe
Query mr_apdoseeq Integer Recommended antipsychotic are doses equal 1::3 1=yes; 2=more in morning; 3=more after noon
Query mr_apchange Integer Recommended antipsychotic change in prescribed dose 0::2 1=yes; 0=no; 2=Re-randomized
Query mr_apnewdose Integer Recommended med record 4, antipsychotic new number of capsules/day 0::8
Query mr_hospinfo Integer Recommended subject hospitalized from info gathered this visit 0;1 0=No; 1=Yes
Query mr_becurdose Float Recommended benztrpine current total dose
Query mr_besched Integer Recommended benztrpine dosing schedule 1::6 1=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
Query mr_beschedprn Integer Recommended benztrpine dosing schedule PRN dosage
Query mr_bechange Integer Recommended benztrpine change in prescribed dose 0;1 0=No; 1=Yes
Query mr_benewdose Float Recommended benztrpine new dose
Query mr_trcurdose Integer Recommended trihexphenydyl current total dose
Query mr_trsched Integer Recommended trihexphenydyl dosing schedule 1::6 1=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
Query mr_trschedprn Integer Recommended trihexphenydyl dosing schedule PRN dosage
Query mr_trchange Integer Recommended trihexphenydyl change in prescribed dose 0;1 0=No; 1=Yes
Query mr_trnewdose Integer Recommended trihexphenydyl new dose
Query mr_prcurdose Integer Recommended propranolol current total dose
Query mr_prsched Integer Recommended propranolol dosing schedule 1::6 1=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
Query mr_prschedprn Integer Recommended propranolol dosing schedule PRN dosage
Query mr_prchange Integer Recommended propranolol change in prescribed dose 0;1 0=No; 1=Yes
Query mr_prnewdose Integer Recommended propranolol new dose
Query mr_locurdose Float Recommended lorazepam current total dose
Query mr_losched Integer Recommended lorazepam dosing schedule 1::6 1=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_loscheds String 20 Recommended lorazepam dosing schedule, describe
Query mr_loschedprn Integer Recommended lorazepam dosing schedule PRN dosage
Query mr_lochange Integer Recommended lorazepam change in prescribed dose 0;1 0=No; 1=Yes
Query mr_lonewdose Integer Recommended lorazepam new dose
Query mr_clcurdose Float Recommended clonazepam current total dose
Query mr_clsched Integer Recommended clonazepam dosing schedule 1::6 1=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_clscheds String 20 Recommended clonazepam dosing schedule, describe
Query mr_clschedprn Float Recommended clonazepam dosing schedule PRN dosage
Query mr_clchange Integer Recommended clonazepam change in prescribed dose 0;1 0=No; 1=Yes
Query mr_clnewdose Float Recommended clonazepam new dose 0::3
Query mr_antidepr Integer Recommended any concomitant meds antidepressants 0;1 0=No; 1=Yes
Query mr_moodstab Integer Recommended any concomitant meds mood stabilizers 0;1 0=No; 1=Yes
Query mr_securdose Float Recommended sertraline current total dose
Query mr_flcurdose Integer Recommended fluoxetine current total dose
Query mr_vacurdose Integer Recommended valproic acid current total dose
Query mr_varecdose Float Recommended valproic acid most recent level on dose
Query mr_licurdose Integer Recommended lithium current total dose
Query mr_lirecdose Float Recommended lithium most recent level on this dose
Query antidep1 Integer Recommended Code for antidepressant #1 30=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=VENLAFAXINE mr_antidep1
Query antidep2 Integer Recommended Code for antidepressant #2 30=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=VENLAFAXINE mr_antidep2
mr_mdstab1 String 20 Recommended mood stabilizer use 1
mr_mdstab2 String 20 Recommended mood stabilizer use 2
ssq2ed String 75 Recommended Name of antibiotics (or condition treated) mr_antibiotic
mr_anticholin String 20 Recommended anticholin use
mr_propranolol String 20 Recommended prpranolol use
benzo_name String 50 Recommended Benzodiazepines name? mr_benzo
mr_diphen String 20 Recommended Diphenhydramine use
mr_antipsych1 String 50 Recommended antipsychotic use 1
mr_antipsych2 String 50 Recommended antipsychotic use 2
mr_oth1 String 20 Recommended other drug use 1 otdrug
mr_oth2 String 20 Recommended other drug use 2
mr_oth3 String 20 Recommended other drug use 3
mr_oth4 String 20 Recommended other drug use 4
Query treat String 1 Recommended Treatment for Randomization X;Y;Z treatment
stdate1 String 20 Recommended Medication start date 1 mm/dd/yyyy or write out month year
spdate1 String 20 Recommended Medication stop date 1 mm/dd/yyyy or write out month year
Query stds1 Float Recommended Prescribed med daily dose 1
Query ma1a_ab Integer Recommended Dose 1: Active or Blinded 1;2 1=Active; 2=Blinded
stdate2 String 20 Recommended Medication start date 2 mm/dd/yyyy or write out month year
spdate2 String 20 Recommended Medication stop date 2 mm/dd/yyyy or write out month year
Query stds2 Float Recommended Prescribed med daily dose 2
Query ma1b_ab Integer Recommended Dose 2: Active or Blinded 1;2 1=Active; 2=Blinded
stdate3 String 20 Recommended Medication start date 3 mm/dd/yyyy or write out month year
spdate3 String 20 Recommended Medication stop date 3 mm/dd/yyyy or write out month year
Query stds3 Float Recommended Prescribed med daily dose 3
Query ma1c_ab Integer Recommended Dose 3: Active or Blinded 1;2 1=Active; 2=Blinded
stdate4 String 20 Recommended Medication start date 4 mm/dd/yyyy or write out month year
spdate4 String 20 Recommended Medication stop date 4 mm/dd/yyyy or write out month year
Query stds4 Float Recommended Prescribed med daily dose 4
Query ma1d_ab Integer Recommended Dose 4: Active or Blinded 1;2 1=Active; 2=Blinded
stdate5 String 20 Recommended Medication start date 5 mm/dd/yyyy or write out month year
spdate5 String 20 Recommended Medication stop date 5 mm/dd/yyyy or write out month year
stds5 String 50 Recommended Prescribed med daily dose 5
Query ma1e_ab Integer Recommended Dose 5: Active or Blinded 1;2 1=Active; 2=Blinded
stdate6 String 20 Recommended Medication start date 6 mm/dd/yyyy or write out month year
spdate6 String 20 Recommended Medication stop date 6 mm/dd/yyyy or write out month year
stds6 String 50 Recommended Prescribed med daily dose 6
Query ma1f_ab Integer Recommended Dose 6: Active or Blinded 1;2 1=Active; 2=Blinded
stdate7 String 20 Recommended Medication start date 7 mm/dd/yyyy or write out month year
spdate7 String 20 Recommended Medication stop date 7 mm/dd/yyyy or write out month year
Query stds7 Float Recommended
Query ma1g_ab Integer Recommended Dose 7: Active or Blinded 1;2 1=Active; 2=Blinded
ma3_reason String 500 Recommended Reason Medication Was Not Taken As Prescribed or How Dose Was Lost
version_form String 121 Recommended Form used/assessment name
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)
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