|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
guid |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
CATIEID, case_id, id, patid, pid, randid, subject_id, subjectid, subjid, subnum |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
date_con_collected_1, date_of_rating, intvdate, sdate, visit_date |
|
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.
|
age, bslage, intvage |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
Query
|
othmed0a |
Integer |
|
Recommended |
Did the patient take any medications |
0;1
|
0 = No; 1 = Yes
|
any_con_meds_at_all, none_rpt |
|
drugterm |
String |
50
|
Recommended |
Original Drugterm |
|
|
|
|
drgterm2 |
String |
50
|
Recommended |
Combined DRUGTERM |
|
|
|
|
shrtcode |
String |
50
|
Recommended |
WHO Drug Dictionary, version 3Q 2000 numeric code identifying each drug corresponding to DRUGTERM |
|
|
|
Query
|
medcode |
String |
25
|
Recommended |
Created Medication code |
|
|
conmedcode |
|
atc1lev3 |
String |
100
|
Recommended |
Anatomic-Therapeutic- Class 1, Level 3 |
|
|
|
|
atc2lev3 |
String |
100
|
Recommended |
Anatomic-Therapeutic- Class 2, Level 3 |
|
|
|
Query
|
startdy |
Integer |
|
Recommended |
Start Day |
|
|
cntr_startdat_x, datestrt |
Query
|
endday |
Integer |
|
Recommended |
Stop Day |
|
|
cntr_enddat_x, dateend |
Query
|
othmed2 |
Integer |
|
Recommended |
2. Adjunctive or Concomitant |
1;2
|
1 = Adjunctive; 2 = Concomitant
|
|
Query
|
othmed2a |
Integer |
|
Recommended |
2a. Primary Adjunctive |
1::10
|
1 = Insomnia; 2 = Anxiety; 3 = Agitation/Excitement; 4 = Aggression/Violence; 5 = Dysphoria/Depression; 6 = Catatonic Immobility; 7 = Substance Use Disorder; 8 = Cognitive Problems; 9 = Antipsychotic Cross-Titration; 10 = Out-of-Study Antipsychotic Use
|
|
Query
|
othmed2b |
Integer |
|
Recommended |
2b. Secondary Adjunctive |
1::10
|
1 = Insomnia; 2 = Anxiety; 3 = Agitation/Excitement; 4 = Aggression/Violence; 5 = Dysphoria/Depression; 6 = Catatonic Immobility; 7 = Substance Use Disorder; 8 = Cognitive Problems; 9 = Antipsychotic Cross-Titration; 10 = Out-of-Study Antipsychotic Use
|
|
Query
|
othmed2c |
Integer |
|
Recommended |
2c. Primary Concomitant |
11::20
|
11 = Parkinsonism; 12 = Akathisia; 13 = Tardive Dyskinesia; 14 = Prolactin/Sexual; 15 = Weight Gain; 16 = Hyperglycemia/Diabetes; 17 = Hyperlipidemia; 18 = High Blood Pressure; 19 = Constipation; 20 = Other, specify
|
|
Query
|
othmed2e |
Integer |
|
Recommended |
2d. Secondary Concomitant |
11::20
|
11 = Parkinsonism; 12 = Akathisia; 13 = Tardive Dyskinesia; 14 = Prolactin/Sexual; 15 = Weight Gain; 16 = Hyperglycemia/Diabetes; 17 = Hyperlipidemia; 18 = High Blood Pressure; 19 = Constipation; 20 = Other, specify
|
|
Query
|
othmed4 |
Float |
|
Recommended |
3. Modal Daily Dose |
|
|
con_med_dose_1 |
Query
|
othmed4a |
String |
10
|
Recommended |
3a. Modal Daily Dose Units |
|
CA = CA - Capsules; GI = GI - Drops; IU = IU - International Units; TB = TB - Tablets; U = U - Units; gm = gm - Grams; mL = Ml - Milliliter [cc]; mcg = mcg - Micrograms; mg = mg - Milligrams
|
|
Query
|
flag |
Integer |
|
Recommended |
Baseline Medication Flag |
|
|
|
Query
|
priflag |
Integer |
|
Recommended |
Prior Baseline Medication Flag |
|
|
|
Query
|
conflag |
Integer |
|
Recommended |
Continuous Baseline Medication Flag |
|
|
|
Query
|
postflag |
Integer |
|
Recommended |
Post-Baseline and in P1 Medication Flag |
|
|
|
Query
|
postflg2 |
Integer |
|
Recommended |
Post-Baseline Medication Flag |
|
|
|
Query
|
psy_med |
Integer |
|
Recommended |
Flag for Psychotropic medication |
|
|
|
Query
|
any_psy |
Integer |
|
Recommended |
Any Psychotropic Con Med at Baseline |
0;1
|
0=No, 1=Yes
|
psychmed |
Query
|
anyppsy |
Integer |
|
Recommended |
Any Psychotropic Con Med prior to Baseline |
|
|
|
Query
|
anycpsy |
Integer |
|
Recommended |
Any Psychotropic Con Med ongoing at Baseline |
|
|
|
Query
|
anynpsy |
Integer |
|
Recommended |
Any Psychotropic New in P1 Med at baseline |
|
|
|
Query
|
anypsych |
Integer |
|
Recommended |
Any Conventional Antipsychotic at baseline |
|
|
|
Query
|
anyppsyc |
Integer |
|
Recommended |
Any Prior Conv Antipsy at baseline |
|
|
|
Query
|
anycpsyc |
Integer |
|
Recommended |
Any Continuous Conv Antipsy at baseline |
|
|
|
Query
|
anynpsyc |
Integer |
|
Recommended |
Any New in P1 Conv Antipsy at baseline |
|
|
|
Query
|
anypsyat |
Integer |
|
Recommended |
Any Atypical Antipsychotic at Baseline |
|
|
|
Query
|
anyppsya |
Integer |
|
Recommended |
Any Prior Atypical Antipsychotic at baseline |
|
|
|
Query
|
anycpsya |
Integer |
|
Recommended |
Any Cont Atypical Antipsychotic at baseline |
|
|
|
Query
|
anynpsya |
Integer |
|
Recommended |
Any New in P1 Atypical Antipsychotic at baseline |
|
|
|
Query
|
antipsy |
Integer |
|
Recommended |
Taking antipsychotic medication at baseline |
1::3
|
|
|
Query
|
antichol |
Integer |
|
Recommended |
Taking anticholinergic meds at baseline |
|
|
|
Query
|
statin |
Integer |
|
Recommended |
Statin Use at Baseline |
|
|
|
Query
|
oth_chol |
Integer |
|
Recommended |
Other Chol and Trig Reducer Use at baseline |
|
|
|
Query
|
inc_lit |
Integer |
|
Recommended |
Patient took at least one LITHIUM at baseline |
|
|
|
Query
|
incc_lit |
Integer |
|
Recommended |
Incidence flag for patient continuously |
|
|
|
Query
|
incn_lit |
Integer |
|
Recommended |
Patient newly took in P1 at least 1 LITHIUM |
|
|
|
Query
|
n_med |
Integer |
|
Recommended |
Number of medication taking at baseline |
|
|
|
Query
|
n_pmed |
Integer |
|
Recommended |
Number of med previously taking at baseline |
|
|
|
Query
|
n_cmed |
Integer |
|
Recommended |
Number of med continuously taking at baseline |
|
|
|
Query
|
n_nmed |
Integer |
|
Recommended |
Number of med newly taken in P1 |
|
|
|
Query
|
n_psy |
Integer |
|
Recommended |
Number of Psychotropic med taking at baseline |
|
|
|
Query
|
n_psypri |
Integer |
|
Recommended |
Number of Psychotropic med previously taking at baseline |
|
|
|
Query
|
n_psycon |
Integer |
|
Recommended |
Number of Psychotropic meds continuosly taking at baseline |
|
|
|
Query
|
n_psynew |
Integer |
|
Recommended |
Number of New in P1 Psychotropic meds since baseline |
|
|
|
Query
|
daysrz |
Integer |
|
Recommended |
days since randomization |
|
|
date, exprrz, studyday, visitdt |
|
medcur5 |
String |
50
|
Recommended |
current medication 5 |
|
|
med5 |
|
medication_5_name |
String |
50
|
Recommended |
specify med 5 |
|
|
drug_name_5, medname5, medsp5 |
|
medication5_dosage |
String |
100
|
Recommended |
Fifth medication dosage |
|
0 = No medication; 999 = Missing
|
concommeds_1_dosage, mdose5 |
|
route5 |
String |
50
|
Recommended |
route 5 |
|
|
|
Query
|
med5rz |
Integer |
|
Recommended |
med 5 start days since randomization |
|
|
|
Query
|
cont5 |
Integer |
|
Recommended |
drug 5 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med5drz |
Integer |
|
Recommended |
med 5 discont days since randomization |
|
|
|
Query
|
medcur6 |
String |
50
|
Recommended |
current medication 6 |
|
|
med6 |
|
medication_6_name |
String |
50
|
Recommended |
specify med 6 |
|
|
drug_name_6, medname6, medsp6 |
|
medication6_dosage |
String |
100
|
Recommended |
Sixth medication dosage |
|
0 = No medication; 999 = Missing
|
mdose6 |
|
route6 |
String |
50
|
Recommended |
route 6 |
|
|
|
Query
|
med6rz |
Integer |
|
Recommended |
med 6 start days since randomization |
|
|
|
Query
|
cont6 |
Integer |
|
Recommended |
drug 6 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med6drz |
Integer |
|
Recommended |
med 6 discont days since randomization |
|
|
|
Query
|
medcur7 |
String |
50
|
Recommended |
current medication 7 |
|
|
med7 |
|
medication_7_name |
String |
50
|
Recommended |
specify med 7 |
|
|
drug_name_7, medname7, medsp7 |
Query
|
medication7_dosage |
String |
100
|
Recommended |
Seventh medication dosage |
|
0 = No medication; 999 = Missing
|
mdose7 |
|
route7 |
String |
50
|
Recommended |
route 7 |
|
|
|
Query
|
med7rz |
Integer |
|
Recommended |
med 7 start days since randomization |
|
|
|
Query
|
cont7 |
Integer |
|
Recommended |
drug 7 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
aetrtnum |
Query
|
med7drz |
Integer |
|
Recommended |
med 7 discont days since randomization |
|
|
|
Query
|
medcur8 |
String |
50
|
Recommended |
current medication 8 |
|
|
med8 |
Query
|
medication_8_name |
String |
50
|
Recommended |
specify med 8 |
|
|
drug_name_8, medname8, medsp8 |
Query
|
medication8_dosage |
String |
100
|
Recommended |
Eighth medication dosage |
|
0 = No medication; 999 = Missing
|
mdose8 |
Query
|
route8 |
String |
50
|
Recommended |
route 8 |
|
|
|
Query
|
med8rz |
Integer |
|
Recommended |
med 8 start days since randomization |
|
|
|
Query
|
cont8 |
Integer |
|
Recommended |
drug 8 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med8drz |
Integer |
|
Recommended |
med 8 discont days since randomization |
|
|
|
Query
|
medcur9 |
String |
50
|
Recommended |
current medication 9 |
|
|
med9 |
Query
|
medication_9_name |
String |
50
|
Recommended |
specify med 9 |
|
|
drug_name_9, medname9, medsp9 |
Query
|
medication9_dosage |
String |
100
|
Recommended |
Ninth medication dosage |
|
|
mdose9 |
Query
|
route9 |
String |
50
|
Recommended |
route 9 |
|
|
|
Query
|
med9rz |
Integer |
|
Recommended |
med 9 start days since randomization |
|
|
|
Query
|
cont9 |
Integer |
|
Recommended |
drug 9 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med9drz |
Integer |
|
Recommended |
med 9 discont days since randomization |
|
|
|
Query
|
medcur10 |
String |
50
|
Recommended |
current medication 10 |
|
|
med10 |
Query
|
medication_10_name |
String |
500
|
Recommended |
specify med 10 |
|
|
medname10, medsp10 |
Query
|
medication10_dosage |
String |
50
|
Recommended |
Tenth medication dosage |
|
|
mdose10 |
Query
|
route10 |
String |
50
|
Recommended |
route 10 |
|
|
|
Query
|
med10rz |
Integer |
|
Recommended |
med 10 start days since randomization |
|
|
|
Query
|
cont10 |
Integer |
|
Recommended |
drug 10 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med10drz |
Integer |
|
Recommended |
med 10 discont days since randomization |
|
|
|
Query
|
medcur11 |
String |
50
|
Recommended |
current medication 11 |
|
|
med11 |
Query
|
medication_11_name |
String |
250
|
Recommended |
Current medication 11 |
|
|
medname11, medsp11 |
Query
|
medication11_dosage |
String |
100
|
Recommended |
medication 11 dosage |
|
|
mdose11 |
Query
|
route11 |
String |
50
|
Recommended |
route 11 |
|
|
|
Query
|
med11rz |
Integer |
|
Recommended |
med 11 start days since randomization |
|
|
|
Query
|
cont11 |
Integer |
|
Recommended |
drug 11 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med11drz |
Integer |
|
Recommended |
med 11 discont days since randomization |
|
|
|
Query
|
medcur12 |
String |
50
|
Recommended |
current medication 12 |
|
|
med12 |
Query
|
medication_12_name |
String |
50
|
Recommended |
Medication 12 name |
|
|
medname12, medsp12 |
Query
|
medication12_dosage |
String |
100
|
Recommended |
medication 12 dosage |
|
|
mdose12 |
Query
|
route12 |
String |
50
|
Recommended |
route 12 |
|
|
|
Query
|
med12rz |
Integer |
|
Recommended |
med 12 start days since randomization |
|
|
|
Query
|
cont12 |
Integer |
|
Recommended |
drug 12 continued |
0;1;-7
|
0=No (discontinued); 1=Yes; -7=Refused
|
|
Query
|
med12drz |
Integer |
|
Recommended |
med 5 discont days since randomization |
|
|
|
Query
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
cntr_site_x, site_no, site_uid, siteid |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
cntr_interval, int1, interval, timept, visit_name |
|
dsmvers |
String |
10
|
Recommended |
version/name of assessment |
|
|
form_name |
|
date_updated |
Date |
|
Recommended |
Date record updated |
|
|
edit_date |
|
session_id |
String |
20
|
Recommended |
session ID/screening ID |
|
|
screeningid, session |
Query
|
completed |
Integer |
|
Recommended |
Checks if completed |
0::3
|
0=No; 1=Yes; 2=Yes, lost; 3=Unverified
|
cntr_frmcomp, formcomp, frmcomp, tststfld |
Query
|
conmedno |
Integer |
|
Recommended |
Check if NO concomitant medications were used |
0;1
|
0=No; 1=Yes
|
cntr_nomeds, meds01, nomeds |
|
medication_name |
String |
255
|
Recommended |
Name of medication |
|
|
cmd002, cmname, cntr_meds, desc, drug, drug_d, gdrug, med, medication, meds |
|
ddose |
String |
50
|
Recommended |
daily dose |
|
-9=unknown
|
cmd006, cmdose, cntr_dose, cntr_units, dosage, dose_d |
Query
|
cmunit |
Integer |
|
Recommended |
Units |
|
1 = micrograms (mkg); 2 = milligrams (mg); 3 = grams (g); 4 = tablet(s); 5 = capsule(s); 6 = gtt; 7 = meq; 8 = international units (IU); 9 = units (U); 10=Percent (%); 11=Compount/more than one medicine combind; 12=Grains (gr); 13=mg/kg; 99 = Other (specify); 14 = ml; 15 = mg/mL; 16 = mcg/mL; 17 = tbls; 18 = 3tts; 19 = cc; 20 = ss; 21 = puff; 22 = spray/squirt; 23 = suppository; 24 = teaspoon; 25 = uL; 26 = unknown; 27 = oz;28=millicurie; 29=microcurie
|
cmd007, units |
|
cmunito |
String |
200
|
Recommended |
Unit other specify |
|
|
cmd007a, cmunitn, cmunitsp, unit, unit_d |
Query
|
cmroute |
Integer |
|
Recommended |
Route |
|
1 = oral; 2 = intravenous; 3 = subcutaneous; 4 = topical; 5 = inhalation; 6 = transdermal; 7 = rectal; 8 = intramuscular; 9 = sublingual; 10 = PEG; 99 = Other (specify); 999 =unknown; 11=oral/intramuscular; 12 = Nasal; 13 = Vaginal; 14 = Auricular; 15 = Intra-articular; 16 = Intraocular; 17 = Depot
|
cmd005, cntr_route, concommeds_1_route, route, route_1 |
|
cmrouto |
String |
200
|
Recommended |
Route other specify |
|
|
cmd005a, cmrte, cmrtspec, route |
Query
|
cmfreq |
Integer |
|
Recommended |
Frequency |
|
1 = QD; 2 = BID; 3 = TID; 4 = QID; 5 = QHS; 6 = CONT IV; 7 = PRN; 8=Q4H; 9=Q6H; 10=Q8H; 11=Q12H; 12=BIS; 13=QS; 14=QM; 15=U; 99 = Other (specify); 16=QOD; 17=qam; 18=qw; 19=q30m; 20=q1h; 21=q5h; 22=biw; 23=qpm; 24=q15m; 25=q3h; 26 = q6pm; 27=tiw; 28 = ac; 29 = q2h;30=once; 31=Unknown
|
cmd008, cntr_freq, concommeds_1_freq, freq |
|
cmfreqo |
String |
200
|
Recommended |
Frequency other specify |
|
|
cmd008a, cmfreqn, cmfrqspe, con_meds_freq_1, freq |
|
cmind |
String |
200
|
Recommended |
Indication |
|
|
cmd003, cntr_indicate, cntr_purpose, concommeds_1_purpose, indicate, indication |
|
cmstrtdt |
Date |
|
Recommended |
Start Date |
|
|
cmd009, cmedstdt, concommeds_1_startdate, start_date_1 |
Query
|
cmcont |
Integer |
|
Recommended |
Continuing at end of study? |
1;2
|
1=Yes; 2=No
|
cmcontn, cntr_contmed, conconmeds_1_cont |
|
cmstpdt |
Date |
|
Recommended |
Stop Date |
|
|
cmd010a, cmd011, cmedspdt, concommeds_1_enddate, end_date_1 |
Query
|
cmae |
Integer |
|
Recommended |
Was this for treatment of an AE |
|
1=Yes; 2=No; -9=Unknown
|
cmd004, cmtae, con_med_for_ae_1 |
|
cmaeid |
String |
20
|
Recommended |
If Yes, Specify Adverse Event (Use AE Identifier) |
|
-9=Unknown
|
cmd004a, conc_med_indication_1 |
Query
|
cmf_allergy |
Integer |
|
Recommended |
Allergy/asthma medication |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_sleep |
Integer |
|
Recommended |
Sleep medication |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_vitamin |
Integer |
|
Recommended |
Vitamins |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_gi |
Integer |
|
Recommended |
GI medication |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_bc |
Integer |
|
Recommended |
Birth control |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_enuresis |
Integer |
|
Recommended |
Enuresis medication |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmf_corticosteroid |
Integer |
|
Recommended |
Corticosteroid medication |
1::3
|
1=no medication; 2=taken less than 50% of the weeks in the study; 3=taken 50% or more of weeks in the study
|
|
Query
|
cmd001 |
Integer |
|
Recommended |
Medication number |
|
-9=Unknown
|
|
Query
|
cmd010 |
Integer |
|
Recommended |
Continuing? (If No, complete Q11. If Yes, end questionnaire.) |
0;1; -9
|
0=No; 1=Yes; -9=Unknown
|
contmed |
|
cmd24001 |
String |
50
|
Recommended |
Last 24 hours: Medication name (use generic name) |
|
|
|
|
cmd24002 |
String |
150
|
Recommended |
Last 24 hours: Purpose/indication |
|
|
purpose |
Query
|
cmd24003 |
Float |
|
Recommended |
Last 24 hours: Strength/Dosage |
|
|
|
Query
|
cmd24004 |
Integer |
|
Recommended |
Last 24 hours: Units |
1::7
|
1=Capsule/tablet; 2=Milligram; 3=Gram; 4=Cubic cm/mL; 5=Grains; 6=Ounce; 7=Other (specify below);
|
|
|
cmd24004a |
String |
30
|
Recommended |
Last 24 hours: If "Other", specify units |
|
|
|
|
cmd24005 |
Date |
|
Recommended |
Last 24 hours: When was the medication taken? (mm/dd/yyyy) |
|
|
|
|
cmd24006 |
String |
20
|
Recommended |
Last 24 hours: What time was the last medication taken? (hh:mm, 24-hour clock; enter 55:55 if unknown) |
|
|
|
|
study |
String |
100
|
Recommended |
Study; The code for each individual study |
|
|
cntr_studyid, studyid |
Query
|
subtrial_name |
Integer |
|
Recommended |
Name of subtrial |
1::3
|
1=Crossover; 2=Guanfacine; 3= Open Label MPH
|
|
Query
|
aef001 |
Integer |
|
Recommended |
Adverse Event number |
|
-9=unknown
|
cmaenum, ctaenum |
Query
|
pmtot |
Integer |
|
Recommended |
Total pages |
|
|
cmtot |
Query
|
cmany |
Integer |
|
Recommended |
Did subject receive any medication |
0;1
|
0=No; 1=Yes
|
|
Query
|
pmmednum |
Integer |
|
Recommended |
Medication/treatment number |
|
|
mednum |
Query
|
pmstdt |
Integer |
|
Recommended |
Date medication/treatment began in days from the randomization date |
|
|
cmstdt, dateadd, daystart, daystart_d |
Query
|
pmstop |
Integer |
|
Recommended |
Date medication/treatment stopped in days from the randomization date |
|
|
cmstop, datedisc, dayend, dayend_d |
Query
|
meds05a |
Integer |
|
Recommended |
Unknown |
1;0
|
1=Yes; 0=No
|
|
Query
|
meds06a |
Integer |
|
Recommended |
Ongoing |
|
1=Yes; 0=No
|
cmedongo |
Query
|
anyopsyc |
Integer |
|
Recommended |
Any Conventional Antipsych in OC Phase |
1
|
1=Yes; missing=otherwise
|
|
Query
|
anychol |
Integer |
|
Recommended |
Any Cholinesterase Inhibitor at Baseline |
1
|
1=Yes; missing=otherwise; indicated med taken at baseline or within 14 days prior to baseline
|
|
Query
|
anynchol |
Integer |
|
Recommended |
Any New Cholinest Inhibitor Since Baseline |
1
|
1=Yes; missing=otherwise; medication added post-baseline
|
|
Query
|
anydpap |
Integer |
|
Recommended |
Any Antidepressant or Antipsych at BL |
1
|
1=Yes; missing=otherwise; indicated med taken at baseline or within 14 days prior to baseline
|
|
Query
|
anyndpap |
Integer |
|
Recommended |
Any New Antidepressant or Antipsych Since BL |
1
|
1=Yes; missing=otherwise; medication added post-baseline
|
|
Query
|
anyhyper |
Integer |
|
Recommended |
Any Anti-Hypertensive Medications at BL |
1
|
1=Yes; missing=otherwise; indicated med taken at baseline or within 14 days prior to baseline
|
|
Query
|
anynhype |
Integer |
|
Recommended |
Any New Anti- Hypertensive Med Since BL |
1
|
1=Yes; missing=otherwise; medication added post-baseline
|
|
Query
|
anygastr |
Integer |
|
Recommended |
Any Gastrointestinal Medication at BL |
1
|
1=Yes; missing=otherwise; indicated med taken at baseline or within 14 days prior to baseline
|
|
Query
|
anyngast |
Integer |
|
Recommended |
Any New Gastrointestinal Med at BL |
1
|
1=Yes; missing=otherwise; medication added post-baseline
|
|
Query
|
anyopsy |
Integer |
|
Recommended |
Any Psychotropic Med in OC Phase |
1
|
1=Yes; missing=otherwise
|
|
Query
|
n_omed |
Integer |
|
Recommended |
# of med taken per patient in OC Phase |
|
Number of medications taken
|
|
Query
|
n_psyoc |
Integer |
|
Recommended |
Number of Psychotropic meds taken in OC |
|
Number of medications taken
|
|
Query
|
b1_day |
Integer |
|
Recommended |
Baseline Day - Phase 1/1A |
|
Number of days from study baseline to first day of the phase Based on visit dates
|
|
Query
|
boc_day |
Integer |
|
Recommended |
Baseline Visit Day- Open Choice Phase |
|
Number of days from study baseline to start date of phase
|
|
Query
|
es_day |
Integer |
|
Recommended |
Day Discontinued from Study |
|
Number of days from study baseline to date of study discontinuation (excluding follow-up phase) Based on visit dates
|
|
Query
|
visitid |
Integer |
|
Recommended |
MetaTrial Visit ID |
|
System variable: unique code for each type of visit -use to merge files
|
|
Query
|
visitnum |
Integer |
|
Recommended |
Visit number |
|
|
|
Query
|
ocflag |
Integer |
|
Recommended |
Medication Taken During OC Phase Flag |
0;1
|
0=No; 1=Yes
|
|
Query
|
anyopsya |
Integer |
|
Recommended |
Medication Taken During OC Phase Flag |
0;1
|
0=No; 1=Yes
|
|
Query
|
visday |
Integer |
|
Recommended |
Number of days from study baseline to date of visit |
|
|
cntr_visitdat_x, daycml, dayctl_d |
Query
|
page |
Integer |
|
Recommended |
Page of form |
|
|
page_d |
Query
|
slot |
Integer |
|
Recommended |
Slot on Concomitant Medication Log form |
|
|
slot_d |
|
compound |
String |
100
|
Recommended |
Generic name of compound |
|
|
compound_d |
|
extra |
String |
100
|
Recommended |
Additional compounds in Concomitant Medication |
|
|
extra_d |
Query
|
drugcont |
Integer |
|
Recommended |
Is Concomitant Medication still being used? |
0;1
|
0 = No;1 = Yes
|
cont, cont_d |
|
medcon |
String |
100
|
Recommended |
Medical Condition for which Concomitant Medication was taken |
|
|
integer, medcon_d |
Query
|
days |
Integer |
|
Recommended |
Number of Days at Current Dose |
0::9999
|
|
|
Query
|
med_sequence |
Integer |
|
Recommended |
Med Sequence number |
|
|
|
Query
|
week |
Float |
|
Recommended |
Week in level/study |
|
99=week 10-week 14
|
intid, week1 |
Query
|
vis_type |
Integer |
|
Recommended |
Visit type |
0::2
|
1=Phone/remote; 0=doctor's office/In person; 2=No, not phone interview
|
phone |
Query
|
cntr_othrtrt |
Integer |
|
Recommended |
Received any treatments other than medic |
1;2
|
1=Yes;2=No
|
othrtrt |
Query
|
cntr_conttrt |
Integer |
|
Recommended |
Continue Other Treatment |
1;2
|
1=Yes;2=No
|
conttrt |
Query
|
cntr_adddat_x |
Integer |
|
Recommended |
Day Medication Added |
|
|
|
|
treatment_name |
String |
200
|
Recommended |
treatment name |
|
|
cntr_treatmnt, treatmnt |
Query
|
med1drz |
Integer |
|
Recommended |
med 1 discontinued days since randomization |
|
|
cntr_discdat_x |
Query
|
trtgroup |
String |
2
|
Recommended |
Treatment Group |
N1;N2;R1;R2;R3
|
N1=Non-Responder Entering Fluvoxamine; N2=Non-Responder Entering Fluoxetine; R1=Maintenance; R2=Responder Entering Fluvoxamine; R3=Responder Entering Fluoxetine
|
|
Query
|
study_id |
Integer |
|
Recommended |
Study ID number |
|
46=Acute Phase; 47=Stabilization Phase
|
|
Query
|
hi_31a5 |
Integer |
|
Recommended |
Medication 1 days from baseline started |
|
|
startdays |
Query
|
hi_31a6 |
Integer |
|
Recommended |
Medication 1 days from baseline stopped |
|
|
stopdays |
Query
|
ci_enrolled |
Integer |
|
Recommended |
Participant enrolled |
0;1
|
0=No; 1=Yes
|
|
|
comments |
String |
4,000
|
Recommended |
Comments about assessment |
|
|
conmeds_comment, efirstlan, notes |
Query
|
lineno |
Integer |
|
Recommended |
Line number (lines per participant) |
0::150
|
|
concommeds_1_code |
Query
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
999= Missing Data
|
con_collected_by_1, rater |
Query
|
medication1_weeks |
Float |
|
Recommended |
Total weeks of medication 1 |
|
|
|
Query
|
days_baseline |
Integer |
|
Recommended |
Days since baseline |
|
|
|
Query
|
visnum |
Float |
|
Recommended |
Numeric Visit Number |
|
-1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits
|
|
Query
|
me2 |
Integer |
|
Recommended |
Status |
0;1
|
0 = Past [Inactive]; 1 = Active
|
|
Query
|
anymeds |
Integer |
|
Recommended |
Has the subject taken any medications 30 days/1 month prior to or during this study OR taken any antipsychotics at any time? |
0;1
|
0 = No; 1 = Yes
|
|
|
adhgen1 |
String |
50
|
Recommended |
Generic name of medication name provided |
|
|
concommeds_1_name |
|
med_class |
String |
50
|
Recommended |
Medication class for the prescription |
|
|
|
|
dode |
String |
10
|
Recommended |
Date of Data Entry |
|
|
date_of_entry |
|
other_reason_nc |
String |
100
|
Recommended |
Other reason form was not completed |
|
|
if_not_please_specify |
Query
|
anymedhist |
Integer |
|
Recommended |
No Medication History |
1;2
|
1= Yes; 2= No
|
if_subject_had_no_medications_enter_1_here |
Query
|
months1 |
Float |
|
Recommended |
Number of months on this medication |
|
0 = No medication; 9999=NK
|
_concommeds_1_notspec, concommeds_1_mos |
Query
|
t1wk |
Integer |
|
Recommended |
Weeks since Treatment Session 1 |
|
|
|
Query
|
concommeds_1_source |
Integer |
|
Recommended |
Source of Information |
1::10;99
|
1=Subject; 2=Health Professional; 3=Chart/Medical Record; 4=Family/friends/associate; ; 5 = Prescribing Physician; 6 = Therapist; 7 = Pharmacy; 9=Other; 99=Unknown; 10 = Research staff
|
|
|
medname1 |
String |
50
|
Recommended |
Medication Name 1 |
|
|
drug_name_1 |
|
medname2 |
String |
50
|
Recommended |
Medication Name 2 |
|
|
drug_name_2 |
|
medname3 |
String |
50
|
Recommended |
Medication Name 3 |
|
|
drug_name_3 |
|
medname4 |
String |
50
|
Recommended |
Medication Name 4 |
|
|
drug_name_4 |
|
medname13 |
String |
50
|
Recommended |
Medication Name 13 |
|
|
|
|
medname14 |
String |
50
|
Recommended |
Medication Name 14 |
|
|
|
|
medname15 |
String |
50
|
Recommended |
Medication Name 15 |
|
|
|
|
medname16 |
String |
50
|
Recommended |
Medication Name 16 |
|
|
|
|
medname17 |
String |
50
|
Recommended |
Medication Name 17 |
|
|
|
|
medname18 |
String |
50
|
Recommended |
Medication Name 18 |
|
|
|
|
medname19 |
String |
50
|
Recommended |
Medication Name 19 |
|
|
|
|
medname20 |
String |
50
|
Recommended |
Medication Name 20 |
|
|
|
Query
|
acet |
Integer |
|
Recommended |
Acetaminophen/Paracetamol |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
antihist |
Integer |
|
Recommended |
2nd generation antihistamine (loratadine, fexofenadine, certirizine, etc.) |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
aspirin |
Integer |
|
Recommended |
Aspirin |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
calcium |
Integer |
|
Recommended |
Calcium (alone or with Vitamin D) |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
diphen |
Integer |
|
Recommended |
Diphenhydramine |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
fishoil |
Integer |
|
Recommended |
Fish oil/Omega-3 |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
gingko |
Integer |
|
Recommended |
Gingko biloba |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
glucosa |
Integer |
|
Recommended |
Glucosamine |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
h2blocker |
Integer |
|
Recommended |
H2 blocker (cimetidine, famotidine, ranitidine) |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
iron |
Integer |
|
Recommended |
Iron supplement |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
melatonin |
Integer |
|
Recommended |
Melatonin |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
multiv |
Integer |
|
Recommended |
Multivitamin |
0;1;8;9
|
0= Unchecked/No; 1= Checked/Yes; 8= NA; 9= Missing
|
|
Query
|
nicotine |
Integer |
|
Recommended |
Does the child use nicotine |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
nsaids |
Integer |
|
Recommended |
Used nonprescription NSAIDS (e.g., Aspirin, Ibuprofen) for joint pain or arthritis more than half the days of the month, past 30 days |
0;1
|
0=No; 1=Yes
|
|
Query
|
ppinhib |
Integer |
|
Recommended |
Proton pump inhibitor (omeprazole, pantoprazole, lansoprazole, etc) |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
vitb12 |
Integer |
|
Recommended |
Vitamin B12 (alone or with other B vitamins) |
0;1
|
0= Unchecked; 1= Checked
|
|
Query
|
vitc |
Integer |
|
Recommended |
Vitamin C |
0;1;8;9
|
0= Unchecked/No; 1= Checked/Yes; 8= NA; 9= Missing
|
|
Query
|
vitd |
Integer |
|
Recommended |
Vitamin D (alone or with calcium) |
0;1;8;9
|
0= Unchecked/No; 1= Checked/Yes; 8= NA; 9= Missing
|
|
Query
|
prscrptns |
Integer |
|
Recommended |
For prescriptions that you took in the last two weeks, did you bring all the prescription medications or a list of the prescription medications from your pharmacy or physician? |
0::2
|
0= No I did not bring them; 1= Yes I brought them; 2= I didn't take any medications
|
|
|
lab020 |
Date |
|
Recommended |
Date of PI/clinician signature |
|
|
date_con_review_inves_1 |
|
validity |
String |
13
|
Recommended |
Validity rating |
Yes;No;Questionnable
|
|
|
|
resp_source |
Integer |
|
Recommended |
Respondent Source |
1::6
|
1= subject; 2= parent; 3= clinician; 4= teacher; 5= trainer; 6= fidelity reviewer
|
source |
|
totalmthantipsychmed |
Integer |
|
Recommended |
Total Months on Anti-Psychotic Medication |
|
|
|
|
totalmthmoodstable |
Integer |
|
Recommended |
Total Months on Mood Stabilizers |
|
|
|
|
lifetimeantipsychprovided |
Integer |
|
Recommended |
Was information on lifetime antipsychotic medication provided? |
1;2
|
1= Yes; 2= No
|
|
|
lifetimeantipsychcalc |
Date |
|
Recommended |
Date lifetime antipsychotic medication exposure calculated |
|
|
|
|
lifetimeantipsychmg |
Integer |
|
Recommended |
Lifetime Total Exposure to antipsychotic medication (mg) |
|
|
|
|
prevlifemedhist |
Float |
|
Recommended |
Lifetime Total Exposure |
|
Total Lifetime Exposure Measure of Anti-Psychiatric Drugs, measured in grams
|
|
|
lifetimeantipsychcomments |
String |
500
|
Recommended |
Additional Comments on lifetime antipsychotic medication |
|
|
|
|
concommeds_1_source_oth |
String |
500
|
Recommended |
Specify other source of information on medication |
|
|
|
|
cmtype |
Integer |
|
Recommended |
Drug classification: |
1::9
|
1 = Antipsychotic; 2 = Antidepressant; 3 = Mood Stabilizer; 4 = Benzodiazepine; 5 = Sedative; 6 = Stimulant; 7 = Anticholinergic; 8 = ECT Therapy; 9 = Other
|
|
|
cmtype_oth |
String |
250
|
Recommended |
Please specify the other drug classification: |
|
|
|
|
cmtotaldose |
Float |
|
Recommended |
Total daily dose: |
0.00::9999.99
|
|
|
|
custom_src_id |
String |
30
|
Recommended |
Subject ID how it's defined in lab/project (used for source IDs that change depending on timepoint/visit/etc.) |
|
|
|
|
who_groupcode |
String |
10
|
Recommended |
Group code from WHO dictionary. Coded centrally. |
|
|
|
|
who_grouptext |
String |
100
|
Recommended |
Group text description from WHO dictionary. Coded centrally. |
|
|
|
|
dose |
Float |
|
Recommended |
Prescribed Dose in Phase (mg) |
|
|
|
|
prn_frequency |
Float |
|
Recommended |
If PRN, average frequency |
|
Times per month
|
|
|
startdate |
Date |
|
Recommended |
Date intervention started MM/DD/YYYY |
|
For interventions prior to the study, days and months may be missing.
|
|
|
stopdate |
Date |
|
Recommended |
Date intervention stopped MM/DD/YYYY |
|
For interventions prior to the study, days and months may be missing.
|
|
|
start_year |
Integer |
|
Recommended |
Date medication started (YYYY) |
|
Can be used instead of startdate
|
|
|
stop_year |
Integer |
|
Recommended |
Date medication stopped (YYYY) |
|
Can be used instead of stopdate
|
|
|
who_atccode |
String |
10
|
Recommended |
ATC code from WHO dictionary. Coded centrally. |
|
|
|
|
start_month |
String |
2
|
Recommended |
Date medication started (MM) |
01;02;03;04;05;06;07;08;09;10;11;12
|
Can be used instead of startdate
|
|
|
stop_month |
String |
2
|
Recommended |
Date medication stopped (MM) |
01;02;03;04;05;06;07;08;09;10;11;12
|
Can be used instead of startdate
|
|
|
frequency1_cm |
Integer |
|
Recommended |
Medication 1 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med2_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
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
|
|
|
indication_med2_cm |
String |
1,000
|
Recommended |
Medication 2 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
medication2_dosage |
String |
100
|
Recommended |
Second medication dosage |
|
0 = No medication; 999 = Missing
|
|
|
units2_cm |
Integer |
|
Recommended |
Medication 2 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route2_cm |
Integer |
|
Recommended |
Medication 2 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency2_cm |
Integer |
|
Recommended |
Medication 2 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med3_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
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
|
|
|
indication_med3_cm |
String |
1,000
|
Recommended |
Medication 3 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
medication3_dosage |
String |
100
|
Recommended |
Third medication dosage |
|
0 = No medication; 999 = Missing
|
|
|
units3_cm |
Integer |
|
Recommended |
Medication 3 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route3_cm |
Integer |
|
Recommended |
Medication 3 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency3_cm |
Integer |
|
Recommended |
Medication 3 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med4_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
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
|
|
|
taking_any_meds1_cm |
Integer |
|
Recommended |
Are you taking any medications/supplements/treatments? |
0;1
|
0 = No; 1 = Yes
|
|
|
indication_med4_cm |
String |
1,000
|
Recommended |
Medication 4 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
medication4_dosage |
String |
100
|
Recommended |
Fourth medication dosage |
|
0 = No medication; 999 = Missing
|
|
|
units4_cm |
Integer |
|
Recommended |
Medication 4 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route4_cm |
Integer |
|
Recommended |
Medication 4 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency4_cm |
Integer |
|
Recommended |
Medication 4 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med5_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
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
|
|
|
indication_med5_cm |
String |
1,000
|
Recommended |
Medication 5 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units5_cm |
Integer |
|
Recommended |
Medication 5 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
stdate1 |
String |
20
|
Recommended |
Medication start date 1 |
|
mm/dd/yyyy or write out month year
|
|
|
route5_cm |
Integer |
|
Recommended |
Medication 5 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency5_cm |
Integer |
|
Recommended |
Medication 5 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med6_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
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
|
|
|
indication_med6_cm |
String |
1,000
|
Recommended |
Medication 6 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units6_cm |
Integer |
|
Recommended |
Medication 6 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route6_cm |
Integer |
|
Recommended |
Medication 6 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency6_cm |
Integer |
|
Recommended |
Medication 6 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med7_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
spdate1 |
String |
20
|
Recommended |
Medication stop date 1 |
|
mm/dd/yyyy or write out month year
|
|
|
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
|
|
|
indication_med7_cm |
String |
1,000
|
Recommended |
Medication 7 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units7_cm |
Integer |
|
Recommended |
Medication 7 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route7_cm |
Integer |
|
Recommended |
Medication 7 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency7_cm |
Integer |
|
Recommended |
Medication 7 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med8_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
stdate8 |
String |
20
|
Recommended |
Medication start date 8 |
|
mm/dd/yyyy or write out month year
|
|
|
spdate8 |
String |
20
|
Recommended |
Medication stop date 8 |
|
mm/dd/yyyy or write out month year
|
|
|
indication_med8_cm |
String |
1,000
|
Recommended |
Medication 8 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
indication_med1_cm |
String |
1,000
|
Recommended |
Medication 1 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units8_cm |
Integer |
|
Recommended |
Medication 8 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route8_cm |
Integer |
|
Recommended |
Medication 8 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency8_cm |
Integer |
|
Recommended |
Medication 8 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
taking_another_med9_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
start_date_of_med9_cm |
Date |
|
Recommended |
Start Date of Medication 9 |
|
MM/DD/YYYY
|
|
|
stop_date_of_med9_cm |
Date |
|
Recommended |
Stop Date of Medication 9 |
|
MM/DD/YYYY
|
|
|
indication_med9_cm |
String |
1,000
|
Recommended |
Medication 9 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units9_cm |
Integer |
|
Recommended |
Medication 9 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route9_cm |
Integer |
|
Recommended |
Medication 9 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency9_cm |
Integer |
|
Recommended |
Medication 9 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
medication1_dosage |
String |
150
|
Recommended |
First medication dosage |
|
0 = No medication; 999 = Missing
|
|
|
taking_another_med10_cm |
Integer |
|
Recommended |
Are you taking another medication? |
0;1
|
0 = No; 1 = Yes
|
|
|
start_date_of_med10_cm |
Date |
|
Recommended |
Start Date of Medication 10 |
|
MM/DD/YYYY
|
|
|
stop_date_of_med10_cm |
Date |
|
Recommended |
Stop Date of Medication 10 |
|
MM/DD/YYYY
|
|
|
indication_med10_cm |
String |
1,000
|
Recommended |
Medication 10 Indication (Why are you taking this medication/supplement/treatment?) |
|
|
|
|
units10_cm |
Integer |
|
Recommended |
Medication 10 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route10_cm |
Integer |
|
Recommended |
Medication 10 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|
|
frequency10_cm |
Integer |
|
Recommended |
Medication 10 Frequency (How often do you take this medication/treatment/supplement?) |
1::9
|
1 = Once daily; 2 = Twice daily; 3 = Three times daily; 4 = Four times daily; 5 = Weekly; 6 = Monthly; 7 = Every other day; 8 = Every three months; 9 = As needed
|
|
|
units1_cm |
Integer |
|
Recommended |
Medication 1 Units |
0::14
|
0 = mg; 1 = tablet; 2 = mcg; 3 = ml; 4 = g; 5 = IU; 6 = Injection; 7 = Puff; 8 = %; 9 = Capsule; 10 = IUD; 11 = Tablespoon; 12 = Spray; 13 = Piece; 14 = Drop
|
|
|
route1_cm |
Integer |
|
Recommended |
Medication 1 Route |
0::12
|
1 = Oral; 2 = Intravenous; 3 = Subcutaneous; 4 = Intramuscular; 5 = Topical; 6 = Inhaled; 7 = Sublingual; 8 = Rectal; 9 = Eyedrops; 10 = Intra-articular; 11 = Nasal spray; 12 = Vaginal
|
|