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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Pharmacotherapy Session Checklist

1,105 Shared Subjects

N/A
Clinical Assessments
Questionnaire
01/02/2015
pto01
03/22/2023
View Change History
01
Definition
Submission Template
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 patid, pid
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
Query trttyp Integer Recommended Treatment type 1::3 1 = CBT; 2 = PT; 3 = PT and CBT
Query sesstyp Integer Recommended Session Type 1;2 1 = Office; 2 = Phone visitype
Query bsit0 Float Recommended Weeks from Time 0/baseline to assessment daypt, ptot0
Query visit String 60 Recommended Visit name ptvisit, timept
Query stage Integer Recommended Study stage
0::5; 51::53; 67; -888; -999
0 = Pre-Randomization (TADS) 1 = Stage 1 (TADS) 2 = Stage 2 (TADS) 3 = Stage 3 (TADS) 4 = Stage 4 (TADS) 5 = Stage 5 (SOFTAD); 51=Treatmentas Usual; 52=Screening Alone; 53=Intervention; 67=Unknown; -888=Not Applicable; -999=Missing;
Query relationship Integer Recommended Relationship of respondent to individual
1::94;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker
Query ptdose Integer Recommended Dose level prescribed in this session
Query ptnewdos Integer Recommended Was a new dose prescribed? 1;0 1 = Yes; 0=no
Query ptdoser1 Integer Recommended If a new dose was prescribed, reason for the dose change: Increased MDD 1 1 = Yes
Query ptdoser2 Integer Recommended If a new dose was prescribed, reason for the dose change: Decreased MDD 1 1 = Yes
Query ptdoser3 Integer Recommended If a new dose was prescribed, reason for the dose change: Increased mania symptoms 1 1 = Yes
Query ptdoser4 Integer Recommended If a new dose was prescribed, reason for the dose change: Increased side effects 1 1 = Yes
Query ptdoser5 Integer Recommended If a new dose was prescribed, reason for the dose change: Decreased side effects 1 1 = Yes
Query ptdoser6 Integer Recommended If a new dose was prescribed, reason for the dose change: Other 1 1 = Yes
Query ptdoset0 Float Recommended Weeks from Time 0 (randomization) to start date of new dose
Query ptincdep Integer Recommended Did the respondent report an increase in the patients symptoms of depression? 0;1;9 0 = No; 1 = Yes; 9 = Unsure
Query ptincman Integer Recommended Did the respondent report an increase in the patients symptoms of mania? 0;1;9 0 = No; 1 = Yes; 9 = Unsure
Query ptaemed Integer Recommended Did the respondent report any adverse events related to the medication? 0;1;9 0 = No; 1 = Yes; 9 = Unsure
Query ptpact1 Integer Recommended Action taken if any of the procedural criteria are answered Yes: Patient judged okay until next visit 1 1 = Yes
Query ptpact2 Integer Recommended Action taken if any of the procedural criteria are answered Yes: Patient scheduled for office visit in lieu of the next phone call 1; 0 1 = Yes; 0=no convertd
Query ptpact3 Integer Recommended Action taken if any of the procedural criteria are answered Yes: Scheduled ASAP session 1 1 = Yes
Query ptpact4 Integer Recommended Action taken if any of the procedural criteria are answered Yes: Adjusted study medication 1 1 = Yes
Query ptpact5 Integer Recommended Action taken if any of the procedural criteria are answered Yes: Other 1 1 = Yes
Query cgi_si2 Integer Recommended Severity of Social Communication Impairment version 2 1::7 Social communication scale:1 = Normal, no social communication impaired: In high levels of engagement with communication. 2 = Borderline social communication impairment: Easily enters coordinated joint engagement, occasionally slips into supported joint engagement. 3 = Mild social communication impairment: Can engage and communicate, but may be easily distracted, or need occasional adult support to re-engage. Communication attempts are difficult to understand, or predominantly about requests. 4 = Moderate social communication impairment: Needs consistent support to enter in to and/or maintain engagement, with inconsistent spontaneous communication; OR able to engage or communicate with ease but does not do both simultaneously. 5 = Marked social communication impairment: Can communicate about requests only, and does not comment. 6 = Severe social communication impairment: Rarely communicates, and is limited to requests. 7 = Most extreme social communication impairment: No engagement, no communication attemptsMental scale: 1 = Normal, not mentally ill 2 = Borderline mentally ill 3 = Mildly mentally ill 4 = Moderately mentally ill 5 = Markedly mentally ill 6 = Severely mentally ill 7 = Among the most extremely mentally ill ptpcgis
Query respond_detail_oth_spec String 255 Recommended Respondent details
Query checkin Integer Recommended Welcome and check-in? 0;1 0 = No; 1 = Yes
Query revugas Integer Recommended Review Children's Global Assessment Scale? 0;1 0 = No; 1 = Yes
Query cmplymed Integer Recommended Compliance with medication 0;1 0 = No; 1 = Yes
Query cmlctl Integer Recommended Review Concomitant Medication Log & Concomitant Treatment Log? 0;1 0 = No; 1 = Yes
Query safety Integer Recommended Complete patient safety forms as needed? 0;1 0 = No; 1 = Yes
Query cgiis Integer Recommended Assign Clinical Global Impressions Scale Scores: 0;1 0 = No; 1 = Yes
Query assgn_cgas Integer Recommended Assign Children's Global Assessment Scale scores? 0;1 0 = No; 1 = Yes cgas
Query medrx Integer Recommended Medication Prescription given? 0;1 0 = No; 1 = Yes
Query ptoform Integer Recommended Complete Pharmacotherapist office checklist 0;1 0 = No; 1 = Yes
Query tretnote Integer Recommended Complete Patient Treatment Note? 0;1 0 = No; 1 = Yes
Query blind Integer Recommended Complete Treatment Blindness Form (wk 12)? 0;1 0 = No; 1 = Yes
Query npillret Integer Recommended Number of pills returned 999=Legitimately skipped
Query npillgiv Integer Recommended Number of pills given
Query dosage Float Recommended Prescribed Dose in Phase (mg)
Query complianc_p Integer Recommended Childs overall treatment compliance 1::7 1 = Non-Compliant; 2 = Poor; 3 = Poor to Intermediate; 4 = Intermediate; 5 = Intermediate to Good; 6 = Good; 7 = Completely Compliant
Query respondent String 20 Recommended Respondent
Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
Query keepdose Integer Recommended Keep dose stable despite above symptoms? 0;1 0 = No; 1 = Yes
Query asap Integer Recommended Scheduled Adjunctive Services and Attrition Prevention session? 0;1 0 = No; 1 = Yes
Query otr_action Integer Recommended Other action in response to symptoms? 0;1 0 = No; 1 = Yes other
aef008a String 200 Recommended If other action taken, specify othreslt
Query pttype Integer Recommended Type of Pharmacotherapist Visit 1::3 1 = Office; 2 = Follow-up; 3 = Phone
Query procedur Integer Recommended Did the clinician Explain the study procedures? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query psychoed Integer Recommended Did the clinician Psycho-education 0::4 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable;3=No; 4=Yes
Query revuanx Integer Recommended Did the clinician Review the symptoms of anxiety? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query sevimpsx Integer Recommended Did the clinician Assess severity and improvement of anxiety symptoms? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query healthpblm Integer Recommended Did the clinician Assess health problems and other medical events? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable health
Query meddiary Integer Recommended Did the clinician Review medication diary? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query cmplianc Integer Recommended Did the clinician Assess compliance with medication? 0::4 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable;3=No; 4=Yes
Query assidefx Integer Recommended Did the clinician Assess side effects of medication? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable sidefx
Query managefx Integer Recommended Did the clinician Provide strategies for managing side effects? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query prescribe Integer Recommended Did the clinician Prescribe medication dose? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query reducanx Integer Recommended Did the clinician Encourage expectation that medication will reduce anxiety symptoms? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query rlatnshp Integer Recommended Did the clinician Maintain a supportive therapeutic relationship? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query nonstrct Integer Recommended Did the clinician Refrain from providing CBT instruction? 0::5 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable;3 = Did not adhere to protocol -CBT was done. Discussion with pharmacotherapist is required;4 = Some interventions were performed beyond the scope of the protocol for pharmacotherapy visits. Discussion with the pharmacotherapist is warranted; 5 = Adhered to protocol -no CBT performed.
Query xposure Integer Recommended Did the clinician avoid exposure/behavioral instruction 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query relaxatn Integer Recommended Did the clinician avoid relaxation/somatic instruction 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query selftalk Integer Recommended Did the clinician avoid cognitive restructuring/self-talk 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query noother Integer Recommended Did the clinician Refrain from other cognitive or behavioral interventions? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query notherpy Integer Recommended Did the clinician Refrain from insight-oriented or dynamic therapy? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query medefect Integer Recommended Did the clinician Refrain from discouraging subject about medication effectiveness? 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query ptqaadhr Integer Recommended Overall adherence scale: 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query ptqacomp Integer Recommended Overall competence scale: 0::2;-6 0=needs improvement; 1=acceptable; 2=excellent; -6=not applicable
Query btaa3 Float Recommended Length of session (minutes) 999=Legitmately skipped
Query week Float Recommended Week in level/study 99=week 10-week 14
site String 101 Recommended Site Study Site
timepoint_label String 50 Recommended Timepoint/visit label
Query durndoc Integer Recommended duration of doctor visit (minutes)
Query nextpt Integer Recommended days from baseline to next pharmacotherapy visit
nexttim String 20 Recommended Time of next pharmacotherapy visit
Query ptaef Integer Recommended AEF Completed? 0;1 (Yes=1; No=0)
Query ptbdi Integer Recommended BDI Completed? 0;1 0=No; 1=Yes
Query ptcdrs Integer Recommended CDRS Completed? 0;1 (Yes=1; No=0)
Query ptdoc Integer Recommended DOC VISIT Completed? 0;1 (Yes=1; No=0)
Query ptlab Integer Recommended LABS Completed? 0;1 (Yes=1; No=0)
Query ptmeddia Integer Recommended MEDICATION DIARY Completed? 0;1 0=No; 1=Yes
Query ptsae Integer Recommended SAE Completed? 0;1 (Yes=1; No=0)
Query ptsefca Integer Recommended SEFCA Completed? 0;1 (Yes=1; No=0)
Query pttbf Integer Recommended GUESS Completed? 0;1 (Yes=1; No=0)
Query suicide_ideation Integer Recommended SUICIDALITY 0::5 0=None; 1=Passive; 2=Ideation w/o Plan; 3=Ideation w/ Plan; 4=Gesture; 5=Attempt
Query doseptf Integer Recommended DOSE TITRATION 0::3;6 0 = 37.5mg venlafaxine; 10mg fluoxetine or citalopram; 1 = 75mg venlafaxine; 20mg fluoxetine or citalopram; 2 = 112.5mg venlafaxine; 20mg fluoxetine or citalopram; 3 = 150mg venlafaxine; 20mg fluoxetine or citalopram; 6 = 225mg venlafaxine; 40mg fluoxetine or citalopram
Query days_baseline Integer Recommended Days since baseline
namepsycmed String 150 Recommended Name-psychotropic med
q53_b6a2 String 100 Recommended Medication 1 Indication Indicate use of medication
q53_b6b1 String 50 Recommended Medication 2 Complete if there are concomitant medication
q53_b6b2 String 100 Recommended Medication 2 Indication Indicate use of medication
q53_b6c1 String 50 Recommended Medication 3 Complete if there are concomitant medication
q53_b6c2 String 100 Recommended Medication 3 Indication Indicate use of medication
q53_b6d1 String 50 Recommended Medication 4 Complete if there are concomitant medication
q53_b6d2 String 100 Recommended Medication 4 Indication Indicate use of medication
Query medalgor Integer Recommended Current Medication Algorithm level: 1::4;9 1=level 1; 2=level 2; 3=level 3; 4=level 4; 9=NA
current_medication String 300 Recommended subject's current medications
Query weeks1 Float Recommended Duration in weeks first medication
Query dosetime Float Recommended Duration of time on current dose in weeks
reason_name1 String 150 Recommended PT reason 1 for prescribing medication
reason_name2 String 150 Recommended PT reason 2 for prescribing medication
reason_name3 String 150 Recommended PT reason 3 for prescribing medication
log020 String 400 Recommended If other, please specify:
Query madrs Integer Recommended Montgomery-Asberg Depression Rating Scale 1=Yes
Query cgi Integer Recommended Clinical Global Impressions (Severity of Illness & Global Improvement) 1=Yes
Query ssrs Integer Recommended Suicide Severity Rating Scale 1=Yes
Query prosym Integer Recommended Prodromal Symptoms Form 1=Yes
Query smurf Integer Recommended Safety Monitoring Uniform Research Form 1=Yes
Query procon Integer Recommended Prior and Concomitant Medications Form 1=Yes
Query q020 Integer Recommended Vital Signs: assessment completed? 0; 1 0=no; 1=yes
Query vsp Integer Recommended Verbal Safety Plan 1=Yes
Query npilltaken Float Recommended Number of pills taken
Query maf_comp Float Recommended % Compliance
Query clinstat Integer Recommended clinical status 1::13;-7 1=Depression; 2=Mania; 3=Mixed/Cycling; 4=Hypomania; 5=Continued SXs; 6=Roughening; 7=Recovering; 8=Recovered; 9=Other DX; -7=Refused;10=Remission; 11=Response; 12=Partial Response; 13=Minimal or no response
Query prealg Integer Recommended Prescribed Algorithm level 1::4;9 1=level 1; 2=level 2; 3=level 3; 4=level 4; 9=NA
lifeline_049 String 500 Recommended Prescribed medication(s)?
Query mefa9 Integer Recommended Is the patient taking Lithium? 0;1;999 0=No; 1=Yes; 999=Legitimately skipped
Query lival Float Recommended lithium value
Query deviatn Integer Recommended Is the change a deviation from the algorithm? 0;1 0=No;1=Yes
Query inex_exc5 Integer Recommended Recent treatment with psychotropic meds 0;1 0=No; 1=Yes
Query resce Integer Recommended Is subject a rescue treatment? 0;1 0=No;1=Yes
strtx1 String 250 Recommended Treatment received
Query syminq Integer Recommended Symptoms Inquiry: Did the therapist inquire about which symptoms the patient is now experiencing? 0;1 0=No;1=Yes
Query agfunc Integer Recommended Assessing General Functioning: Did the therapist survey the patient's general level of functioning in major life spheres (e.g., work, intimate relationships, family life, social life, etc.)? 0;1 0=No;1=Yes
Query suicidea Integer Recommended Major Depressive Episode - Suicidal Ideation 0;1 0=No;1=Yes
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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