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Drug and Medication Timeline Followback Form

0 Shared Subjects

N/A
Clinical Assessments
Substance Use
06/05/2020
drmedtff01
06/05/2020
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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
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 :: 1260 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
tlfb2 String 100 Recommended First, to help remember this past week, what kinds of special things happened? Any birthdays, concerts, or sports games, parties?
tlfb_alc_m Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Monday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_tu Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Tuesday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_w Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Wednesday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_th Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Thursday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_f Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Friday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_sa Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Saturday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_alc_su Integer Recommended To the best of your knowledge, how many alcoholic beverages (beer, wine, hard liquor) did you have each day in the 7 days of this past week? Sunday 0::6 0=0; 1=1; 2=2; 3=3; 4=4; 5=5; 6=5+
tlfb_dr_m Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Monday 1;2 1=yes; 2=no
tlfb_dr_tu Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Tuesday 1;2 1=yes; 2=no
tlfb_dr_w Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Wednesday 1;2 1=yes; 2=no
tlfb_dr_th Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Thursday 1;2 1=yes; 2=no
tlfb_dr_f Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Friday 1;2 1=yes; 2=no
tlfb_dr_sa Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Saturday 1;2 1=yes; 2=no
tlfb_dr_su Integer Recommended To the best of your knowledge, did you use drugs on these days (including cold medicine)?. Sunday 1;2 1=yes; 2=no
tlfb_drugs_option String 100 Recommended Which drugs were they?
tlfb_caf_m String 100 Recommended Monday. To the best of your knowledge, how much caffeine did you consume last Monday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_2 String 100 Recommended Tuesday. To the best of your knowledge, how much caffeine did you consume last Tuesday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_3 String 100 Recommended Wednesday. To the best of your knowledge, how much caffeine did you consume last Wednesday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_4 String 100 Recommended Thursday. To the best of your knowledge, how much caffeine did you consume last Thursday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_5 String 100 Recommended Friday. To the best of your knowledge, how much caffeine did you consume last Friday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_6 String 100 Recommended Saturday. To the best of your knowledge, how much caffeine did you consume last Saturday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_caf_m_7 String 100 Recommended Sunday. To the best of your knowledge, how much caffeine did you consume last Sunday(Inc. coffee, tea, soda, energy drinks & chocolate)?
tlfb_nic_m Integer Recommended Did you use nicotine on the following days in the last week? Monday 1;2 1=yes; 2=no
tlfb_nic_tu Integer Recommended Did you use nicotine on the following days in the last week? Tuesday 1;2 1=yes; 2=no
tlfb_nic_w Integer Recommended Did you use nicotine on the following days in the last week? Wednesday 1;2 1=yes; 2=no
tlfb_nic_th Integer Recommended Did you use nicotine on the following days in the last week? Thursday 1;2 1=yes; 2=no
tlfb_nic_f Integer Recommended Did you use nicotine on the following days in the last week? Friday 1;2 1=yes; 2=no
tlfb_nic_sa Integer Recommended Did you use nicotine on the following days in the last week? Saturday 1;2 1=yes; 2=no
tlfb_nic_su Integer Recommended Did you use nicotine on the following days in the last week? Sunday 1;2 1=yes; 2=no
tlfb_meds_m String 100 Recommended Monday. Which, if any, medications have you taken on Monday in the last week (include dosage)?
tlfb_meds_m_2 String 100 Recommended Tuesday. Which, if any, medications have you taken on Tuesday in the last week (include dosage)?
tlfb_meds_m_3 String 100 Recommended Wednesday. Which, if any, medications have you taken on Wednesday in the last week (include dosage)?
tlfb_meds_m_4 String 100 Recommended Thursday. Which, if any, medications have you taken on Thursday in the last week (include dosage)?
tlfb_meds_m_5 String 100 Recommended Friday. Which, if any, medications have you taken on Friday in the last week (include dosage)?
tlfb_meds_m_6 String 100 Recommended Saturday. Which, if any, medications have you taken on Saturday in the last week (include dosage)?
tlfb_meds_m_7 String 100 Recommended Sunday. Which, if any, medications have you taken on Sunday in the last week (include dosage)?
tlfb_alc1 String 100 Recommended ALCOHOL: Number of days on which drinking occurred:
tlfb_alc2 String 100 Recommended ALCOHOL: Average drinks per drinking day (round to nearest whole number)
tlfb_alc3 String 100 Recommended ALCOHOL: Maximum # of drinks consumed in one day.
tlfb_alc4 String 100 Recommended ALCOHOL: Total number of heavy drinking days during this time period (4 or more drinks)?
tlfb_dr1 String 100 Recommended DRUGS: Number of days on which one or more drugs were used?
tlfb_dr2 String 100 Recommended DRUGS: Total number of different drug types used in this time period.
tlfb_dr3 String 100 Recommended DRUGS: Maximum number of different drug types used in one day?
tlfb_combined1 String 100 Recommended ABSTINENT: Total number of abstinent days (no alcohol or drug use)?
tlfb_combined2 String 100 Recommended ABSTINENT: number of days on which one or more substances (alcohol or drugs) were used?
tlfb_caf1 String 100 Recommended CAFFEINE: Number of days on which caffeine was consumed?
tlfb_caf2 String 100 Recommended CAFFEINE: Average number of caffeinated beverages per day?
tlfb_caf3 String 100 Recommended CAFFEINE: Number of caffeinated beverages consumed today?
tlfb_caf4 String 100 Recommended CAFFEINE: How many hours ago was last consumption?
tlfb_caf5 String 100 Recommended NICOTINE: Number of days on which nicotine was used?
tlfb_caf6 String 100 Recommended NICOTINE: Average number of times nicotine was used per day?
tlfb_caf7 String 100 Recommended NICOTINE: Number of times nicotine was used today?
tlfb_caf8 String 100 Recommended NICOTINE: How many hours ago was nicotine last 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

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.