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NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Medications: Part II

374 Shared Subjects

N/A
Clinical Assessments
Treatment
11/19/2018
medsp201
11/21/2023
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* guid
src_subject_id String 20 Required Subject ID how it's defined in lab/project record_id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY date_of_interview_contact, pp_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, age_a
sex String 20 Required Sex of subject at birth
M;F; O; NR
M = Male; F = Female; O=Other; NR = Not reported gender, sex_a
dem_40_emo_med Integer Recommended Is the child currently taking medication for an emotional or psychological problem? 0;1 1=Yes; 0=No mi_1
mi_1whynot String 300 Recommended If your child is not currently taking any medication for behavioral or emotional problems, then why not?
mi_1why String 300 Recommended If your child is currently taking any medication for behavioral or emotional problems, then why?
mi_2 Integer Recommended Since your child was taking (name of medication) have there been any changes to the medication, dose, or dosing schedule since that time? 0;1 0 = No ; 1 = Yes
mi_2whynot String 300 Recommended Why have there been no changes to the medication, dose, or dosing schedule since your child was taking (name of medication)?
mi_2change String 300 Recommended Since your child was taking (name of medication), what was the change to the medication, dose, or dosing schedule? 1 = Stopped medication ; 2 = Changed type of medication ; 3 = Changed dose ; 4 = Changed schedule ; 5 = Added new medication
mi_2reason String 300 Recommended Since your child was taking (name of medication), what was the reason for the change to the medication, dose, or dosing schedule?
mi_setting1_rx1 Integer Recommended Setting Taken: Medication 1 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_rx2 Integer Recommended Add another? Taking a Medication 2 0;1 0 = No ; 1 = Yes
mi_setting1_rx2 Integer Recommended Setting Taken: Medication 2 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_rx3 Integer Recommended Add another? Taking a Medication 3 0;1 0 = No ; 1 = Yes
mi_setting1_rx3 Integer Recommended Setting Taken: Medication 3 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_rx4 Integer Recommended Add another? Taking a Medication 4 0;1 0 = No ; 1 = Yes
mi_setting1_rx4 Integer Recommended Setting Taken: Medication 4 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_rx5 Integer Recommended Add another? Taking a Medication 5 0;1 0 = No ; 1 = Yes
mi_setting1_rx5 Integer Recommended Setting Taken: Medication 5 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_rx6 Integer Recommended Add another? Taking a Medication 6 0;1 0 = No ; 1 = Yes
mi_setting1_rx6 Integer Recommended Setting Taken: Medication 6 1::3 1 = School ; 2 = After school ; 3 = Weekends
mi_4 Integer Recommended Has your child seen his or her doctor to have any of these medications monitored? 0;1 0 = No ; 1 = Yes
mi_4whynot String 300 Recommended If your child has not seen his or her doctor to have any of these medications monitored: Why not?
mi_4who Integer Recommended Has your child seen his or her doctor to have any of these medications monitored? If yes, then who did your child see? 1::7 1 = Pediatrician ; 2 = Family doctor ; 3 = Nurse ; 4 = Physician's assistant ; 5 = Psychiatrist ; 6 = Neurologist ; 7 = Other
mi_4who_oth String 300 Recommended Who did your child see? (If your child has seen a health care provider other than: Pediatrician, Family doctor, Nurse, Physician's assistant, Psychiatrist, or Neurologist)
mi_4howmany Integer Recommended How many visits to monitor medication has your child had since June?
mi_4howlong String 300 Recommended If your child had visited a healthcare provider for medication monitoring, then about how long was each visit?
mi_5 Integer Recommended How satisfied are you with your child's current medication treatment? 1::7 1 = Very dissatisfied ; 2 = 2 ; 3 = 3 ; 4 = Neutral ; 5 = 5 ; 6 = 6 ; 7 = Very satisfied
p_casa_md4 Date Recommended Date medication started (approx.). If unsure, please make your best guess. MM/DD/YYYY
asimedi Integer Recommended Youth is receiving medication 0; 1; 9 0 = No; 1 = Yes; -9 = Missing value mi_med
currentmed_prescription String 255 Recommended Prescription (Medication, Dose, Frequency, Reason) mi_med_dose
aescode Integer Recommended Staff code number of person completing this form 999= Missing Data pi_staff
rx9td Integer Recommended Prescription 9, times/day
rx10td Integer Recommended Prescription 10, times/day med_10_times
rx11td Integer Recommended Prescription 11, times/day med_11_times
rx12td Integer Recommended Prescription 12, times/day med_12_times
rx13td Integer Recommended Prescription 13, times/day med_13_times
rx14td Integer Recommended Prescription 14, times/day med_14_times
rx15td Integer Recommended Prescription 15, times/day med_15_times
rx16td Integer Recommended Prescription 16, times/day
rx17td Integer Recommended Prescription 17, times/day
rx18td Integer Recommended Prescription 18, times/day
rx19td Integer Recommended Prescription 19, times/day
rx20td Integer Recommended Prescription 20, times/day
rx21td Integer Recommended Prescription 21, times/day
rx22td Integer Recommended Prescription 22, times/day
rx23td Integer Recommended Prescription 23, times/day
rx24td Integer Recommended Prescription 24, times/day
rx25td Integer Recommended Prescription 25, times/day
rx26td Integer Recommended Prescription 26, times/day
rx27td Integer Recommended Prescription 27, times/day
rx28td Integer Recommended Prescription 28, times/day
rx29td Integer Recommended Prescription 29, times/day
rx30td Integer Recommended Prescription 30, times/day
strreason21 String 50 Recommended Reason for prescription 21
strreason22 String 50 Recommended Reason for prescription 22
strreason23 String 50 Recommended Reason for prescription 23
strreason24 String 50 Recommended Reason for prescription 24
strreason25 String 50 Recommended Reason for prescription 25
strreason26 String 50 Recommended Reason for prescription 26
strreason27 String 50 Recommended Reason for prescription 27
strreason28 String 50 Recommended Reason for prescription 28
strreason29 String 50 Recommended Reason for prescription 29
strreason30 String 50 Recommended Reason for prescription 30
Query visit String 60 Recommended Visit name
con_med_for_ae_1 Integer Recommended Medication 1 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_2 Integer Recommended Medication 2 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_3 Integer Recommended Medication 3 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_4 Integer Recommended Medication 4 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_5 Integer Recommended Medication 5 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_6 Integer Recommended Medication 6 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_7 Integer Recommended Medication 7 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_8 Integer Recommended Medication 8 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_for_ae_9 Integer Recommended Medication 9 given for Adverse Event? 0;1 0= No; 1= Yes
con_med_more_1 Integer Recommended Are there more concomitant Medications? 0;1 0= No; 1= Yes con_med_more_2, con_med_more_3, con_med_more_4, con_med_more_5, con_med_more_6, con_med_more_7, con_med_more_8, con_med_more_9
lab020 Date Recommended Date of PI/clinician signature date_con_review_inves_1, date_con_review_inves_2, date_con_review_inves_3, date_con_review_inves_4, date_con_review_inves_5, date_con_review_inves_6, date_con_review_inves_7, date_con_review_inves_8, date_con_review_inves_9
med_ca Integer Recommended Indicate whether this is a comprehensive list of medications or an antidepressant update. 1;2 1= Comprehensive; 2= Antidepressant list com_ant_meds
med_units Integer Recommended Units 1::21 1= MG - Milligram(s); 2= TA - Tablet(s); 3= CA - Capsule(s); 4= TB - Tablespoon(s); 5= TS - Teaspoon(s); 6= GR - Gram(s); 7= ML - Milliliter(s); 8= IU - International Unit; 9= SP - Spray(s); 10= PF - Puff(s); 11= DR - Drop(s); 12= AP - Application; 13= CC - Cubic Centimeter; 14= MC - Micrograms; 15= ME - Milliequivalent; 16= OZ - Ounce(s); 17= PC - Piece; 18= PT - Patch; 19= SU - Suppository; 20= SY - Syringe
med_freqcode Integer Recommended Frequency Code 1::20 1= BID - 2 times a day; 2= TID - 3 times a day; 3= QID - 4 times a day; 4= PRN - As needed; 5= TOT - Daily total; 6= Q12 - Every 12 hours; 7= Q2H - Every 2 hours; 8= Q2W - Every 2 weeks; 9= Q3H - Every 3 hours; 10= Q3M - Every 3 months; 11= Q3W - Every 3 weeks; 12= Q4H - Every 4 hours; 13= Q6H - Every 6 hours; 14= Q8H - Every 8 hours; 15= QHR - Every hour; 16= QM - Every month; 17= QHS - Every night; 18= QOD - Every other day; 19= QD - Once a day; 20= QIW - Once a week; 21= TIW - Twice a week freq_med
med_f1 Integer Recommended Have you missed a dose of ________ in the last week? 0;1 0= N0; 1= Yes f1_meds
med_f2 Integer Recommended How many days have you missed medication in the past month? f2_meds
omramedcode Integer Recommended Code for Name of Medication med_code
dmc1 Integer Recommended Is the patient prescribed antipsychotic medication injections? 1;2 1= Yes; 2= No
dmc2 String 50 Recommended Name of medication Injection:
dmc3 Integer Recommended What is the frequency of the injections? 0 :: 3 1= Monthly; 2= Every 3 weeks; 3= Every 2 weeks
dmc_adh_1 Integer Recommended Number of Monthly Injections
dmc_adh_2 Integer Recommended Number of Injections every 3 weeks
dmc_adh_3 Integer Recommended Number of injections every 2 weeks
q1_14h1 Integer Recommended Medication Code 8 1 :: 2099
q1_14i1 Integer Recommended Medication Code 9 1 :: 2099
med_10_rx_code String 20 Recommended Medication 10 Rx Code
med_11_rx_code String 20 Recommended Medication 11 Rx Code
med_12_rx_code String 20 Recommended Medication 12 Rx Code
med_13_rx_code String 20 Recommended Medication 13 Rx Code
med_14_rx_code String 20 Recommended Medication 14 Rx Code
med_15_rx_code String 20 Recommended Medication 15 Rx Code
q1_14a1 Integer Recommended Medication Code 1 1 :: 2099
q1_14b1 Integer Recommended Medication Code 2 1 :: 2099
q1_14c1 Integer Recommended Medication Code 3 1 :: 2099
q1_14d1 Integer Recommended Medication Code 4 1 :: 2099
q1_14e1 Integer Recommended Medication Code 5 1 :: 2099
q1_14f1 Integer Recommended Medication Code 6 1 :: 2099
q1_14g1 Integer Recommended Medication Code 7 1 :: 2099
change_8_6 Integer Recommended Medication 6 usage ongoing 0;1 0=No; 1= Yes
change_3b_7 String 100 Recommended Medication 7 Frequency Other-Please specify
change_8_7 Integer Recommended Medication 7 usage ongoing 0;1 0=No; 1= Yes
change_3b_8 String 100 Recommended Medication 8 Frequency Other-Please specify
change_8_8 Integer Recommended Medication 8 usage ongoing 0;1 0=No; 1= Yes
change_3b_9 String 100 Recommended Medication 9 Frequency Other-Please specify
change_4_9 String 100 Recommended Medication 9 Average dose per day
change_9_9 Integer Recommended Medication 9 usage ongoing 0;1 0=No; 1= Yes change_8_9
change_3b_10 String 100 Recommended Medication 10 Frequency Other-Please specify
change_4_10 String 100 Recommended Medication 10 Average dose per day
change_8_10 Integer Recommended Medication 10 usage ongoing 0;1 0=No; 1= Yes
change_3b_11 String 100 Recommended Medication 11 Frequency Other-Please specify
change_4_11 String 100 Recommended Medication 11Average dose per day
change_8_11 Integer Recommended Medication 11 usage ongoing 0;1 0=No; 1= Yes
change_3b_12 String 100 Recommended Medication 12 Frequency Other-Please specify
change_4_12 String 100 Recommended Medication 12 Average dose per day
change_8_12 Integer Recommended Medication 12 usage ongoing 0;1 0=No; 1= Yes
change_3b_13 String 100 Recommended Medication 13 Frequency Other-Please specify
change_4_13 String 100 Recommended Medication 13 Average dose per day
change_5b_13 String 100 Recommended Medication 13 Frequency Other-Please specify
change_8 Integer Recommended Medication 1 usage ongoing 0;1 0=No; 1= Yes
change_8_13 Integer Recommended Medication 13 usage ongoing 0;1 0=No; 1= Yes
change_3b_14 String 100 Recommended Medication 14 Frequency Other-Please specify
change_4_14 String 100 Recommended Medication 14 Average dose per day
change_8_14 Integer Recommended Medication 14 usage ongoing 0;1 0=No; 1= Yes
change_3b_15 String 100 Recommended Medication 15 Frequency Other-Please specify
change_4_15 String 100 Recommended Medication 15 Average dose per day
change_8_15 Integer Recommended Medication 15 usage ongoing 0;1 0=No; 1= Yes
change_3b_16 String 100 Recommended Medication 16 Frequency Other-Please specify
change_4_16 String 100 Recommended Medication 16 Average dose per day
change_8_16 Integer Recommended Medication 16 usage ongoing 0;1 0=No; 1= Yes
change_8_2 Integer Recommended Medication 2 usage ongoing 0;1 0=No; 1= Yes
change_8_3 Integer Recommended Medication 3 usage ongoing 0;1 0=No; 1= Yes
change_8_4 Integer Recommended Medication 4 usage ongoing 0;1 0=No; 1= Yes
change_3b_5 String 100 Recommended Medication 5 Frequency of dose or route of administration. Other-Please specify
change_8_5 Integer Recommended Medication 5 usage ongoing 0;1 0=No; 1= Yes
change_3b_6 String 100 Recommended Medication 6 Frequency Other-Please specify
dp_med_time_8 String 100 Recommended Time Taken Medication number 8
dp_med_time_9 String 100 Recommended Time Taken Medication number 9
dp_med_time_10 String 100 Recommended Time Taken Medication number 10
dp_med_time_11 String 100 Recommended Time Taken Medication number 11
dp_med_time_12 String 100 Recommended Time Taken Medication number 12
dp_med_num Integer Recommended Number medications taken past 24 hours
dp_med_time_1 String 100 Recommended Time Taken Medication number 1
dp_med_time_2 String 100 Recommended Time Taken Medication number 2
dp_med_time_3 String 100 Recommended Time Taken Medication number 3
dp_med_time_4 String 100 Recommended Time Taken Medication number 4
dp_med_time_5 String 100 Recommended Time Taken Medication number 5
dp_med_time_6 String 100 Recommended Time Taken Medication number 6
dp_med_time_7 String 100 Recommended Time Taken Medication number 7
num_meds Integer Recommended Number of medications change_0
meds_nsaids Integer Recommended Indicator: Is taking any NSAIDS? 0;1 0=No; 1=Yes
meds_opioids Integer Recommended Indicator: Is taking any Opioids? 0;1 0=No; 1=Yes
meds_snris Integer Recommended Indicator: Is taking any SNRIs? 0;1 0=No; 1=Yes
meds_ssris Integer Recommended Indicator: Is taking any SSRIs? 0;1 0=No; 1=Yes
meds3_acet Integer Recommended Indicator: discharged with any Acetaminophen? 0;1 0=No; 1=Yes
meds3_aceinh Integer Recommended Indicator: discharged with any ACE inhibitor? 0;1 0=No; 1=Yes
meds3_antib Integer Recommended Indicator: discharged with any Antibiotics? 0;1 0=No; 1=Yes
meds3_antich Integer Recommended Indicator: discharged with any Anticholinergics? 0;1 0=No; 1=Yes
meds3_benzo Integer Recommended Indicator: discharged with any Benzodiazepines? 0;1 0=No; 1=Yes
meds3_betabl Integer Recommended Indicator: discharged with any Beta blocker? 0;1 0=No; 1=Yes
meds3_contcp Integer Recommended Indicator: discharged with any contraceptives? 0;1 0=No; 1=Yes
meds3_nsaids Integer Recommended Indicator: discharged with any NSAIDS? 0;1 0=No; 1=Yes
meds3_opioids Integer Recommended Indicator: discharged with any Opioids? 0;1 0=No; 1=Yes
meds3_snris Integer Recommended Indicator: discharged with any SNRIs? 0;1 0=No; 1=Yes
meds3_ssris Integer Recommended Indicator: discharged with any SSRIs? 0;1 0=No; 1=Yes
meds_acet Integer Recommended Indicator: Is taking any Acetaminophen? 0;1 0=No; 1=Yes
meds_aceinh Integer Recommended Indicator: Is taking any ACE inhibitor? 0;1 0=No; 1=Yes
meds_antib Integer Recommended Indicator: Is taking any Antibiotics? 0;1 0=No; 1=Yes
meds_antich Integer Recommended Indicator: Is taking any Anticholinergics? 0;1 0=No; 1=Yes
meds_benzo Integer Recommended Indicator: Is taking any Benzodiazepines? 0;1 0=No; 1=Yes
meds_betabl Integer Recommended Indicator: Is taking any Beta blocker? 0;1 0=No; 1=Yes
meds_contcp Integer Recommended Indicator: Is taking any contraceptives? 0;1 0=No; 1=Yes
medication18_missed Float Recommended Percentage of medication 18 missed
medication19_missed Float Recommended Percentage of medication 19 missed
medication20_missed Float Recommended Percentage of medication 20 missed
medication11_missed Float Recommended Percentage of medication 11 missed
medication12_missed Float Recommended Percentage of medication 12 missed
medication13_missed Float Recommended Percentage of medication 13 missed
medication14_missed Float Recommended Percentage of medication 14 missed
medication15_missed Float Recommended Percentage of medication 15 missed
medication16_missed Float Recommended Percentage of medication 16 missed
medication17_missed Float Recommended Percentage of medication 17 missed
med1_allg Integer Recommended What is the name of medicine that you are taking for allergies or anaphylaxis? 1::5;999 1= Zyrtec (Cetirizine HCl), (5-10mg); 2=Adrenaline (Epinephrine), (0.1mg, 0.5mg, 1mg/ml); 3=Hydrocort (Hydrocortisone), (5, 10, 20mg); 4=Other; 5=Don''t Know; 999=Missing
med1_allg_txt String 100 Recommended What other allergy or anaphylaxis medicine are you taking?
med1_anti Integer Recommended What is the name of medication that you are taking as an anti-infective such as antibacterial, antifungal, antiprotozoals etc.? 1::17;999 1=ABZ (Albendazole), (400 mg); 2=Augmentin (Amoxicillin), (625mg); 3=Suprax (Cefixime), (400mg); 4=Floxacilin (Flucloxacillin), (500mg); 5=Zithromax (Azithromycin), (500mg); 6=Cipro (Ciprofloxacin), (500mg); 7=Biaxin (Clarithromycin), (500mg); 8=Septrin (Cotrimoxazole), (100 or 500mg); 9=Doxy (Doxycycline), (100mg); 10=Flagyl (Metronidazole), (500mg); 11=Macrobid (Nitrofurantoin), (50-100mg); 12=RHZE (Rifampicin + isoniazid + pyrazinamide + ethambutol), (1 tablet: 150mg +75mg + 400mg + 275mg); 13=Diflucan (Fluconazole), (200mg); 14=Grifulvin v (Griseofulvin), (500mg); 15=Tindamax (Tinidazole) (2g); 16=Coartem (Artemether + lumefantrine (AL)) (20mg/120mg); 17=Other; 999=Missing
med1_anti_txt String 100 Recommended What other antiinfectives are you taking?
med1_arvs Integer Recommended What is the name of ARVs that you are using? 1::6;999 1=AF2E = TDF + 3TC + DTG (General population) - 1st line; 2=AF2B = TDF + 3TC + EFV (Women of reproductive age) - 1st line; 3= AS2A = TDF + 3TC + LPV/r - 2nd line; 4=AS2C = TDF + 3TC + Atr/r - 2nd line; 5= AS1A = AZT + 3TC + LPr/r - 2nd line; 6=Other; 999=Missing
med1_arvs_txt String 100 Recommended What other type of ARVs are you taking?
med1_card Integer Recommended What is the name of the cardiovascular medicine that you are taking? 1::4;999 1=Lanoxin (Digoxin), (0.05mg/ml); 2=Enalaprilat (Enalapril), (2.5mg); 3=Aldomet (Methyldopa), (250mg); 4=Other; 999=Missing
med1_card_txt String 100 Recommended What other Cardiovascular medications are you taking?
med1_derm Integer Recommended What is the name of the dermatological medicine that you are taking? 1::4;999 1= Lotrimin (Clotrimazole) (1%); 2=SSD cream (Silver sulphadiazine), (1%); 3=Pramosone (Hydrocortisone acetate), (5, 10mg); 4=Other; 999=Missing
med1_derm_txt String 100 Recommended What other dermatological medicines are you using?
med1_cont Integer Recommended What is the name of the contraceptives that you are using? 1::5;999 1=Depo (Medroxyprogesterone acetate (DMPA)); 2=Copper-containing device (IUD); 3=Mirena (Levonorgestrel (LNG) (IUD)), (20mcg/24hr); 4=Nexplanon (Levonorgestrel-releasing) (Implant), (68mg); 5=Other; 999=Missing
med1_cont_txt String 100 Recommended What other contraceptive are you using?
med1_mhbv Integer Recommended What is the name of medicine that you are taking for mental and behavioral disorders? Please exclude fluoxetine if prescribed through the SMART-DAPPER study 1::5;999 1=Haldol (Haloperidol), (0.5-20mg); 2=Elavil (Amitriptyline HCl), (10-100mg); 3=Prozac (Fluoxetine), (20-60mg) (only include if prescribed outside of the study); 4=Tegretol (Carbamazepine), (100-400mg); 5=Other; 999=Missing
med1_mhbv_txt String 100 Recommended What other medicine are you taking for mental and behavioral disorders?
med1_othr Integer Recommended What other medicine are you taking? 1::21;999 1=Oxygen (88%-92%); 2=Ketalar (Ketamine hydrochloride), (2mg/kg iv); 3=Valium (Diazepam [c]), (2, 5, 10mg); 4=Tegretol (Phenobarbital sodium), (30 - 120mg); 5=Activated charcoal (25-100mg); 6=Levodopa + carbidopa (25mg-100mg); 7=Folacin (Ferrous salt + folic acid), (800mg); 8=Coumadin (Warfarin sodium), (2-5mg); 9=Lasix (Furosemide), (20-80mg); 10=TEO (Prednisolone), (1%); 11=Cytotec (Misoprostol), (200-800mg); 12= Pitocin (Oxytocin), (10IU); 13=Ventolin (Salbutamol), (4mg); 14=Odansetron; 15= Granisetron; 16=Dolasetron; 17=Digoxin; 18=Anticonvulsants; 19=TCAs; 20=Other; 21=Don''t Know; 999=Missing
med1_othr_txt String 100 Recommended What other medicine are you taking?
med1_indc Integer Recommended What is the indication for the medication? 1::34;99;999 1=Abdominal pain; 2=Accident/Trauma; 3=Arthritis; 4=Breathing difficulty; 5= Burn; 6=Cancer; 7=Chills; 8=Coughing; 9=Coughing blood; 10=Dental; 11=Diabetes; 12=Diarrhea (acute); 13=Diarrhea (chronic, 1 month or more); 14=Fainting; 15=Fever (acute); 16=Fever (recurring); 17=Fracture; 18= General body pain; 19=Genital sores; 20=HIV/AIDS; 21=Headache (severe); 22=Hypertension; 23=Malaria; 24=Measles; 25=Mental disorder/illness; 26=Pain on passing urine; 27=Pneumonia; 28=Pregnancy related; 29=Sore throat; 30=Skin rash; 31=TB; 32=Ulcers; 33=Vomiting; 34=Weakness; 35=Weight loss (major); 36=Wound; 37=Other; 99=Don''t know/Refused to respond; 999=Missing
med1_indc_txt String 100 Recommended Please specify the other you are taking
med1_dose Integer Recommended Does the participant know the dose of the medication? 0;1;999 0=No; 1=Yes; 999=Missing
med1_dose_txt String 100 Recommended What is the dose amount? Please refer to medication name above to see dose range
med_visit Integer Recommended Visit number 0;999 0=Screen; 999=Missing
med1_doseunit Integer Recommended What is the dose unit? 1::11;999 1=Application; 2=Cap; 3=mg; 4=Min; 5=mL; 6=Puff; 7=Softgel; 8=Spray; 9=Tab; 10=Unit; 11=Vial; 999=Missing
med1_dosefreq Integer Recommended How frequently is the medication taken? 1::5;999 1=Once a day; 2=Twice a day; 3=Three times a day; 4=As needed; 5=Other, please specify; 999=Missing
med1_dosefreq_txt String 100 Recommended If other, please specify frequency the is medication taken
med1_doserout Integer Recommended What is the route of medication? 1::12;999 1=Inhaled (RESP); 2=Intramuscular (IM); 3=Intravenous (IV); 4=Nasel (NAS); 5= Oral (PO); 6= Rectal (REC); 7=Topical (TOP); 8=Subcutaneous (SC); 9= Sublingual (SL); 10=Transdermal (TDM); 11= Unknown (UNK); 12=Other; 999=Missing
med1_doserout_txt String 100 Recommended What other route is the medication given?
med1_medsgt30dys Integer Recommended Was the start date more than 30 days ago? 0;1;999 0=No; 1=Yes; 999=Missing
med1_medstartdt String 100 Recommended When did the participant start taking the medication?
med1_stillonmeds Integer Recommended Is the medication ongoing? 0;1;999 0=No; 1=Yes; 999=Missing
med1_stopdt Date Recommended What is the stop date of the medication?
med1__type Integer Recommended What is the type of medication that you are taking? Please exclude fluoxetine if prescribed through the SMART-DAPPER study 1::9;999 1=Pain Medication; 2=Allergies or anaphylaxis; 3= Anti-infectives (excluding ARVs) such as antibacterial, antifungal, antiprotozoals etc.; 4=ARVs; 5=Cardiovascular medicines; 6= Dermatologicals (topical); 7=Contraceptives; 8=Medicines for mental and behavioral disorders; 9=Other medication; 999=Missing
med_number Integer Recommended Medication number 1::10
med_t1 String 10 Recommended Medication start time
onmeds Integer Recommended Has the participant taken any medication (including over the counter medication or herbal remedies) in the past 30 days? 0;1;999 0=No; 1=Yes; 999=Missing
numeds Integer Recommended Please indicate the number of medications you are taking 0::10;999 999=Missing
med1_pain Integer Recommended What is the name of medication that you are taking for pain? 1::5;999 1=Aspirin (Acetysalicylic acid), (500 - 800mg); 2=Brufen (Ibuprofen), (400 - 800 mg); 3=Panadol (Paracetamol), (1 gram); 4=Xylocaine (Lidocaine HCl), (2% 20-100mg); 5=Other; 999=Missing
med1_pain_txt String 100 Recommended What other pain medicine are you using?
nicotine_today_detail String 100 Recommended If yes, what has your use been today?
cannabis_yn Integer Recommended Do you regularly use cannabis/THC products? 0;1 1 = Yes; 0 = No
cannabis_daily String 100 Recommended If, yes what is your daily average use?
cannabis_today Integer Recommended Have you used cannabis/THC today? 0;1 1 = Yes; 0 = No
cannabis_today_detail String 100 Recommended If yes, what has your use been today?
alcohol_freq Integer Recommended Frequency of alcohol use 0::4 0 = Rarely; 1 = Daily; 2 = Weekly; 3 = Monthly; 4 = Never
alcohol_average String 100 Recommended Average number of drinks per sitting:
alcohol_date_lastuse Date Recommended Date of last drink (approximately): MM/DD/YYYY
meds_stim_yn Integer Recommended Stimulant medications (Concerta, Ritalin, Vyvanse, Adderall, Focalin, Nuvigil, Provigil) 0;1 1 = Yes; 0=No
meds_stim_spec String 100 Recommended Specify(Stimulant medications):
meds_ssri_yn Integer Recommended SSRI medications (Prozac, Zoloft, Celexa, Paxil, Lexapro) 0;1 1 = Yes; 0=No
meds_ssri_spec String 100 Recommended Specify(SSRI medications):
meds_snri_yn Integer Recommended SNRI medications (Cymbalta, Effexor) 0;1 1 = Yes; 0=No
meds_snri_spec String 100 Recommended Specify(SNRI medications):
meds_benz_yn Integer Recommended Benzodiazepine medications (Xanax, Klonopin, Valium, Ativan) 0;1 1 = Yes; 0=No
meds_benz_spec String 100 Recommended Specify(Benzodiazepine medications):
meds_a_psy_yn Integer Recommended Antipsychotic medications (Risperdal, Abilify, Seroquel, Invega, Geodon) 0;1 1 = Yes; 0=No
meds_a_psy_spec String 100 Recommended Specify(Antipsychotic medications):
meds_beta_yn Integer Recommended Beta blockers (propranolol, metoprolol) 0;1 1 = Yes; 0=No
meds_beta_spec String 100 Recommended Specify(Beta blockers):
caffeine_use Integer Recommended Do you regularly use caffeine products? 0;1 1 = Yes; 0 = No
meds_a_epi_yn Integer Recommended Antiepileptic/anticonvulsant medications (Depakote, Lamictal, Keppra, Topamax) 0;1 1 = Yes; 0=No
meds_a_epi_spec String 100 Recommended Specify(Antiepileptic/anticonvulsant medications):
meds_lith_yn Integer Recommended Lithium 0;1 1 = Yes; 0=No
meds_lith_spec String 100 Recommended Specify(Lithium):
meds_a_hyp_yn Integer Recommended Antihypertensive medications (Clonidine, Prazosin) 0;1 1 = Yes; 0=No
meds_a_hyp_spec String 100 Recommended Specify(Antihypertensive medications):
meds_sleep_yn Integer Recommended Prescription sleep medications (Ambien, Lunesta) 0;1 1 = Yes; 0=No
meds_sleep_spec String 100 Recommended Specify(Prescription sleep medications):
meds_melat_yn Integer Recommended Melatonin 0;1 1 = Yes; 0=No
meds_melat_spec String 100 Recommended Specify(Melatonin):
caffeine_daily String 50 Recommended Caffeine (tea, coffee, soda) use per day
meds_cbd_yn Integer Recommended Medications, supplements, or products containing CBD (cannabidiol) 0;1 1 = Yes; 0=No
meds_cbd_spec String 100 Recommended Specify(Medications, supplements, or products containing CBD):
meds_a_hist_yn Integer Recommended Antihistamine medications (Allegra, Claritin, Zyrtec) 0;1 1 = Yes; 0=No
med_a_hist_spec String 100 Recommended Specify(Antihistamine medications):
meds_ster_yn Integer Recommended Steroid medications (Prednisone, steroid inhalers) 0;1 1 = Yes; 0=No
med_ster_spec String 100 Recommended Specify(Steroid medications):
meds_horm_yn Integer Recommended Hormone therapy 0;1 1 = Yes; 0=No
meds_horm_spec String 100 Recommended Specify(Hormone therapy):
meds_other_pers_yn Integer Recommended Other prescribed medications 0;1 1 = Yes; 0=No
meds_other_pers_spec String 100 Recommended Specify(Other prescribed medications):
caffeine_today Integer Recommended Have you used caffeine products today? 0;1 1 = Yes; 0 = No
meds_other_otc_yn Integer Recommended Other over-the-counter medications 0;1 1 = Yes; 0=No
meds_otc_spec String 100 Recommended Specify(Other over-the-counter medications):
meds_vit_supp_yn Integer Recommended Other vitamins, herbs, or supplements 0;1 1 = Yes; 0=No
meds_vit_supp_spec String 100 Recommended Specify(Other vitamins, herbs, or supplements):
meds_past24_reg Integer Recommended Have you taken these medications within the past 24 hours? 0;1 1 = Yes; 0 = No
meds_past24_reg_spec String 100 Recommended If no, which medications have you not taken?
meds_past24_irreg Integer Recommended Are there any medications that you have taken in the past 24 hours that you would not normally or do not regularly take? 0;1 1 = Yes; 0 = No
meds_past24_irreg_spec String 100 Recommended If yes, which medications have you taken?
caffeine_today_detail String 100 Recommended If yes, what has your use been today?
nicotine_yn Integer Recommended Do you regularly use nicotine products? 0;1 1 = Yes; 0 = No
nicotine_daily String 100 Recommended If yes, what is your daily average use?
nicotine_today Integer Recommended Have you used nicotine products today? 0;1 1 = Yes; 0 = No
medication_n_unit String 100 Recommended Units for medication_n_dosage
medication_n_route String 50 Recommended Medication N route
medication_n_start Date Recommended Start date of medication N MM/DD/YYYY
medication_n_stop Date Recommended Stop date of medication N MM/DD/YYYY
medication_n_reason String 500 Recommended Reason for prescription of medication N
medication_n Integer Recommended Medication number N 1::50
medication_n_class String 100 Recommended Medication N class
medication_n_frequency String 100 Recommended Medication N dose frequency
medication_n_ongoing Integer Recommended Check if medication N ongoing 0;1 0 = No; 1 = Yes
medication_n_given_ae Integer Recommended Check if medication N given for Adverse Event (AE) 0;1 0 = No; 1 = Yes
medication_n_name String 500 Recommended Medication N name 0 = No medication; 999= Legitimately skipped
medication_n_dosage Float Recommended Medication N dosage 0 = No medication; -999 = Missing
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.

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