CDE Detailed Report
Subdomain Name: Drugs
CRF: Parkinson's Disease Medication Log
Displaying 1 - 12 of 12
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | Medication Name (generic preferred) | Alphanumeric |
Enter the verbatim name (generic preferred) of the prior or concomitant medication, including formulation, if applicable. |
No references available | Adult | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162728 | ||||||||
| C02015 | Medication prior or concomitant route type | MedctnPriorOrConcomRteTyp | Type of access route for the administration of the prior/concomitant medication | Type of access route for the administration of the prior/concomitant medication | Route of Administration (PO, SL, SC, etc.) | Inhaled;Intramuscular;Intradermal;Intravenous;Nasal;Oral;Subcutaneous;Topical;Buccal;Both ears;Right ear;Left ear;Rectal;Sublingual;Transdermal;Spray/squirt;Suppository, specify;Rapid Dissolve;Other, specify;Unknown | Inhaled;Intramuscular;Intradermal;Intravenous;Nasal;Oral;Subcutaneous;Topical;Buccal;Both ears;Right ear;Left ear;Rectal;Sublingual;Transdermal;Spray/squirt;Suppository, specify;Rapid Dissolve;Other, specify;Unknown | Alphanumeric |
Record the route of administration. The code list displays the most common options |
No references available | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:44:16.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162743 | |||||||
| C02016 | Medication prior or concomitant start date and time | MedctnPriorOrConcmStrtDateTime | The date (and time, if applicable and known) on which the prior/concomitant medication usage began | The date (and time, if applicable and known) on which the prior/concomitant medication usage began. | Start Date | Date or Date & Time |
Record the date (and time) the participant/subject started taking the medication. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database. Start Date can be used to distinguish between prior medications and concomitant medications. |
ISO 8601 -<br />https://www.iso.org/iso-8601-date-and-time-format.html | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 16:58:56.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162752 | |||||||||
| C02022 | Medication prior or concomitant dose unit of measure | MedctnPriorOrConcomDoseUOM | Dosage unit of measure of the prior or concomitant medication administered | Dosage unit of measure of the prior or concomitant medication administered | Units (mg, grams, etc.) | g;mcg;mcL;mg;mL;oz;Other, specify;Unknown;gr;gtt;mg/mL;Tbsp;tsp;U | gram;microgram;microliter;milligram;milliliter;ounce;Other, specify;Unknown;grain;drop;milligrams per milliliter;tablespoon;teaspoon;unit | Alphanumeric |
Record the units for the dosage of medication the participant/subject is taking |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:36:00.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162730 | |||||||
| C18736 | Medication prior or concomitant dose unit of measure other text | MedctnPriorOrConcomDoseUoMOTH | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administered | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administere | Other, specify | Alphanumeric |
Record the units for the dosage of medication the participant/subject is taking |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental-Highly Recommended | 2.10 | 2022-08-02 14:27:44.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162730 | ||||||||
| C18737 | Medication prior or concomitant route type other text | MedctnPriorOrConcomRteTypOTH | The free-text field related to 'Medication prior or concomitant route type', specifying other text. Type of access route for the administration of the prior/concomitant medication | The free-text field related to 'Medication prior or concomitant route type', specifying other text. Type of access route for the administration of the prior/concomitant medication | Other, specify | Alphanumeric |
Record the route of administration. The code list displays the most common options |
No references available | Adult | Supplemental-Highly Recommended | 2.00 | 2022-08-02 16:52:05.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162743 | ||||||||
| C59179 | Medication prior or concomitant suppository route type | MedctnPriorConcomSuppostRteTyp | Type of access route for the administration of the prior/concomitant medication in suppository dosage form | Type of access route for the administration of the prior/concomitant medication in suppository dosage form | Suppository, specify | Rectal suppository;Vaginal suppository;Urethral suppository | Rectal suppository;Vaginal suppository;Urethral suppository | Alphanumeric |
Record the route of administration. The code list displays the most common options |
No references available | Adult | Supplemental-Highly Recommended | 1.00 | 2022-08-02 14:15:31.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C59180 | Medication prior or concomitant daily dose frequency | MedctnPriorConcomDlyDoseFreq | Frequency of use of a prior/concomitant medication daily | Frequency of use of a prior/concomitant medication daily | Dose Frequency Per Day (numeric only; do not use TID, etc.) | Numeric Values |
Record how often the medication is being taken per day as a numerical value |
No references available | Adult | Supplemental-Highly Recommended | 1.00 | 2022-08-02 14:18:07.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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| C02006 | Medication prior or concomitant dose | MedctnPriorOrConcomDose | Dose of prior/concomitant medication taken per administration | Dose of prior/concomitant medication taken per administration | Dose Strength | Numeric Values |
Record the strength of the medication the participant/subject is taking |
No references available | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:33:32.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162729 | |||||||||
| C59181 | Medication prior or concomitant total daily intake text | MedctnPriorConcomTtlDlyIntkTxt | The free-text field related to the total daily intake of the prior/concomitant medication | The free-text field related to the total daily intake of the prior/concomitant medication | Total Daily Intake (# pills, 24 hour infusion dose, etc.) | Alphanumeric |
Record the total daily intake of prior or concomitant medication, e.g., number of pills or 24-hour infusion dose |
No references available | Adult | Supplemental-Highly Recommended | 1.00 | 2022-08-02 14:18:57.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C02008 | Medication prior or concomitant end date and time | MedctnPriorOrConcomEndDateTime | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended. | Stop Date | Date or Date & Time |
Record the date (and time) the participant/subject stopped taking the medication. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database. Stop Date should be recorded if participant/subject has stopped taking the medication. Conversely, Stop Date should remain blank if the participant/subject is still taking the medication. |
ISO 8601 -<br />https://www.iso.org/iso-8601-date-and-time-format.html | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 16:59:51.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162753 | |||||||||
| C02013 | Medication prior or concomitant dose unit of measure UCUM code | MedctnPriorOrConDseUOMUCUMCode | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | UCUM code | Alphanumeric |
No instructions available |
Unified Code for Units of Measure (UCUM): https://ucum.org/trac | Adult | Supplemental-Highly Recommended | 3.10 | 2022-08-02 14:42:09.0 | Parkinson's Disease Medication Log | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
