CDE Detailed Report
Subdomain Name: General Health History
CRF: welcome
Displaying 1 - 35 of 35
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 |
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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 if applicable to the study) 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. Studies that need to collect Start Time will need to add fields for time to the form template. |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 16:58:56.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
3162752 | |||||||||
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. Acceptable responses for Route are shown below the medication table. |
No references available | Adult;Pediatric | Supplemental | 2.00 | 2022-08-02 16:52:05.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
3162743 | ||||||||
C19191 | Examination day cardiovascular function medication other text | ExamDayCardioFunctMedOTH | Free-text field for medication affecting cardiovascular function on the day of the examination | Free-text field for medication affecting cardiovascular function on the day of the examination | Other, specify | Alphanumeric | Krassioukov A, Alexander MS, Karlsson AK, Donovan W, Mathias CJ, Biering-SØrensen F. International spinal cord injury cardiovascular function basic data set. Spinal Cord. 2010 Aug;48(8):586-90. | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 13:32:36.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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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 | Dose | g;mcg;mcL;mg;mL;oz;Other, specify;Unknown;NA | gram;microgram;microliter;milligram;milliliter;ounce;Other, specify;Unknown;Not applicable | Alphanumeric |
Record the units of the medication the participant/subject is taking. See the data dictionary for additional information on coding the dosage unit of measure using Unified Code for Units of Measure (UCUM). |
Unified Code for Units of Measure (UCUM) - http://unitsofmeasure.org/ | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:36:00.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3162730 | |||||||
C19180 | Steroid administration type | SteroidAdministrationTyp | Type of steroids (methylprednisone/corticosteroids) administered at any point during stay | Type of steroids (methylprednisone/corticosteroids) administered at any point during stay | Any steroids administered | NASCIS II (Methylprednisolone or Solumedrol run as an infusion x 23 or 24 hrs);NASCIS III (Methylprednisolone or solumedrol run as an infusion x 47 or 48 hrs);None;Other, specify;Unknown | NASCIS II (Methylprednisolone or Solumedrol run as an infusion x 23 or 24 hrs);NASCIS III (Methylprednisolone or solumedrol run as an infusion x 47 or 48 hrs);None;Other, specify;Unknown | Alphanumeric |
Methylprednisone/Corticosteroids: |
Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 10:33:02.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C21670 | Medication history date | MedctnHistDate | Date the medication history was taken | Date the medication history was taken | Date medication history taken | Date or Date & Time | Adult;Pediatric | Exploratory | 3.00 | 2013-08-28 16:08:00.453 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
3162753 | |||||||||||
C02024 | Medication prior or concomitant indication text | MedctnPriorConcomIndTxt | Text describing reason for administration of a prior/concomitant (nonstudy) agent or measure. This is not the pharmacologic classification of an agent (antibiotic, analgesic, etc.), but the reason for its administration to the participant/subject | Text describing reason for administration of a prior/concomitant (nonstudy) agent or measure. This is not the pharmacologic classification of an agent (antibiotic, analgesic, etc.), but the reason for its administration to the participant/subjec | Indication | Alphanumeric |
Record the reason the participant/subject gives for taking the medication. If given for an AE, enter exact term from Adverse Event CRF. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
3158920 | ||||||||
C19181 | Steroid administration other text | SteroidAdministrationOTH | The free-text field related to 'Steroid administration type' specifying other text. Type of steroids (methylprednisone/corticosteroids) administered at any point during stay | The free-text field related to 'Steroid administration type' specifying other text. Type of steroids (methylprednisone/corticosteroids) administered at any point during stay | Other, specify | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 10:36:14.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C02002 | Medication prior or concomitant use indicator | MedctnPriorConcomUseInd | Indicator of whether the participant/subject reported taking any medications during the time period relevant to the study protocol | Indicator of whether the participant/subject reported taking any medications during the time period relevant to the study protocol | Did the patient/participant take any medications __ days before or during the study? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If this question is answered YES then at least one prior/concomitant medication record needs to be recorded. Do NOT record study medications taken (if study has a drug intervention) on this form. Refer to the Study Drug Dosing form to record study medications. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2220500 | |||||||
C21671 | Urinary tract antibiotic antiseptic use reason | UrnTrctAntibioAntisepURsn | Reason antibiotics or antiseptics were used for the urinary tract | Reason antibiotics or antiseptics were used for the urinary tract | Antibiotics/antiseptics | For prophylactic reasons;For treatment of urinary tract infection | For prophylactic reasons;For treatment of urinary tract infection | Alphanumeric | Biering-SØrensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30. | Adult;Pediatric | Exploratory | 1.00 | 2016-04-27 10:17:02.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C02025 | Medication prior or concomitant RXNorm code | MedctnPriorConcomRxNormCode | Code for name of the prior/concomitant agent or drug administered | Code for name of the prior/concomitant agent or drug administere | Medication Name | Alphanumeric |
Code the verbatim name (generic or trade name) of the medication using RXNorm. |
RXNorm (http://www.nlm.nih.gov/research/umls/rxnorm/) | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
3162728 | ||||||||
C19182 | Steroid administration date | SteroidAdministrationDate | Date at which steroids (methylprednisone/corticosteroids) were administered during stay | Date at which steroids (methylprednisone/corticosteroids) were administered during stay | Date and time administered | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). 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.). |
Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 10:38:23.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
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C02003 | Medication prior or concomitant ongoing indicator | MedctPrConcomOngoingInd | Indicator of or description that the prior/concomitant medication usage is ongoing | Indicator of or description that the prior/concomitant medication usage is ongoin | Ongoing? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Answer YES if the participant/subject is still taking the medication or NO if the participant/subject has stopped taking the medication. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2321822 | |||||||
C22779 | Vasopressor use date | VasopressUseDate | Date (and time, if applicable) when the vasopressor was administered | Date (and time, if applicable) when the vasopressor was administere | Date and time administered | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2016-10-25 13:44:34.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
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C06023 | Urinary tract drug type | UrinTractDrgTyp | Type of drug, systemic or intravesical, for the urinary tract used | Type of drug, systemic or intravesical, for the urinary tract used | If yes, indicate type of drugs for the urinary tract used within the last year | Antibiotics/antiseptics;Bladder relaxant drugs (anticholinergics, tricyclic antidepressants, etc.);Other,specify;Sphincter/bladder neck relaxant drugs (alpha adrenergic blockers, etc.) | Antibiotics/antiseptics;Bladder relaxant drugs (anticholinergics, tricyclic antidepressants, etc.);Other, specify;Sphincter/bladder neck relaxant drugs (alpha adrenergic blockers, etc.) | Alphanumeric |
Bladder relaxant drugs, i.e. drugs causing relaxation of the detrusor, include anticholinergics, tricyclic antidepressant, etc. These drugs may also be delivered intravesically. This does not include treatment with injections into the detrusor. |
Biering-SØrensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30. | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C19183 | Vasopressor use indicator | VasopressorUseInd | Indicator for use of vasopressor | Indicator for use of vasopressor | Any vasopressor use | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 10:40:47.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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 | Numeric Values |
Record the strength and units of the medication the participant/subject is taking. |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:33:32.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
3162729 | |||||||||
C53047 | Oral laxative tablet capsule granulate type | OrlLaxTabCapsGrnlTyp | Type of tablets, capsules or granulate oral laxative, a medicine taken by mouth to encourage bowel movements to relieve constipation | Type of tablets, capsules or granulate oral laxative, a medicine taken by mouth to encourage bowel movements to relieve constipatio | Yes, tablets, capsules or granulates | Bulking/osmotic;Irritant;Prokinetics/chloride channel activators;Other, specify | Bulking/osmotic;Irritant;Prokinetics/chloride channel activators;Other, specify | Alphanumeric |
Oral laxatives are commonly used by individuals with SCI. A large number of oral laxatives exist either as drops or tablets and it is impractical to give a full list within the frames of this data set. Commonly used bulking or osmotic agents are lactulose, psyllium, magnesium and sorbitol. Commonly used irritant laxatives are bisacodyl and sodium picosulphate. Cisapride, previously the most commonly used oral prokinetic agent, is now withdrawn from common use and is rarely used inpersons with SCI. |
Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C06194 | Bowel function medication constipating agent type | BwlFUncMedConstAgtTyp | Type of medication affecting bowel function / constipating agents | Type of medication affecting bowel function / constipating agents | If yes, specify medication affecting bowel function/constipating agents | Anticholinergics;Narcotics;Other,specify | Anticholinergics;Narcotics;Other, specify | Alphanumeric |
A number of drugs affect gastrointestinal motility. The most commonly used among individuals with SCI are probably anticholinergics and narcotics. Other common examples are: calcium antagonists, diuretics, serotonin reuptake inhibitors, and |
Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C19184 | Urinary tract drug use indicator | UrinaryTractDrugUseInd | Indicator for urinary tract drugs used within the last year | Indicator for urinary tract drugs used within the last year | Any drugs for the urinary tract within the last year | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 10:58:55.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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. | End Date | Date or Date & Time |
Record the date (and time if applicable to the study) 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. End Date should be recorded if Continuing Medication is answered NO. Conversely, End Date should remain blank if Continuing Medication is answered YES. Studies that need to collect End Time will need to add fields for time to the form template. |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 16:59:51.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Free-Form Entry |
3162753 | |||||||||
C06195 | Constipating agent fecal incontinence drug last four week indicator | ConAgFeclInconLstFourWkInd | Indicator related to whether a constipating agent or drugs against fecal incontinence were used in the last four weeks | Indicator related to whether a constipating agent or drugs against fecal incontinence were used in the last four weeks | Constipating agents/drugs against fecal incontinence | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
(within the last four weeks) |
Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19185 | Urinary tract drug use other text | UrinaryTractDrugUseOTH | The free-text field related to 'Urinary tract drug use indicator' specifying other text. Indicator for urinary tract drugs used within the last year | The free-text field related to 'Urinary tract drug use indicator' specifying other text. Indicator for urinary tract drugs used within the last year | Yes, other, specify | Alphanumeric | Biering-SØrensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30. | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 11:11:36.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C02011 | Medication prior or concomitant dose frequency | MedctnPriorConcmtntDoseFreq | Frequency of use of a prior/concomitant medication | Frequency of use of a prior/concomitant medicatio | Frequency | BID;TID;QID;q2h;q4h;q6h;q8h;QAM;QPM;QD;alt. d.;HS;PRN;OTH;UNK;NA | twice a day;three times a day;four times a day;every 2 hours;every 4 hours;every 6 hours;every 8 hours;every morning;every evening;one a day;every other day (on alternate days);at bedtime;as needed;Other, specify;unknown;Not applicable | Alphanumeric |
Record how often the medication is being taken. See the data dictionary for additional information on coding the frequency using CDISC SDTM Frequency Terminology. |
CDISC SDTM Frequency Terminology (Code C71113) - http://evs.nci.nih.gov/ftp1/CDISC/SDTM/ | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 21:00:23.88 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3162733 | |||||||
C06196 | Oral laxative drops liquid type | OrlLaxDropsLiquidTyp | Type of drops or liquid oral laxative, a medicine taken by mouth to encourage bowel movements to relieve constipation taken within the last four weeks | Type of drops or liquid oral laxative, a medicine taken by mouth to encourage bowel movements to relieve constipation taken within the last four week | If yes, drops or liquids | Bulking/osmotic;Irritant | Bulking/osmotic;Irritant | Alphanumeric |
Oral laxatives are commonly used by individuals with SCI. A large number of oral laxatives exist either as drops or tablets and it is impractical to give a full list within the frames of this data set. Commonly used bulking or osmotic agents are lactulose, psyllium, magnesium and sorbitol. Commonly used irritant laxatives are bisacodyl and sodium picosulphate. Cisapride, previously the most commonly used oral prokinetic agent, is now withdrawn from common use and is rarely used inpersons with SCI. |
Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C19187 | Medication affecting bowel function constipating agent other text | MedAffBowlFxnConstAgntOTH | The free-text field related to 'Bowel function medication indicator' specifying other text. Indicator for medication affecting bowel function/constipating agents (within the last four weeks) | The free-text field related to 'Bowel function medication indicator' specifying other text. Indicator for medication affecting bowel function/constipating agents (within the last four weeks) | Other, specify | Alphanumeric | Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 11:24:00.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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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) | Dose Units | Alphanumeric |
Code the unit of measure of the medication dosage using Unified Code for Units of Measure (UCUM). |
Unified Code for Units of Measure (UCUM) - http://unitsofmeasure.org/ | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:42:09.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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C06251 | Medication cardiovascular function type | MedctnCardioFnctnTyp | Type of medication affecting cardiovascular functions. | Type of medication affecting cardiovascular functions. | If Yes, indicate type of medication affecting cardiovascular function | Anticholinergics;Antihypertensives;Antihypotensives;Cardiac;Other, specify | Anticholinergics;Antihypertensives (beta-blocker, antiarhythmics, ACE etc);Antihypotensives;Cardiac (digitalis, anti-arrhythmics etc);Other, specify | Alphanumeric | Krassioukov A, Alexander MS, Karlsson AK, Donovan W, Mathias CJ, Biering-SØrensen F. International spinal cord injury cardiovascular function basic data set. Spinal Cord. 2010 Aug;48(8):586-90. | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C19188 | Oral laxative medication indicator | OralLaxativeMedicationInd | Indicator for oral laxative medication use (within the last four weeks) | Indicator for oral laxative medication use (within the last four weeks) | Oral laxatives (within the last four weeks) | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
Within the last four weeks |
Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 11:39:57.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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 | Alphanumeric |
Record the verbatim name (generic or trade name) of the medication the participant/subject reports taking. See the data dictionary for additional information on coding the medication name using RXNorm. |
RXNorm (http://www.nlm.nih.gov/research/umls/rxnorm/) | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
3162728 | ||||||||
C06448 | Spasticity spasm treat last four week indicator | SpasctySpsmTrtLst4WkInd | Indicator of whether the person with SCI has received any kind of treatment for spasticity/spasms within the last four weeks | Indicator of whether the person with SCI has received any kind of treatment for spasticity/spasms within the last four week | Any treatment for spasticity/spasms within the last four weeks | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
A "yes" is indicated if any kind of treatment has been used for spasticity over the last four weeks regardless of whether it was or was not prescribed. This may include physical, pharmacological, surgical or other. Four weeks has been chosen to give recent status. |
Biering-SØrensen F, Burns AS, Curt A, Harvey LA, Jane Mulcahey M, Nance PW, Sherwood AM, Sisto SA. International spinal cord injury musculoskeletal basic data set. Spinal Cord. 2012 Nov;50(11):797-802. doi: 10.1038/sc.2012.102. | Adult;Pediatric | Exploratory | 3.00 | 2013-07-17 09:26:36.973 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19189 | Oral laxative tablets capsules granulates other text | OralLaxTabCapGrnlOTH | The free-text field related to 'Oral laxative tablets capsules granulates type' specifying other text | The free-text field related to 'Oral laxative tablets capsules granulates type' specifying other tex | Other, specify | Alphanumeric | Krogh K, Perkash I, Stiens SA, Biering-SØrensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4 | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 13:19:50.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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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 | Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify | Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By Ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify | Alphanumeric |
Record the route of administration. Acceptable responses for Route are shown below the medication table. |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:44:16.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3162743 | |||||||
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 of the medication the participant/subject is taking. See the data dictionary for additional information on coding the dosage unit of measure using Unified Code for Units of Measure (UCUM). |
Unified Code for Units of Measure (UCUM) - http://unitsofmeasure.org/ | Adult;Pediatric | Supplemental | 2.10 | 2022-08-02 14:27:44.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
3162730 | ||||||||
C19190 | Examination day cardiovascular function medication indicator | ExamDayCardioFunctMedicatnInd | Indicator for medication affecting cardiovascular function on the day of the examination | Indicator for medication affecting cardiovascular function on the day of the examination | Any medication affecting cardiovascular function on the day of examination | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2014-06-02 13:21:03.0 | Prior and Concomitant Medications | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |