CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Medication Inventory
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Medication Inventory
12 results.
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (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 / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59572 | Medication pro re nata as needed number taken past 2 weeks count | MedPRNAsNeedNumTakPst2WkCt | Count of the units of the pro re nata (PRN) or as needed medication that were taken over the past two weeks at the frequency specified in 'Medication pro re nata as needed taken past 2 weeks frequency unit of measure' | Count of the units of the pro re nata (PRN) or as needed medication that were taken over the past two weeks at the frequency specified in 'Medication pro re nata as needed taken past 2 weeks frequency unit of measure' | On the average during the last two weeks, how many of these pills did you take a day/week/month | Numeric Values | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 10:10:02.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
0 | unit | PhenX | Core Tier 2 | Medication Inventory | n/a | ||||||||||||||||||||||||||
| C59573 | Medication pro re nata as needed taken past 2 weeks frequency unit of measure | MedPRNAsNeedTakPst2WkFqUOM | Unit of measurement of the frequency over the past 2 weeks that the pro re nata (PRN) or as needed medication was taken | Unit of measurement of the frequency over the past 2 weeks that the pro re nata (PRN) or as needed medication was taken | day/week/month | D;W;M | day;week;month | Alphanumeric | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 10:10:02.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Medication Inventory | n/a | ||||||||||||||||||||||||||
| C59574 | Medication prescription unable transcribe count | MedRxUnableTranscribeCt | Count of prescription medications that were unable to be transcribed into the medication inventory | Count of prescription medications that were unable to be transcribed into the medication inventory | Prescription medications number unable to transcribe | Numeric Values | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 10:20:59.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
0 | 99 | medication | PhenX | Core Tier 2 | Medication Inventory | Number unable to transcribe | |||||||||||||||||||||||||
| C18027 | Comment text | CmmntTxt | Provide any additional information that pertains to the question. | Provide any additional information that pertains to the question. | Comments | Alphanumeric | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X | 4000 |
Free-Form Entry |
DeBaun Forms | ||||||||||||||||||||||||||||||
| C59575 | Medication over the counter unable transcribe count | MedOTCUnableTranscribeCt | Count of over the counter medications that were unable to be transcribed into the medication inventory | Count of over the counter medications that were unable to be transcribed into the medication inventory` | Over-the-Counter medications number unable to transcribe | Numeric Values | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 10:20:59.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
0 | 99 | medication | PhenX | Core Tier 2 | Medication Inventory | Number unable to transcribe | |||||||||||||||||||||||||
| C59565 | Medication past 2 week received indicator | MedPast2WkRecvdInd | Indicator of whether medications taken during the past 2 weeks were received | Indicator of whether medications taken during the past 2 weeks were received | As you know, the XX Study will be describing all medications its participants are using, both prescription and over-the-counter. These include pills, liquid medications; skin patches, eye drops, creams, salves, inhalers and injections, as well as cold or allergy medications, vitamins, herbal remedies and other supplements. The letter you received about this appointment included a plastic medications bag for all your current medications and asked you to bring them to the clinic. Have you brought this bag with you? Are these all the medications that you have taken in the past two weeks? | Yes;No;Refused;Took no medicines | Yes;No;Refused;Took no medicines | Alphanumeric |
Copy the name of the medicine, the strength (include units), and the total number of doses prescribed per day/week/month. Include all pills, skin patches, eye drops, creams, salves, and injections. |
PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:32:49.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Medication Inventory | Medication Reception | |||||||||||||||||||||||||
| C59566 | Medication prescription over the counter type | MedRxOTCTyp | Type of medication to indicate whether prescription or over the counter medication. | Type of medication to indicate whether prescription or over the counter medication. | Prescription/Over-The-Counter Medications | Prescription;Over the counter medicine | Prescription;Over the counter medicine | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:38:39.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Medicaton Inventory | n/a | |||||||||||||||||||||||||||
| C59567 | Medicaton name | MedicationName | Name of the medication | Name of the medication | Medication Name | Alphanumeric |
Print the first 20 letters only |
PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:42:40.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X | 20 |
Free-Form Entry |
PhenX | Core Tier 2 | Medication Inventory | Medication Name | ||||||||||||||||||||||||||
| C59568 | Medication strength text | MedicationStrengthTxt | Text field capturing the medication strength | Text field capturing the medication strength | Strength (mg, IU, etc.) | Alphanumeric |
Write the decimal as one of the digits. Include units. |
PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:44:51.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X | 25 |
Free-Form Entry |
PhenX | Core Tier 2 | Medication Inventory | Strength | ||||||||||||||||||||||||||
| C59569 | Medication number prescribed directed count | MedicatnNumPrescribDrctdCt | Count of units of the medication that are prescribed or otherwise directed to be taken. | Count of units of the medication that are prescribed or otherwise directed to be taken. | Number prescribed | Numeric Values | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:48:13.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
1 | unit | PhenX | Core Tier 2 | Medication Inventory | Number Prescribed | ||||||||||||||||||||||||||
| C59570 | Medication number prescribed directed frequency unit of measure | MedicatnNumPrescribDrctdFrqUOM | Unit of measure of frequency with which the count of units of medication specified in 'Medication number prescribed directed count' are to be taken | Unit of measure of frequency with which the count of units of medication specified in 'Medication number prescribed directed count' are to be taken | Day, Week, Month | D;W;M | day;week;month | Alphanumeric | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 09:48:13.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Medication Inventory | Number Prescribed | ||||||||||||||||||||||||||
| C59571 | Medication pro re nata as needed indicator | MedPRNAsNeedInd | Indicator of whether the specified medication is prescribed or otherwise directed to be taken pro re nata (PRN) or as needed | Indicator of whether the specified medication is prescribed or otherwise directed to be taken pro re nata (PRN) or as needed | PRN Medicine? | No;Yes | No;Yes | Alphanumeric | PhenX Protocol: Medication Inventory (#140301) | Adult;Pediatric | Proposed | 1.00 | 2019-04-12 10:04:55.0 | PhenX Toolkit: Medication Inventory | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Medication Inventory | PRN Medicine |
12 results.