Form:	GLNE 007 Concomitant Medications v9.0

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 2176)
* 2176	Visit code (Go To: 423)
	Permissible Values (value): BLN1 (1)
	BLN2 (2)
* 423	EDRN Protocol ID (Go To: 422)
* 422	EDRN Site ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 1219)
* 1219	Date of contact (MM/DD/YYYY): (Go To: 2980)
* 2980	Currently taking any medications or supplements (including herbal or nutrient supplements)? (Go To: 1097)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3144)
	Refused (88)
	Unknown (99)
* 3144	Number of loops: (Go To: 2159)
	Permissible Values (value): 0 (0)
	1 (1)
	2 (2)
	3 (3)
	4 (4)
	5 (5)
	6 (6)
	7 (7)
	8 (8)
	9 (9)
	10 (10)
	11 (11)
	12 (12)
	13 (13)
	14 (14)
	15 (15)
	16 (16)
	17 (17)
	18 (18)
	19 (19)
	20 (20)
	21 (21)
	22 (22)
	23 (23)
	24 (24)
	25 (25)
	26 (26)
	27 (27)
	28 (28)
	29 (29)
	30 (30)
	31 (31)
	32 (32)
	33 (33)
	34 (34)
	35 (35)
	36 (36)
	37 (37)
	38 (38)
	39 (39)
	40 (40)
	41 (41)
	42 (42)
	43 (43)
	44 (44)
	45 (45)
	46 (46)
	47 (47)
	48 (48)
	49 (49)
	50 (50)
* 2159	Specimen line number or identifier (system-generated): (Go To: 1873)
* 1873	Medication Name: (Go To: 2981)
* 2981	Medication use type: (Go To: 4932)
	Permissible Values (value): Regular use (1) (Go To: 3007)
	Occasional use (2)
	Refused (88)
	Unknown (99)
* 3007	Years used: (Go To: 4932)
* 4932	Reason for medication use (Go To: 3153)
3153	Medication use comments: (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)