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Adult Health Screening Report

0 Shared Subjects

This screener assesses adult health.
Clinical Assessments
Health
02/07/2022
ahsr01
02/23/2022
View Change History
01
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*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
timepoint_label String 50 Required Timepoint/visit label
height Float Recommended Medical history and physical development - Height (inches) inches
weight String 50 Recommended weight -5=item seen but not answered; -999=data not submitted (incomplete)
examdate Date Recommended Date of last medical exam?
medhx2 Integer Recommended Do you have any allergies to medications? 1;2 1 = No; 2 = Yes
medhx2a String 100 Recommended If yes, please specify medication allergies:
medhx2b String 100 Recommended If yes, please specify food allergies:
medhx2c String 100 Recommended Please specify insect allergies:
medhx2d Integer Recommended Do you have any allergies to foods? 1;2 1 = No; 2 = Yes
medhx2e Integer Recommended Do you have any allergies to insects? 0;1 0 = No; 1 = Yes
psych_hosp Integer Recommended Psychiatric hospitalization or counseling, therapy, or treatment for an emotional or psychological problem (including substance abuse/dependence) 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now
medhx3 Integer Recommended Any hospitalizations? 1;2 1 = No; 2 = Yes
medhx3a String 100 Recommended If yes, for what? - 1
medhx3b String 100 Recommended If yes, for what? - 2
medhx3c String 100 Recommended If yes, for what? - 3
medhx4 Integer Recommended Any operations?
medhx4a String 100 Recommended If yes, please specify operations? - 1
medhx4b String 100 Recommended If yes, please specify operations? - 2
medhx4c String 100 Recommended If yes, please specify operations? - 3
medhx5 Integer Recommended Any serious injuries? 1;2 1 = No; 2 = Yes
medhx5a String 100 Recommended If yes, what kind? - 1
medhx5b String 100 Recommended If yes, what kind? - 2
medhx5c String 100 Recommended If yes, what kind? - 3
medhx5d String 100 Recommended If yes, what kind? - 4
medhx6 Integer Recommended Any head injuries? 1;2 1 = No; 2 = Yes
medhx6a String 100 Recommended If yes, did you lost consciousness?
medhx7 Integer Recommended Are you currently taking any medications regularly? 1;2 1 = No; 2 = Yes
medhx7a String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 1
medhx7b String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 2
medhx7c String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 3
medhx7d String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 4
medhx7e String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 5
medhx7f String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 6
medhx7g String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 7
medhx7h String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 8
medhx7i String 100 Recommended Please specify regularly taken medications (include vitamins, herbal supplements, or muscle-binding supplements): 9
medhx7j String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 10
medhx7k String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 11
medhx7l String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 12
medhx7m String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 13
medhx7n String 100 Recommended If yes, please specify (include vitamins, herbal supplements, or muscle-binding supplements): 14
medhx8 Integer Recommended Have you taken any medications regularly in the past? 1;2 1 = No; 2 = Yes
medhx8a String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 1
medhx8b String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 2
medhx8c String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 3
medhx8d String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 4
medhx8e String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 5
medhx8f String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 6
medhx8g String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 7
medhx8h String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 8
medhx8i String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 9
medhx8j String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 10
medhx9 Integer Recommended Do you use other recreational "street" druges? 1;2 1 = No; 2 = Yes
medhx9a String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 1
medhx9b String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 2
medhx9c String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 3
medhx11 Integer Recommended Do you smoke cigarettes? 1;2 1 = No; 2 = Yes
medhx11a Float Recommended Packs per day
medhx12 Integer Recommended Do you drink alcohol? 0;1 0 = No; 1 = Yes
medhx12a Float Recommended Drinks per week
medhx13 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Eyes? 1;2 1 = No; 2 = Yes
medhx13a String 100 Recommended If yes, please describe problems with eyes:
medhx14 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Ears? 1;2 1 = No; 2 = Yes
medhx14a String 100 Recommended If yes, please describe problems with ears:
medhx15 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Headaches? 0;1 0 = No; 1 = Yes
medhx15a String 100 Recommended If yes, please describe problems with headaches:
medhx16 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Migraines? 0;1 0 = No; 1 = Yes
medhx16a String 500 Recommended If yes, please describe problems with migraines:
medhx17 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Fainting? 0;1 0 = No; 1 = Yes
medhx17a String 100 Recommended If yes, please describe problems with fainting:
medhx18 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Seizures? 0;1 0 = No; 1 = Yes
medhx18a String 100 Recommended If yes, please describe problems with seizures:
medhx19 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other neurological problems? 1;2 1 = No; 2 = Yes
medhx19a String 100 Recommended If yes, please describe neurological problems:
medhx20 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Thyroid problems? 0;1 0 = No; 1 = Yes
medhx20a String 100 Recommended If yes, please describe thyroid problems:
medhx21 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Diabetes? 0;1 0 = No; 1 = Yes
medhx21a String 100 Recommended If yes, please describe problems with diabetes:
medhx22 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other hormonal or endocrine? 1;2 1 = No; 2 = Yes
medhx22a String 100 Recommended If yes, please describe hormonal or endocrine problems:
medhx23 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any heart problems, chest pain, or circulation problems? 0;1 0 = No; 1 = Yes
medhx23a String 100 Recommended If yes, please describe heart problems, chest pain, or circulation problems:
medhx24 Integer Recommended Please check and briefly describe if you have any problems in the following areas: High blood pressure? 0;1 0 = No; 1 = Yes
medhx24a String 100 Recommended If yes, please describe high blood pressure problems:
medhx25 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Asthma? 0;1 0 = No; 1 = Yes
medhx25a String 100 Recommended If yes, please describe asthma problems:
medhx26 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other lung or breathing problems? 1;2 1 = No; 2 = Yes
medhx26a String 100 Recommended If yes, please describe lung or breathing problems:
medhx27 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any urinary problems (kidney, bladder, prostate)? 1;2 1 = No; 2 = Yes
medhx27a String 100 Recommended If yes, please describe urinary problems:
medhx28 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any liver disease? 0;1 0 = No; 1 = Yes
medhx28a String 100 Recommended If yes, please describe liver disease:
medhx29 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Constipation? 0;1 0 = No; 1 = Yes
medhx29a String 100 Recommended If yes, please describe constipation:
medhx30 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Diarrhea? 1;2 1 = No; 2 = Yes
medhx30a String 100 Recommended If yes, please describe diarrhea problems:
medhx31 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Stomach or duodenal ulcer? 0;1 0 = No; 1 = Yes
medhx31a String 100 Recommended If yes, please describe stomach or dudenal ulcer problems:
medhx32 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other stomach or bowel problems? 0;1 0 = No; 1 = Yes
medhx32a String 100 Recommended If yes, please describe stomach or bowel problems:
medhx33 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Lupus or other autoimmune disease? 0;1 0 = No; 1 = Yes
medhx33a String 100 Recommended If yes, please describe lupus or autoimmune disease problems:
medhx34 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any skin problems? 1;2 1 = No; 2 = Yes
medhx34a String 100 Recommended If yes, please describe skin problems:
medhx35 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Arthritis? 0;1;-9 0 = No; 1 = Yes; -9 = Not applicable or Missing
medhx35a String 100 Recommended If yes, please describe arthritis problems:
medhx36 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other bone or joint? 0;1 0 = No; 1 = Yes
medhx36a String 100 Recommended If yes, please describe bone and joint problems:
medhx37 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Weight loss? 0;1 0 = No; 1 = Yes
medhx37a String 100 Recommended If yes, please describe weight loss problems:
medhx38 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Weight gain? 0;1 0 = No; 1 = Yes
medhx38a String 100 Recommended If yes, please describe weight gain problems:
medhx39 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For females - Any gynecological problems? 0;1 0 = No; 1 = Yes
medhx39a String 100 Recommended If yes, please describe gynecological problems:
medhx40 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For Females - Any menstrual problems? 0;1 0 = No; 1 = Yes
medhx40a String 100 Recommended If yes, please describe menstrual problems:
medhx41 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For females - Any pregnancies? 0;1 0 = No; 1 = Yes
medhx41a Integer Recommended If yes, how many:
medhx41b Integer Recommended Any complications with pregancies? 0;1 0 = No; 1 = Yes
medhx41c String 100 Recommended If yes, please specify:
medhx42 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any infectious diseases? 0;1 0 = No; 1 = Yes
medhx42a String 100 Recommended If yes, please describe infectious diseases:
medhx43 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any type of cancer? 0;1 0 = No; 1 = Yes
medhx43a String 100 Recommended If yes, please describe cancer problems:
medhx44 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any problems with your blood? For example, excessive bleeding or anemia? 0;1 0 = No; 1 = Yes
medhx44a String 100 Recommended If yes, please describe blood problems:
medhx45 String 100 Recommended Please list any other medical problems:
ecigs_a Integer Recommended Nicotine containing e-cigarettes? 0;1 0 = No; 1 = Yes
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

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