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Blinded Assessment Form

92 Shared Subjects

Blinded Assessment Form
Clinical Assessments
Questionnaire
06/13/2014
baf01
06/13/2014
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 SUBJECT, bid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY BAFDate
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0 :: 1260 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 gender
Query aescode Integer Recommended Staff code number of person completing this form 999= Missing Data BAFCODE, brfa1
Query visit String 60 Recommended Visit name
Query bafinfo Integer Recommended Check if the Assessment was not done. 0::2 0=No; 1=Yes; 2=Unverified
Query baf Integer Recommended Blinded Assessment -3::3 -3 = Completely certain Cognitive Training 1; -2=Reasonably certain Cognitive Training 1; -1=Slightly certain Cognitive Training 1; 0= Completely uncertain; 1=Slightly certain Cognitive Training 2; 2=Reasonably certain Cognitive Training 2; 3=Completely certain Cognitive Training 2
Query brfa2 Integer Recommended During the course of the study, did this rater conduct any of the blinded assessments for this participant while un-blinded? 0;1 0=No; 1=Yes
Query brfa3 String 10 Recommended At which visit did the rater first conduct ratings while un-blinded? 3=week 1; 6=week 4; 7=week 8; 9=week 16; 10= week 20
Query brfa4a Integer Recommended AMS (Abnormal Involuntary Movement Scale) 0;1 0=Legitimately Skipped; 1=Selected;
Query brfa4b Integer Recommended BNS (Barnes Rating) 0;1 0=Legitimately Skipped; 1=Selected
Query brfa4c Integer Recommended CGI (Clinical Global Impressions) 0;1 0=Legitimately Skipped; 1=Selected
Query brfa4d Integer Recommended PNS (PANSS) 0;1 0=Legitimately Skipped; 1=Selected
Query brfa4e Integer Recommended SAS (Simpson-Angus) 0;1 0=Legitimately Skipped; 1=Selected
Query brfa4f Integer Recommended AES (Adverse Events/Side Effects) 0;1 0=Legitimately Skipped; 1=Selected
Query brfa5 String 10 Recommended Staff code of replacement blinded rater for this participant
Query brfa6 String 200 Recommended Description of how the treatment assignment was revealed Present Text= description; Missing text=no description
Query fseqno Integer Recommended Sequence Number 0::999 The FSEQNO variable in the ADJ form has a special interpretation compared to other forms. For example, ADJ FSEQNO of '1' can be thought of as being '001', FSEQNO of '2' can be thought of as being '002', and FSEQNO of '3' can be thought of as being '003'. The first digit of FSEQNO relates to the corresponding ENF sequence number at that visit and the third digit relates to the specific adjudicator who completed the adjudication form.
Query daysrz Integer Recommended days since randomization brfa0b
version_form String 121 Recommended Form used/assessment name vers
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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