|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
nimhid |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
id, ptid, subject_id, subjectid, subjid |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
charlson_date, hamddt, interview_date_charc, testdate, v1_hamd_date, v2_hamd_date, visit_date |
|
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.
|
age, v1_hamd_age, v2_hamd_age |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
crcid |
String |
40
|
Recommended |
CRC ID/ROA ID |
|
|
|
|
date |
Date |
|
Recommended |
Open Label Baseline date |
|
Complete only if starting Open Label Phase. OL Baseline contact is visit where participant is given active drug - included in random data set.
|
|
Query
|
update |
Integer |
|
Recommended |
Updated form |
0;1
|
1= yes; 0= no
|
|
Query
|
lang_visit |
Integer |
|
Recommended |
Language during visit |
0;1
|
1=Spanish; 0=English
|
spanish |
Query
|
charc1 |
Integer |
|
Recommended |
CCI question 1: Ever had chest discomfort or been told that has angina;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_1 |
Query
|
charc1a |
Integer |
|
Recommended |
CCI question 1a: Chest discomfort/angina occurs with exertion;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_1a |
Query
|
charc1b |
Integer |
|
Recommended |
CCI question 1b: Chest discomfort/angina occurs at rest or awakens from sleep;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_1b |
Query
|
charc2 |
Integer |
|
Recommended |
CCI question 2: Ever had to use any medication under tongue for chest discomfort;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_2 |
Query
|
charc3 |
Integer |
|
Recommended |
CCI question 3: Ever been told that had a heart attack;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_3 |
Query
|
charc3a |
Integer |
|
Recommended |
CCI question 3a: Number of heart attacks (77=Don't know, 88=Refused) |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_3a |
Query
|
charc3b |
Integer |
|
Recommended |
CCI question 3b: Time since last heart attack;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1;2;3;4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_3b |
Query
|
charc4 |
Integer |
|
Recommended |
CCI question 4: Ever had heart bypass surgery or angioplasty;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_4 |
Query
|
charc5 |
Integer |
|
Recommended |
CCI question 5: Ever get short of breath;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_5 |
Query
|
charc5a |
String |
255
|
Recommended |
CCI question 5a: If CharC5=1, under what circumstances gets short of breath |
|
|
cci_5a |
Query
|
charc6 |
Integer |
|
Recommended |
CCI question 6: Ever been told that has congestive heart failure;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_6 |
Query
|
charc6a |
Integer |
|
Recommended |
CCI question 6a: If 6=1, currently taking medication for heart failure;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_6a |
Query
|
charc7 |
Integer |
|
Recommended |
CCI question 7: Often notice heart beating fast or irregularly;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_7 |
Query
|
charc7a |
Integer |
|
Recommended |
CCI question 7a: If 7=1, have seen doctor about heart beating fast/irregularly;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_7a |
Query
|
charc8 |
Integer |
|
Recommended |
CCI question 8: Have been told that has atrial fibrillation;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_8 |
Query
|
charc9 |
Integer |
|
Recommended |
CCI question 9: Tend to cough a lot (nearly everyday or for weeks at a time);0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_9 |
Query
|
charc9a |
Integer |
|
Recommended |
CCI question 9a: If 9=1, is coughing seasonal;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_9a |
Query
|
charc9b |
Integer |
|
Recommended |
CCI question 9b: If 9=1, is coughing related to exertion or exercise;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_9b |
Query
|
charc10 |
Integer |
|
Recommended |
CCI question 10: Ever noticed wheezing or making unusual noises when breathing;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_10 |
Query
|
charc11 |
Integer |
|
Recommended |
CCI question 11: Ever been told has asthma;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_11 |
Query
|
charc11a |
Integer |
|
Recommended |
CCI question 11a: If 11=1, been hospitalized for asthma in past 10 years;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_11a |
Query
|
charc11b |
Integer |
|
Recommended |
CCI question 11b: If 11=1, on regular medicine for asthma;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_11b |
Query
|
charc12 |
Integer |
|
Recommended |
CCI question 12: Calves/thighs cramp when walking if ambulatory, sleeping if not;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_12 |
Query
|
charc12a |
Integer |
|
Recommended |
CCI question 12a: If 12=1 and ambulatory, cramping goes away with rest;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_12a |
Query
|
charc13 |
Integer |
|
Recommended |
CCI question 13: Ever been told that had a stroke;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_13 |
Query
|
charc13a |
Integer |
|
Recommended |
CCI question 13a: If 13=1, has lasting effects from the stroke;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_13a |
Query
|
charc14 |
Integer |
|
Recommended |
CCI question 14: Has had loss of movement of limb/side of body, slurred speech, sudden fading vision, or been told that had TIA;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_14 |
Query
|
charc14a |
Integer |
|
Recommended |
CCI question 14a: If CharC14=1, when symptoms/TIA last happened;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_14a |
Query
|
charc14b |
Integer |
|
Recommended |
CCI question 14b: If CharC14=1, number of times symptoms/TIA have happened;1-98=actual number,99=Too numerous to specify |
-1;0::87; 98; 99
|
0-98=actual number,99=Too numerous to specify; -1=Missing
|
cci_14b |
Query
|
charc15 |
Integer |
|
Recommended |
CCI question 15: Has been told that has diabetes/high blood sugar;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_15 |
Query
|
charc15a |
Integer |
|
Recommended |
CCI question 15a: If CharC15=1, age in years when first diagnosed with diabetes/high blood sugar |
-1;1::87
|
-1=Missing
|
cci_15a |
Query
|
charc15b |
Integer |
|
Recommended |
CCI question 15b: If 15=1, currently taking medication for diabetes/high blood sugar;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_15b |
Query
|
charc16 |
Integer |
|
Recommended |
CCI question 16: Ever been told that has significant problems with kidneys;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_16 |
Query
|
charc16a |
Integer |
|
Recommended |
CCI question 16a: If 16=1, ever been on dialysis;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_16a |
Query
|
charc17 |
Integer |
|
Recommended |
CCI question 17: Ever been told that has liver problems;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_17 |
|
charc17a |
String |
255
|
Recommended |
CCI question 17a: If CharC17=1, what was/is liver problem? |
|
|
cci_17a |
Query
|
charc17b |
Integer |
|
Recommended |
CCI question 17b: If 17=1, has any lasting effects that continue until today;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_17b |
Query
|
charc17c |
Integer |
|
Recommended |
CCI question 17c: If 17=1, has any dietary or alcohol restrictions because of liver problems;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_17c |
Query
|
charc18 |
Integer |
|
Recommended |
CCI question 18: Ever been told that has stomach ulcer;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_18 |
Query
|
charc18a |
Integer |
|
Recommended |
CCI question 18a: If 18=1, ever had bleeding ulcer;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_18a |
Query
|
charc18b |
Integer |
|
Recommended |
CCI question 18b: If 18=1, currently take medication for an ulcer;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_18b |
Query
|
charc19 |
Integer |
|
Recommended |
CCI question 19: Ever been told that had cancer;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_19 |
Query
|
charc19a |
Integer |
|
Recommended |
CCI question 19a: If CharC19=1, when first diagnosed with cancer;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_19a |
Query
|
charc19b1 |
Integer |
|
Recommended |
CCI question 19b1: If CharC19=1, code of primary tumor site one |
-1;1::12;20
|
-1=Missing; 1=Bladder; 2=Breast; 3=Colorectal; 4=Kidney; 5=Lung and bronchus; 6=Lymphoma; 7=Oral cavity and pharynx; 8=Pancreas; 9=Prostate; 10=Skin [Non-Melanoma]; 11=Skin [Melanoma]; 12=Stomach; 20=Some Other Cancer
|
cci_19b1 |
Query
|
charc19b2 |
Integer |
|
Recommended |
CCI question 19b2: If CharC19=1, code of primary tumor site two |
-1;1::12;20
|
-1=Missing; 1=Bladder; 2=Breast; 3=Colorectal; 4=Kidney; 5=Lung and bronchus; 6=Lymphoma; 7=Oral cavity and pharynx; 8=Pancreas; 9=Prostate; 10=Skin [Non-Melanoma]; 11=Skin [Melanoma]; 12=Stomach; 20=Some Other Cancer
|
cci_19b2 |
Query
|
charc19b3 |
Integer |
|
Recommended |
CCI question 19b3: If CharC19=1, code of primary tumor site three |
-1;1::12;20
|
-1=Missing; 1=Bladder; 2=Breast; 3=Colorectal; 4=Kidney; 5=Lung and bronchus; 6=Lymphoma; 7=Oral cavity and pharynx; 8=Pancreas; 9=Prostate; 10=Skin [Non-Melanoma]; 11=Skin [Melanoma]; 12=Stomach; 20=Some Other Cancer
|
cci_19b3 |
|
charc19b4 |
String |
255
|
Recommended |
CCI question 19b4: If CharC19b1=20 or CharC19b2=20 or CharC19b3=20, specification of other primary tumor site |
|
|
cci_19b1_text |
Query
|
charc19c |
Integer |
|
Recommended |
CCI question 19c: If 19=1, tumor spread to other parts of body (any tumor ever);0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_19c |
Query
|
charc19d |
Integer |
|
Recommended |
CCI question 19d: If 19=1, received chemotherapy or radiation therapy (for any tumor ever);0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_19d |
Query
|
charc19e |
Integer |
|
Recommended |
CCI question 19e: If 19=1, did you have to be operated on for your cancer? (any tumor ever);0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_19e |
Query
|
charc19f |
Integer |
|
Recommended |
CCI question 19f: If CharC19=1, when were you last treated with chemotherapy, radiation, or surgery? (for any tumor ever);1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_19f |
Query
|
charc20 |
Integer |
|
Recommended |
CCI question 20: Ever been told that has/had leukemia;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_20 |
Query
|
charc21 |
Integer |
|
Recommended |
CCI question 21: Ever been told that has/had serious problem with joints;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_21 |
|
charc21a |
String |
255
|
Recommended |
CCI question 21a: If CharC21=1, what is/was the problem? |
|
|
cci_21a |
Query
|
charc22 |
Integer |
|
Recommended |
CCI question 22: Ever been tested HIV positive;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_22 |
Query
|
charc22a |
Integer |
|
Recommended |
CCI question 22a: If 22=1, carries the diagnosis of AIDS;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_22a_2 |
Query
|
charc22b |
Integer |
|
Recommended |
CCI question 22b: If 22=1, has had wasting;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_22b |
Query
|
charc23 |
Integer |
|
Recommended |
CCI question 23: Ever been told has problem with thyroid;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_23 |
Query
|
charc23a |
Integer |
|
Recommended |
CCI question 23a: If CharC23=1, thyroid was underactive or overactive;1=Underactive,2=Overactive |
1;2;9
|
1=Underactive; 2=Overactive; 9=Missing
|
cci_23a |
Query
|
charc23b |
Integer |
|
Recommended |
CCI question 23b: If 23=1, currently takes medication for thyroid;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_23b |
Query
|
charc23c |
Integer |
|
Recommended |
CCI question 23c: If CharC23=1, when was last time medication was changed for thyroid condition?;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_23c |
Query
|
charc23d |
Integer |
|
Recommended |
CCI question 23d: If CharC23=1, when was last time had blood test to check thyroid?;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_23d |
Query
|
charc24 |
Integer |
|
Recommended |
CCI question 24: Has been told that has deficiency of vitamin B12 or anemia;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_24 |
Query
|
charc24a |
Integer |
|
Recommended |
CCI question 24a: If 24=1, is currently receiving replacement shots (B12);0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_24a |
Query
|
charc25 |
Integer |
|
Recommended |
CCI question 25: Has been told that has Parkinson's Disease;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_25 |
Query
|
charc25a |
Integer |
|
Recommended |
CCI question 25a: If CharC25=1, how long ago Parkinson's diagnosis was made;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_25a |
Query
|
charc25b |
Integer |
|
Recommended |
CCI question 25b: If 25=1, is currently taking medication for Parkinson's Disease;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_25b |
Query
|
charc25c |
Integer |
|
Recommended |
CCI question 25c: If CharC25=1, when was last time Parkinson's medication was changed?;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1::4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_25c |
Query
|
charc26 |
Integer |
|
Recommended |
CCI question 26: Has been told that has high blood pressure, or has been treated for it;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_26 |
Query
|
charc27 |
Integer |
|
Recommended |
CCI question 27: Has been told by physician that subject has significant bleeding problem;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_27 |
Query
|
charc28 |
Integer |
|
Recommended |
CCI question 28: Since age of 55, has had any fractures;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_28 |
Query
|
charc28a1 |
Integer |
|
Recommended |
CCI question 28a1: If CharC28=1, code of first location that was fractured ;please see CharlsonCOPD28aCode |
1::10
|
1=Spine; 2=Hip; 3=Face/Head; 4=Upper extremity; 5=Shoulder; 6=Lower extremity; 7=Pelvis; 10=Some other fracture; 9=Missing
|
cci_28a1 |
Query
|
charc28a2 |
Integer |
|
Recommended |
CCI question 28a2: If CharC28=1, code of second location that was fractured;please see CharlsonCOPD28aCode |
1::10
|
1=Spine; 2=Hip; 3=Face/Head; 4=Upper extremity; 5=Shoulder; 6=Lower extremity; 7=Pelvis; 10=Some other fracture; 9=Missing
|
cci_28a2 |
Query
|
charc28a3 |
Integer |
|
Recommended |
CCI question 28a3: If CharC28=1, code of third location that was fractured;please see CharlsonCOPD28aCode |
1::10
|
1=Spine; 2=Hip; 3=Face/Head; 4=Upper extremity; 5=Shoulder; 6=Lower extremity; 7=Pelvis; 10=Some other fracture; 9=Missing
|
cci_28a3 |
Query
|
charc28a4 |
String |
255
|
Recommended |
CCI question 28a4: If CharC28a1=10 or CharC28a2=10 or CharC28a3=10, specification of other fracture location |
|
|
cci_28a1_txt |
Query
|
charc28b |
Integer |
|
Recommended |
CCI question 28b: If 28=1, age in years at time of most recent fracture (-2=Don't know; -3=Refused; -1=Missing) |
-3::999
|
-2=Don't know; -3=Refused; -1=Missing
|
cci_28b |
Query
|
charc29 |
Integer |
|
Recommended |
CCI question 29: Wears eyeglasses or contact lenses;0=No,1=Just for reading,2=All the time,7=Don't know,8=Refused |
0;1;2;7;8;9
|
0=No; 1=Just for reading; 2=All the time; 7=Don't know; 8=Refused; 9=Missing
|
cci_29 |
Query
|
charc30 |
Integer |
|
Recommended |
CCI question 30: Wears a hearing aid;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_30 |
Query
|
charc31 |
Integer |
|
Recommended |
CCI question 31: Has smoked any cigarettes in past 6 months;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_31 |
Query
|
charc31a |
Integer |
|
Recommended |
CCI question 31a: On average, number of cigarettes smoked per day |
-1::999
|
-1=Missing
|
|
Query
|
charc32 |
Integer |
|
Recommended |
CCI question 32: Noticed any significant problems with memory;0=No,1=Yes |
0;1;9
|
0=No; 1=Yes; 9=Missing
|
cci_32 |
Query
|
charc32a |
Integer |
|
Recommended |
CCI question 32a: How frequently has problem with memory;1=Rarely,2=Less than once per wk,3=More than once per wk |
1;2;3;9
|
1=Rarely; 2=Less than once per wk; 3=More than once per wk; 9=Missing
|
cci_32a |
Query
|
charc32b |
Integer |
|
Recommended |
CCI question 32b: How long memory symptoms have persisted;1=Within past 6 mos,2=More than 6 mos and up to 1 yr,3=More than 1 yr and up to 2 yrs,4=More than 2 yrs ago |
1;2;3;4;9
|
1=Within past 6 mos; 2=More than 6 mos and up to 1 yr; 3=More than 1 yr and up to 2 yrs; 4=More than 2 yrs ago; 9=Missing
|
cci_32b |
Query
|
charlson_score |
String |
50
|
Recommended |
Final Charlson Score |
|
|
charlsontot_ssw |
Query
|
pchrlson |
Float |
|
Recommended |
Charlson variable computed from admissions prior to and including the event |
|
|
|
Query
|
xchrlson |
Float |
|
Recommended |
Charlson variable computed from the event admission only |
|
|
|
|
pcomp |
String |
1,000
|
Recommended |
Component variables for the Charlson variable observed on admissions prior to the event |
|
|
|
|
xcomp |
String |
1,000
|
Recommended |
Component variables for the Charlson variable which were observed on the event admission |
|
|
|
|
aggregates |
String |
1,000
|
Recommended |
Combinations of PCOMP and XCOMP variables which are used for final determination of the Charlson score |
|
|
|
Query
|
cci_19b1_other |
Integer |
|
Recommended |
Were there any other types of cancer? Answer if second cancer |
0;1
|
0=No; 1=Yes
|
|
Query
|
cci_19b2_other |
Integer |
|
Recommended |
Were there any other types of cancer? Answer if third cancer |
0;1
|
0=No; 1=Yes
|
|
Query
|
cci_28a_other |
Integer |
|
Recommended |
Were there any other fractures? Answer if second fracture |
0;1
|
0=No; 1=Yes
|
|
Query
|
cci_28a_other2 |
Integer |
|
Recommended |
Were there any other fractures? Answer if third fracture |
0;1
|
0=No; 1=Yes
|
|
Query
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
999= Missing Data
|
charlson_interviewer |
Query
|
sub_tob3 |
Float |
|
Recommended |
Amount (in # of packs per day) |
|
1 pack equals 20 cigarettes/cigarillos
|
cci_31a |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
charlson_comments |
Query
|
dode |
String |
10
|
Recommended |
Date of Data Entry |
|
|
charlson_entered |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|
Query
|
charlson1_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: asthma, emphysema, or chronic bronchitis? |
|
Lowest Charlson Weight is 1; Highest Charlson Weight is 1. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson2_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: arthritis or rheumatism? |
|
Lowest Charlson Weight is 0; Highest Charlson Weight is 1. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson3_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: cancer, diagnosed in the past 3 years? |
|
Lowest Charlson Weight is 2; Highest Charlson Weight is 6. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson4_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: diabetes? |
|
Lowest Charlson Weight is 1; Highest Charlson Weight is 2. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson5_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: digestive problems (such as ulcer, colitis, or gallbladder disease? |
|
Lowest Charlson Weight is 0; Highest Charlson Weight is 1. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson6_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: heart trouble (such as angina, congestive heart failure, or coronary artery disease? |
|
Lowest Charlson Weight is 0; Highest Charlson Weight is 2. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson7_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: HIV illness or AIDS |
|
Lowest Charlson Weight is 0; Highest Charlson Weight is 6. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson8_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: kidney disease |
|
Lowest Charlson Weight is 0; Highest Charlson Weight is 2. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson9_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: liver problems (such as cirrhosis) |
|
Lowest Charlson Weight is 1; Highest Charlson Weight is 3. Study-specific weights may lie outside these ranges.
|
|
Query
|
charlson10_ssw |
Integer |
|
Recommended |
At present time, do you have any of the following: stroke |
|
Lowest Charlson Weight is 1; Highest Charlson Weight is 1. Study-specific weights may lie outside these ranges.
|
|
|
study |
String |
100
|
Recommended |
Study; The code for each individual study |
|
|
|
|
cci_8_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Peptic Ulcer Disease? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_9_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Liver Disease? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_10_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Diabetes? |
1::3; -9
|
1= None or Diet Controlled; 2= Uncomplicated; 3= End-organ damage; -9= Missing
|
|
|
cci_11_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Hemiplegia? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_12_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Moderate to Severe Chronic Kidney Disease? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_13_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Solid Tumor? |
1::3; -9
|
1= None; 2= Localized; 3= Metastatic; -9= Missing
|
|
|
cci_14_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Leukemia? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_15_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Lymphoma? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_16_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced AIDS? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_1_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Myocardial Infraction? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_2_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Congestive Heart Failure? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_3_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Peripheral Vascular Disease? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_4_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Cerebrovascular Accident or Transient Ischemic Attack (TIA)? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_5_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Dementia? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_6_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Chronic Obstructive Pulmonary Disease (COPD)? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|
|
cci_7_pastyear |
Integer |
|
Recommended |
In the past year, have you experienced Connective Tissue Disease? |
1::2; -9
|
1= Yes; 2= No; -9= Missing
|
|