|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
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|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
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interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
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|
interview_date_csi |
|
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.
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sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
csi_sf1 |
Integer |
|
Recommended |
Which of the following services have you used in the past 3 months? |
1::15
|
1= Inpatient Hospital; 2= Nursing Home/Other Residential Facility; 3= Emergency Room; 4= Urgent Care Outpatient Service; 5= Outpatient Medical (PCP or Specialist) | 6, Psych. Medication Management (Only) | 7= Psychotherapy or Counseling; 8= Treatment for Alcohol or Substance Abuse; 9= Home Nursing Home; 10= Personal Home Aide Service; 11= Home Meal Delivery Service; 12= Transportation Assistance; 13= Physical/Occupational Therapy; 14= Laboratory, X-Rays, and Other Tests; 15= Other Service
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csi_sf1a |
String |
150
|
Recommended |
Enter the other service |
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|
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csi_sf2 |
Integer |
|
Recommended |
Type of provider |
1::11;77;88
|
1= Primary care physician; 2= Specialist physician (not psychiatrist); 3= Psychiatrist (MD); 4= Psychologist (PhD); 5= Nurse 6= Social Worker or other therapist; 7= Occupational/Physical therapist; 8= Religious Leader (priest, minister, rabbi); 9= Peer Supporter (sponsor, congregational member); 10= Alternative Medicine Provider; 11= Other; 77= DK; 88= Refusal
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csi_sf2a |
String |
150
|
Recommended |
Enter the other type of provider |
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|
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|
csi_sf3 |
Integer |
|
Recommended |
Site for service |
1::8;77;88
|
1= General Hospital; 2= Psychiatric Hospital; 3= Outpatient Medical Clinic or Office; 4= Outpatient Mental Health Clinic or Office; 5= Outpatient Substance Abuse Treatment Facility; 6= Family/Social Service Agency; 7= Home; 8= Other; 77= DK; 88= Refusal
|
|
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csi_sf3a |
String |
25
|
Recommended |
Enter the other site of service |
|
|
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|
csi_sf4 |
String |
50
|
Recommended |
Frequency of service |
|
|
|
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csi_sf5 |
Integer |
|
Recommended |
Did insurance pay for the service? |
0::2
|
0= No; 1= Some of it; 2= All of it
|
|
|
csi_sf6 |
String |
25
|
Recommended |
How much did you have to pay for this service |
|
|
|
|
study |
String |
100
|
Recommended |
Study; The code for each individual study |
|
|
|
|
c_oth |
Integer |
|
Recommended |
Indicator of whether patient used other services during the stage. |
1
|
1 = Yes
|
|
|
redcap_repeat_instance |
Integer |
|
Recommended |
Number of Services Used |
|
|
|
|
csi_12a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 12a. Treatment for alcohol or substance abuse? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_13a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 13a. Home nursing service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_14a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 14a. Personal home aide service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_15a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 15a. Home meal delivery service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_17a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 17a. Physical/occupational therapy? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_18a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 18a. Laboratory, x-ray and other tests? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_19a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 19a. Other service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_1a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 1a. Inpatient hospital? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_3a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 3a. Nursing home/other residential facility? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_4a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 4a. Emergency Room or other urgent care visit? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_6a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 6a. Outpatient medical (PCP or Specialist)? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_9a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 9a. Psych. medication management only? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_10a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 10a. Combined medication & psychotherapy? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_11a |
Integer |
|
Recommended |
Have you used the following service in the past four months: 11a. Counseling/psychotherapy? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_12a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Treatment for alcohol or substance abuse? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_13a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Home nursing service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_14a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Personal home aide service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_15a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Home meal delivery service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_16a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Transportation Assistance |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_17a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Physical/occupational therapy? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_18a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Laboratory, x-ray and other tests? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_19a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Other service? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_1a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Inpatient hospital? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_3a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Nursing home/other residential facility? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_4a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Emergency Room? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_4b |
Integer |
|
Recommended |
Have you used the following service in the past three months: Urgent Care outpatient visit |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_6a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Outpatient medical (PCP or Specialist)? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_9a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Psych. medication management? |
0;1
|
0 = No; 1 = Yes
|
|
|
csi_11a_3 |
Integer |
|
Recommended |
Have you used the following service in the past three months: Counseling/psychotherapy? |
0;1
|
0 = No; 1 = Yes
|
|