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Cortisol Samples Questionnaire

318 Shared Subjects

N/A
Clinical Assessments
Med History
09/21/2018
corti01
07/28/2022
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 hcid
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 :: 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
cortisol1 Integer Recommended Which set of hair collection instructions did you follow? 1;2 1= Long har instructions; 2= Short hair instructions hcinstructiontype
cortisol2 String 50 Recommended From which part of the back of your head did you collect the hair sample? Please place an X to indicate location
cortisol3 Integer Recommended Did you have any questions or concerns while collecting the hair sample? 0;1 0= No; 1= Yes, please explain hcquestions
cortisol4 String 200 Recommended Please describe the questions or concerns you had while collecting the hair sample hcquestionsyes
height_std Float Recommended Height - Standard Unit -1 = Not known; 999 = Missing hcheight
weight_std Float Recommended Weight - Standard Unit -1 = Not known; 999 = Missing hcweight
cortisol5 Integer Recommended During the past month, how often have you typically washed your hair? 1::6 1= Less than 1 time per week; 2= 1-3 times per week; 3= 4-6 times per week; 4= Once a day; 5= Twice a day; 6= Three or more times a day hcwashhairfrequency
cortisol6 Integer Recommended In the past month, have you or a hair stylist used a chemical process to straighten (e.g., Keratin) or curl (e.g., perm) your hair? 0;1 0= No; 1= Yes, please explain hcchemical
cortisol7 String 200 Recommended Please describe the treatment used to straighten or curl your hair hcchemicalyes
cortisol8 Integer Recommended In the past month, have you or a hair stylist bleached your hair 0;1 0= No; 1= Yes, please explain hcbleach
cortisol9 String 200 Recommended Please describe the treatment used to bleach your hair hcbleachyes
cortisol10 Integer Recommended In the past month, have you or a hair stylist colored your hair without bleaching it? 0;1 0= No; 1= Yes, please explain hccolor
cortisol11 String 200 Recommended Please describe the treatment used to color your hair hccoloryes
cortisol12 Integer Recommended In the past month, have you or a hair stylist used any other hair treatments not mentioned above that use chemicals to change the color or texture of your hair? 0;1 0= No; 1= Yes, please explain hcothertx
cortisol13 String 200 Recommended Please describe the treatment used to change the texture or color of your hair hcothertxyes
cortisol14 Integer Recommended In the past month, have you used any over-the-counter or prescription medications for a scalp condition (e.g., Rogaine, fungal treatments, parasite treatments)? 0;1 0= No; 1= Yes, please explain hcscalpmed
cortisol15 String 200 Recommended Please describe any medications used for a scalp condition hcscalpmedyes
cortisol16 Integer Recommended During the past month, have you used hormonal contraceptives (e.g., birth control pill, patch, intravaginal ring)? 0;1 0= No; 1= Yes, please explain hchormonecontraception
cortisol17 String 200 Recommended Please describe hormonal contraceptives used hchormonecontraceptionyes
cortisol18 Integer Recommended Have you been diagnosed with diabetes 0;1 0= No; 1= Yes, please explain hcdiabetes
cortisol19 Integer Recommended Have you veen diagnosed with a disorder or condition that affect adrenal gland functioning? 0;1 0= No; 1= Yes, please specify hcadrenalcondition
cortisol20 Integer Recommended Adrenal Gland Condition: Cushing's Disease
cortisol21 Integer Recommended Adrenal Gland Condition: Addison's Disease
cortisol22 Integer Recommended Adrenal Gland Condition: Conn's Syndrome
cortisol23 Integer Recommended Adrenal Gland Condition: Adrenal fatigue/insufficiency
cortisol24 Integer Recommended Adrenal Gland Condition: Adrenal (e.g., Pheochromocytoma) or Pituitary Gland Tumor
cortisol25 Integer Recommended Adrenal Gland Condition: Adrenocortical carcinoma
cortisol26 Integer Recommended Adrenal Gland Condition: Congenital Adrenal Hyperplasia (CAH)
cortisol27 Integer Recommended Adrenal Gland Condition: X-linked adrenoleukodystrophy or adrenal hypoplasia congenita
cortisol28 Integer Recommended Adrenal Gland Condition: Familial Hyperaldosteronism
cortisol29 Integer Recommended Adrenal Gland Condition: 3-beta-hydroxysteroid dehydrogenase (HSD) deficiency
cortisol30 Integer Recommended Adrenal Gland Condition: Other, Please specify
cortisol31 String 200 Recommended Please describe the other condition or disorder affecting adrenal gland functioning hcadrenalconditiontypeother
cortisol32 Integer Recommended In the past month, have you taken any steroids or steroid-based medications (e.g., pills such as prednisone or dexamethasone; topical creams such as cortisone cream; or inhalers such as Flonase)? 0;1 0= No; 1= Yes, please explain hcsteroidmed
cortisol33 String 1,000 Recommended Please describe medications, dosage, and frequency of usage hcsteroidmedyes
cortisol34 Integer Recommended Are you taking any other medications or completing any therapies that affect testosterone or estrogen functioning? 0;1 0= No; 1= Yes, please explain hcotherhormonemed
cortisol35 String 200 Recommended Please describe other therapies, medications, dosage, and frequency of usage hcotherhormonemedyes
timepoint_label String 50 Recommended Timepoint/visit label assessment.c
hctime Integer Recommended clinicians spend enough time 0::3;-7 0=Never; 1=Sometimes; 2=Usually; 3=Always; -7=Refused
hcreturndate Date Recommended Date of Sample Return
hcsampletype Integer Recommended Hair sample type 0;1 0 = Long, 1 = Short
hcsamplenotes String 200 Recommended Sample Notes
hctargetarea Integer Recommended 3. Is X in target area? 0;1 0= No; 1= Yes
hctargetareano Integer Recommended 3. If not in target area, where was the X in relation to the target area? 0;1 0= Above Targer Area; 1= Below Target Area
hcnotes String 200 Recommended Other sample notes
hcsalimetricsid Integer Recommended T1 Salimetrics ID
hchairweight Float Recommended Hair wt (mg)
hccortisol Float Recommended Cortisol (pg/mg)
hchairlength Float Recommended Hair Length (in cm)
hchairnotes String 200 Recommended Hair Assay Notes
hcassay Integer Recommended Was Salimetrics assay reliable? 0;1 0= No; 1= Yes
hccortisollog Float Recommended Compute Hair Cortisol Log. LG10(HCCortisol)
condition_c Integer Recommended Patient Condition 0::2 0 = Control; 1 = Self-Affirmation; 2 = Expressive Writing condition.c
child_sec_saliva03 Integer Recommended Second Sample: Did child eat 30 minutes prior to second sample? 0;1 0= No; 1= Yes
child_sec_saliva04 String 100 Recommended Second Sample: If yes, what did child eat?
child_sec_saliva05 Integer Recommended Second Sample: Did child exercise in the 30 minutes prior to second sample? 0;1 0= No; 1= Yes
child_third_saliva01 String 5 Recommended Third Sample: Time HH:MM
child_third_saliva02 String 500 Recommended Third Sample: What was child doing 30 minutes before taking this sample?
child_third_saliva03 Integer Recommended Third Sample: Did child eat 30 minutes prior to third sample? 0;1 0= No; 1= Yes
child_third_saliva04 String 100 Recommended Third Sample: If yes, what did child eat?
child_third_saliva05 Integer Recommended Third Sample: Did child exercise in the 30 minutes prior to third sample? 0;1 0= No; 1= Yes
child_gen_info01 String 7 Recommended Morning wake up time HH:MM AM or PM
child_gen_info02 Integer Recommended Amount of sleep during the night (hours) Time in hours
child_gen_info03 Integer Recommended Amount of sleep during the night (minutes) Time in minutes
child_gen_info04 Integer Recommended Did the child nap today? 0;1 0= No; 1= Yes
child_gen_info05 String 7 Recommended If yes to the child did nap; from what time (start) HH:MM AM or PM
child_gen_info06 String 7 Recommended If yes to the child did nap; to what time (end) HH:MM AM or PM
child_gen_info07 Integer Recommended How long was the nap? (hours) Time in hours
child_gen_info08 Integer Recommended How long was the nap? (minutes) Time in minutes
child_gen_info09 Integer Recommended Symptoms present for child today: Runny nose and/or cough 0;1 0= No; 1= Yes
child_gen_info10 Integer Recommended Symptoms present for child today: Feel warm or flushed 0;1 0= No; 1= Yes
child_gen_info11 Integer Recommended Symptoms present for child today: Cranky or irritable even when rested 0;1 0= No; 1= Yes
child_gen_info12 Integer Recommended Symptoms present for child today: Ear Infection 0;1 0= No; 1= Yes
child_first_saliva01 String 7 Recommended First Sample: Time HH:MM AM or PM
child_gen_info13 Integer Recommended Symptoms present for child today: Feel aches and pains 0;1 0= No; 1= Yes
child_gen_info14 Integer Recommended Symptoms present for child today: Nausea or uneasy stomach 0;1 0= No; 1= Yes
child_gen_info15 Integer Recommended Has child recently taken any antibiotics? 0;1 0= No; 1= Yes
child_gen_info16 String 50 Recommended If yes to antibiotics, what type?
child_gen_info17 Integer Recommended If yes to antibiotics, number of days taken. Number of Days
child_gen_info18 Date Recommended If yes to antibiotics, start date taken MM/DD/YYYY
child_gen_info19 Date Recommended If yes to antibiotics, end date finished MM/DD/YYYY
child_gen_info20 Integer Recommended Has child taken any other medcation? 0;1 0= No; 1= Yes
child_gen_info21 String 500 Recommended Name of Medication(s):
child_gen_info22 String 500 Recommended Medication taken for:
child_first_saliva02 String 500 Recommended First Sample: What was child doing 30 minutes before taking this sample?
child_gen_info23 String 500 Recommended Medication dosage/amount:
child_gen_info24 String 500 Recommended Has anything out of the ordinary occurred today?
child_gen_info25 Integer Recommended Does anyone in your family or your child have a history of neurological problems (i.e., epilepsy)? 0;1 0= No; 1= Yes
child_gen_info26 String 50 Recommended If yes to neurological problems, please specify who:
child_gen_info27 Integer Recommended Do you know if child is right or left handed? 1 :: 3 1= Right; 2= Left; 3= Don't know
child_gen_info28 Integer Recommended Is anyone in immediate family left handed? 0;1 0= No; 1= Yes
child_gen_info29 Integer Recommended Is child going to daycare? 0;1 0= No; 1= Yes
part_first_saliva01 String 7 Recommended First Sample: Time HH:MM AM or PM
part_first_saliva02 String 500 Recommended First Sample: What was participant doing 30 minutes before taking this sample?
part_first_saliva03 Integer Recommended First Sample: Did participant eat 30 minutes prior to first sample? 0;1 0= No; 1= Yes
child_first_saliva03 Integer Recommended First Sample: Did child eat 30 minutes prior to first sample? 0;1 0= No; 1= Yes
part_first_saliva04 String 100 Recommended First Sample: If yes, what did participant eat?
part_first_saliva05 Integer Recommended First Sample: Did participant exercise in the 30 minutes prior to first sample? 0;1 0= No; 1= Yes
part_sec_saliva01 String 5 Recommended Second Sample: Time HH:MM
part_sec_saliva02 String 500 Recommended Second Sample: What was participant doing 30 minutes before taking this sample?
part_sec_saliva03 Integer Recommended Second Sample: Did participant eat 30 minutes prior to second sample? 0;1 0= No; 1= Yes
part_sec_saliva04 String 100 Recommended Second Sample: If yes, what did participant eat?
part_sec_saliva05 Integer Recommended Second Sample: Did participant exercise in the 30 minutes prior to second sample? 0;1 0= No; 1= Yes
part_third_saliva01 String 5 Recommended Third Sample: Time HH:MM
part_third_saliva02 String 500 Recommended Third Sample: What was participant doing 30 minutes before taking this sample?
part_third_saliva03 Integer Recommended Third Sample: Did participant eat 30 minutes prior to third sample? 0;1 0= No; 1= Yes
child_first_saliva04 String 100 Recommended First Sample: If yes, what did child eat?
part_third_saliva04 String 100 Recommended Third Sample: If yes, what did participant eat?
part_third_saliva05 Integer Recommended Third Sample: Did participant exercise in the 30 minutes prior to third sample? 0;1 0= No; 1= Yes
part_gen_info01 String 7 Recommended Morning wake up time HH:MM AM or PM
part_gen_info02 Integer Recommended Amount of sleep during the night (hours) Time in hours
part_gen_info03 Integer Recommended Amount of sleep during the night (minutes) Time in minutes
part_gen_info04 Integer Recommended Did the participant nap today? 0;1 0= No; 1= Yes
part_gen_info05 String 7 Recommended If yes to the participant did nap; from what time (start) HH:MM AM or PM
part_gen_info06 String 7 Recommended If yes to the participant did nap; to what time (end) HH:MM AM or PM
part_gen_info07 Integer Recommended How long was the nap? (hours) Time in hours
part_gen_info08 Integer Recommended How long was the nap? (minutes) Time in minutes
child_first_saliva05 Integer Recommended First Sample: Did child exercise in the 30 minutes prior to first sample? 0;1 0= No; 1= Yes
part_gen_info09 Integer Recommended Symptoms present for participant today: Runny nose and/or cough 0;1 0= No; 1= Yes
part_gen_info10 Integer Recommended Symptoms present for participant today: Feel warm or flushed 0;1 0= No; 1= Yes
part_gen_info11 Integer Recommended Symptoms present for participant today: Feel aches and pains 0;1 0= No; 1= Yes
part_gen_info12 Integer Recommended Symptoms present for participant today: Nausea or uneasy stomach 0;1 0= No; 1= Yes
part_gen_info13 Integer Recommended Has participant recently taken any antibiotics? 0;1 0= No; 1= Yes
part_gen_info14 String 50 Recommended If yes to antibiotics, what type?
part_gen_info15 Integer Recommended If yes to antibiotics, number of days taken. Number of Days
part_gen_info16 Date Recommended If yes to antibiotics, start date taken MM/DD/YYYY
part_gen_info17 Date Recommended If yes to antibiotics, end date finished MM/DD/YYYY
part_gen_info18 Integer Recommended Has participant taken any other medcation? 0;1 0= No; 1= Yes
child_sec_saliva01 String 5 Recommended Second Sample: Time HH:MM
part_gen_info19 String 500 Recommended Name of Medication(s):
part_gen_info20 String 500 Recommended Medication taken for:
part_gen_info21 String 500 Recommended Medication dosage/amount:
part_gen_info22 Integer Recommended Does participant smoke? 0;1 0= No; 1= Yes
part_gen_info23 Integer Recommended Has participant consumed any alcohol today? 0;1 0= No; 1= Yes
part_gen_info24 String 7 Recommended If yes to alcohol, what time? HH:MM AM or PM
part_gen_info25 Integer Recommended Did anything out of the ordinary or particularly stressful happen today? 0;1 0= No; 1= Yes
part_gen_info26 String 4,000 Recommended If yes to things occurred out of the ordinary of stressful, please specify:
part_gen_info27 Integer Recommended Is participant left or right handed 1;2 1= Left; 2= Right
child_sec_saliva02 String 500 Recommended Second Sample: What was child doing 30 minutes before taking this sample?
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:

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  • Description: A basic description
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