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Demographics Form Trauma Study

221 Shared Subjects

N/A
Clinical Assessments
Demographics
02/24/2017
demfts01
02/24/2017
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 :: 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 demo_1, gender
Query demo_2 Integer Recommended Did you lose consciousness when you were injured? 1::3; 9999 1= Yes; 2= No; 3= Unclear; 9999= no data
Query demo_3 String 15 Recommended How long were you unconscious?
Query chartreview016b Integer Recommended Does the Patient have insurance? 0;1;9; -888; -999 0=No; 1=Yes; 9=Not documented; -888=Not Applicable; -999=Missing; demo_4
demo_5 String 15 Recommended Injuries 1= Head (Brain); 2= Face; 3= Neck; 4= Spine; 6= Chest; 7= Abdomen; 8= Pelvis; 9= Upper Extremities; 10= Lower extremities; 9999= no data
Query demo_6 Integer Recommended Are you currently employed or in school? 0;1; 9999 1= Yes; 0= No; 9999= no data
Query demo_7 String 15 Recommended If you are currently employed and/or in school, please choose all that apply 1= Employed Full Time; 2= Employed Part Time; 3= Full Time Student; 4= Part Time Student; 9999= no data
Query demo_8 Integer Recommended What is the best estimate of the total income of ALL family members from all sources, before taxes, in the last calendar year? (Please choose) 1::11; 9999 1= $0 - $10,000; 2= $10,000 - $20,0000; 3= $20,000 - $30,000; 4= $30,000 - $40,000; 5= $40,000 - $50,000; 6= $50,000 - $60,000; 7= $60,000 - $70,000; 8= $70,000 - $80,000; 9= $80,000 - $90,000; 10= $90,000 - $100, 000; 11= Greater than $100,000; 9999= no data
Query demo_9 Integer Recommended Do you have a family history of a formal psychiatric diagnosis or treatment (i.e., anxiety, depression, other?)? 0;1; 9999 1= Yes; 0= No; 9999= no data
Query diagnosis_psycom String 50 Recommended Psychiatric comorbid diagnoses demo_10
Query demo_11 Integer Recommended Psychiatric diagnosis, type of treatment: 0::2; 9999 0= No Treatment; 1= Medication; 2= Psychotherapy; 9999= no data
Query demo_12 String 50 Recommended If prescribed medications for your psychiatric illness, please list type and dose (if you know):
Query demo_13 Integer Recommended Do you have a CURRENT diagnosis of chronic pain? 0; 1; 9999 0= No; 1= Yes; 9999= no data
Query demo_14 Integer Recommended Do you have a PREVIOUS diagnosis fro chronic pain? 0; 1; 9999 0= No; 1= Yes; 9999= no data
Query diagnoses_1 String 4,000 Recommended List all diagnosis here demo_15
Query demo_16 Integer Recommended Marital status 0; 1; 9999 0= No Committed Relationship; 1= Committed Relationship; 9999= no data
Query sldif Integer Recommended Sleep: Difficulty sleeping 0;1 0=No; 1=Yes demo_17
Query demo_18 Integer Recommended Sleeping difficulty: 1::3; 9999 1= Falling asleep; 2= Staying asleep; 3= Both; 9999= no data
Query demo_19 Integer Recommended Do you have a sleep disorder diagnosis? 0; 1; 9999 0= No; 1= Yes; 9999= no data
Query demo_20 String 50 Recommended Sleep disorder diagnosis
Query demo_21 Integer Recommended Rate your sleep quality in the last 24 hours: 1::4; 9999 1= Poor; 2= Fair; 3= Good; 4= Excellent; 9999= no data
Query demo_22 String 15 Recommended How many hours of sleep have you gotten in the last 24 hours?
Query date_menst_psychhx String 30 Recommended First date of the last menstrual cycle (females only) demo_23
Query pre004 Integer Recommended Pregnancy Test Result 1;2;9;-9 1=Positive; 2=Negative; 9=Equivocal; -9=Unknown demo_24
Query curr_edu_attain Integer Recommended What is the highest grade or level of school you have completed or the highest degree you have received? PX011001_Current_Educational_Attainment 0::21;77;99 0=Never Attended/Kindergarten only; 1=1st Grade; 2=2nd Grade; 3=3rd Grade; 4=4th Grade; 5=5th Grade; 6=6th Grade; 7=7th Grade; 8=8th Grade; 9=9th Grade; 10=10th Grade; 11=11th Grade; 12=12th Grade; 13=High School Graduate; 14=GED or Equivalent; 15=Some College, no degree; 16=Associate Degree: occupational, technical, or vocational; 17=Associate degree: Academic program; 18=Bachelor's degree (Example: BA,AB,BS,BBA); 19=Master's Degree (Example: MA,MS,MEng,MEd, MBA); 20=Professional School Degree (Example: MD,DDS,DVM,JD); 21=Doctoral Degree (Example: PhD, EdD); 77=Refused; 99=Don;t Know demo_25
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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