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ICAN Physical Examination

0 Shared Subjects

N/A
Clinical Assessments
Phys Exam
12/10/2019
ican_physed01
03/27/2020
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::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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
vitd_done Integer Recommended Vitamin D test completed? 0;1 0= No; 1= Yes
mhf_23 Integer Recommended Checks if physical exam was administered 0;1 0=No; 1=Yes pe_done
ekg_done Integer Recommended EKG Completed? 0;1 0= No; 1= Yes
blood_tests_done Integer Recommended Protocol Blood Tests completed? 0;1 0= No; 1= Yes
vitamind_orig_result Float Recommended Vitamin D at Original Screening
vitamind_date Date Recommended Date of Vitamin D Test
vitamind_result Float Recommended Vitamin D Test Result
vitamind_normal Integer Recommended Vitamin D Test Normal 0;1 0= No; 1= Yes
vitamind_dose Integer Recommended Dose of Vitamin D recommended to increase level
vitamind_meal Integer Recommended Was dose taken with a fatty meal? 0;1 0= No; 1= Yes
vitamind_cs Integer Recommended Vitamin D Treatment Required? 0;1 0= No; 1= Yes
pex011a Integer Recommended Evaluation: General appearance 1::7; -9 1=Normal; 2=Abnormal, NOT clinically significant; 3=Abnormal, clinically significant; 4=Abnormal; 5=Abnormal Excludes; 6=Abnormal Does not Exclude; 7=Other; -9=Not Evaluated system_gen
system_hair Integer Recommended Hair texture 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_nose Integer Recommended Nose and Sinuses 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_mouth Integer Recommended Mouth and Throat 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_ears Integer Recommended Ears 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_eyes Integer Recommended Eyes 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
pex004a Integer Recommended Evaluation: Lungs 1::6; -9 1=Normal;2=Abnormal, NOT clinically significant;3=Abnormal, clinically significant; 4=Abnormal;5=Abnormal Excludes; 6=Abnormal Does Not Exclude; -9=Not Evaluated system_lungs
system_heart Integer Recommended Heart 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_vasc Integer Recommended Vascular 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_abd Integer Recommended Abdomen 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
phex_q42 Integer Recommended Genitourinary Result 1::7; -9 1=Normal; 2=Abnormal, NOT clinically significant; 3=Abnormal, clinically significant; 4=Abnormal; 5=Abnormal; Excludes from Study; 6=Abnormal, Dos Not Exclude from Study; 7=Other; -9=Not Evaluated system_gs
system_endo Integer Recommended Endocrine and Metabolic 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_skel Integer Recommended Musculoskeletal 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_skin Integer Recommended Skin and Lymphatics 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_neuro Integer Recommended Neurological 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_other Integer Recommended Other Physical system 1::3;98 1- Normal; 2= Abnormal, Clinically Siginificant; 3= Abnormal, Not Clinically Significant
system_abn_cz String 20 Recommended Describe other abnormal physical system
thyroid_hair Integer Recommended Signs of Thyroid Problems: Hair Texture 0;1 0= No; 1= Yes
thyroid_dtr Integer Recommended Signs of Thyroid Problems: DTRs 0;1 0= No; 1= Yes
thyroid_palpable Integer Recommended Signs of Thyroid Problems: Palpable Thyroid 0;1 0= No; 1= Yes
thyroid_thin Integer Recommended Signs of Thyroid Problems: thin skin 0;1 0= No; 1= Yes
thyroid_coarse Integer Recommended Signs of Thyroid Problems: Coarse Skin 0;1 0= No; 1= Yes
allergy_eyelid Integer Recommended Signs of Allergies: puffy eyelids 0;1 0= No; 1= Yes
allergy_eyes Integer Recommended Signs of Allergies: Red eyes 0;1 0= No; 1= Yes
allergy_congestion Integer Recommended Signs of Allergies: Nasal Congestion 0;1 0= No; 1= Yes
allergy_eczema Integer Recommended Signs of Allergies: eczema 0;1 0= No; 1= Yes
allergy_rash Integer Recommended Signs of Allergies: Rash 0;1 0= No; 1= Yes
allergy_salute Integer Recommended Signs of Allergies: allergic salute 0;1 0= No; 1= Yes
allergy_nose Integer Recommended Signs of Allergies: Nose Crease 0;1 0= No; 1= Yes
q19_a3 Integer Recommended Tanner Stage 1 :: 5 1=pre puberty, 2=early puberty, 3=mid puberty, 4=late puberty, 5=post puberty tanner_stage
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
blood_tests_code String 20 Recommended Blood Lab Test
blood_test_abnormal_spfy String 300 Recommended Describe abnormality of the blood test results blood_tests_result
blood_test_abnormal Integer Recommended 6a. Were the blood test results ABNORMAL? 0;1;-7 0 = No; 1 = Yes; -7 = Don't Know blood_tests_normal
blood_tests_significant Integer Recommended Was blood test result clinically significant? 0;1 0= No; 1= Yes
heart_rate Integer Recommended heart rate
ekg_abn Integer Recommended Was EKG abnomal? 0::2 0= No; 1= Yes, Clinically Significant; 2= Yes, Not Clinically Significant
ekg_supine Integer Recommended Supine 5 minutes? 0;1 0= No; 1= Yes
ekg_rhythm Integer Recommended EKG rhythm 1::3;97 1= Normal (including sinus arrythmia); 2= Bradycardia; 3= Tachycardia; 97= Other
ekg_qt_int_uncorr Integer Recommended QT Interval Uncorrected? 0;1 0= No; 1= Yes
ekg_collect_time Integer Recommended EKG Collection time
ekg_pr_int Integer Recommended EKG PR Interval (in ms)
ekg_qr_dur Integer Recommended EKG QRs Duration (in ms)
ekg_qt_int Integer Recommended EKG QT Interval (in ms)
ekg_rhythm_other String 200 Recommended Describe other EKG Rhythm
resp_source Integer Recommended Respondent Source 1::6 1= subject; 2= parent; 3= clinician; 4= teacher; 5= trainer; 6= fidelity reviewer source
site String 101 Recommended Site Study Site
session Integer Recommended Session
validity String 13 Recommended Validity rating Yes;No;Questionnable
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

Please email the The NDA Help Desk with any questions.