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ONRC Health Questionnaire

119 Shared Subjects

ONRC Health Questionnaire
Clinical Assessments
Med History
01/06/2014
onrc_health01
01/06/2014
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_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.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
Query q01_learn Integer Recommended How did you learn about the research project? 1::8 1 = Random phone screen; 2 = Radio or TV; 3 = Newspaper; 4 = Flyer; 5 = Friend or Colleague; 6 = School Recruitment; 7 = Hosital Affiliate; 8 = Other
Query height_met Float Recommended Height - Metric Unit 999 = Missing q10_height
Query weight_met Float Recommended Weight - Metric Unit 999 = Missing q11_weight
Query handedness String 29 Required handedness
R;L;B;999
R = Right; L = Left; B = Both q12_hand
Query hispanic Integer Recommended Is subject of Hispanic, Latino, or Spanish origin? 0; 1; 999 0 = No; 1 = Yes; 999= missing q13_hispanic
Query race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White q14_race
Query spoken_eng Integer Recommended Are you fluent in spoken English? 0;1 0 = No; 1 = Yes spoken_eng
Query written_eng Integer Recommended Are you fluent in written English? 0;1 0 = No; 1 = Yes q16_written_eng
Query eng_first Integer Recommended Is English your first language? 0;1 0 = No; 1 = Yes q17_eng_first
Query lang_raised String 150 Recommended What language were you raised with? q18_lang_raised
Query lang_school String 150 Recommended What language were you schooled in? q19_lang_school
Query sec_lang Integer Recommended Are you fluent in a second language? 0;1 0 = No; 1 = Yes q20_sec_lang
Query oth_lang String 150 Recommended What other languages are you fluent in? q21_oth_lang
Query age_other_lang Integer Recommended At what age did you start learning the other languages? q22_age_other_lang
Query married Integer Recommended Are you married? 1::6 1 = Married/Common Law; 2 = Never Married; 3 = Married and Seperated ;4 = Divorced or Annulled; 5 = Widowed; 6=Living with someone as though married q23_married
Query times_marr Integer Recommended How many times have you married? q24_times_marr
Query marr_end Integer Recommended When did the marriages end? q25_marr_end
Query have_children Integer Recommended Do you have children? 0;1 0 = No; 1 = Yes q26_children
Query kids_num Integer Recommended How many? q27_kid_num
Query mental_ill Integer Recommended Do you have a family history of mental illness? 0;1 0 = No; 1 = Yes q28_mental_ill
Query mental_who_ill String 150 Recommended Who and how are they related? q29_who_ill
Query mentalt_diag String 150 Recommended What is the diagnosis? q30_what_diag
Query mental_when String 150 Recommended When were they diagnosed? q31_when_diag
Query education Integer Recommended How much education have you completed? 5::20 5 = Less Than 5 grade; 6 = 6 grade;7 = 7 grade; 8 = 8 grade; 9 = 9grade; 10 = 10 grade; 11 = 11 grade; 12 = 12 grade;13 = Some college, but no degree;14 = Technical Degree;15 = Associates Degree;16 = More than two years, but no degree;17 = Bachelor's Degree;18 = Some graduate level coursework;19 = Master's Degree;20 = Ph.D. or M.D. q32_edu
Query school_repeat Integer Recommended Did you repeat any years in school? 0;1 0 = No; 1 = Yes q33_repeat
Query repeat_grades String 150 Recommended What grades? q34_grades
Query grad_high_school Integer Recommended Did you graduate high school? 0;1 0 = No; 1 = Yes q35_high_school
Query ged Integer Recommended Did you receive a GED 0;1 0 = No; 1 = Yes q36_ged
Query ged_when String 150 Recommended When q37_when
Query college String 150 Recommended If you did not complete a college program in which you were enrolled, what was the reason? q38_college
resp_occupation String 255 Recommended Respondent's occupation q39_occupation
Query work_always_done Integer Recommended Have you always done this type of work? 0;1 0 = No; 1 = Yes q40_always_done
Query work_why String 150 Recommended If no, why is that? q41_why
Query kind_work String 150 Recommended If no, what kind of work have you done? q42_kind_work
Query work_now Integer Recommended Are you working now? 0::6 0 = Unemployed; 1 = Employed; 2 = Retired; 3 = Not in the labor force; 4 = Full-time Student; 5 = Physical Disability; 6 = Mental Disability q43_work_now
Query long_employ String 150 Recommended If yes, how long have you been with this employer? q44_long_employ
Query why_leave String 150 Recommended If less than 6 months at this employer, why did you leave your last job? q45_why_leave
Query longest_job String 150 Recommended Length of the longest full time job that lasted more than one year? q46_longest_job
Query num_jobs Integer Recommended How many full time jobs have you had that lasted one year or more? q47_num_jobs
Query overnight Integer Recommended Do you work overnight shifts? 0;1 0 = No; 1 = Yes q48_overnight
Query average_sleep Integer Recommended How much sleep do you average per night? q49_sleep
Query heart_dis Integer Required Heart disease, high blood pressure, blood disease, or mitro valve prolapse 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q50_heart_dis
Query hay_allergies Integer Recommended Allergies including hay fever 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q51_allergies
Query adv_reaction Integer Recommended Have you ever had any adverse or bad reaction to any medication 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q52_reaction
Query lung_dis Integer Required Lung disease, including asthma, chronic bronchitis, emphysema, or sleep apnea 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q53_lung_dis
Query stomach_dis Integer Required Stomach disease, including ulcers, chronic indigestion, intestinal disease, gall bladder, or liver disease, hepatitis, or jaundice 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q54_stomach_dis
Query lymph_dis Integer Recommended Disease of lymph glands, thyroid, adrenal gland, or kidney or bladder disease. 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q55_lymph_dis
Query bone_dis Integer Recommended Bone, joint, skin, or muscle disease 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q56_bone_dis
Query diabetes Integer Required Diabetes, or problems with blood sugar levels, if so are you insulin dependant 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q57_diabetes
Query problem_ear Integer Recommended Any ear, nose, or throat problem 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q58_ear
Query problem_eye Integer Recommended Any eye problems including color blindness 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q59_eye
Query genital_dis Integer Required Disease of the gential organs or prostate gland; occurrence of a sexual trasmitted infection, or a positive HIV test 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q60_genital_dis
Query neurological Integer Recommended Neurological disease, head injury, seizures, strokes, or a transient ischemic attack 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q61_neurological
Query migrane Integer Recommended Reccurent/Severe migrane headache 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q62_migrane
Query eating_dis Integer Recommended Eating disorders, including binging, purging, excessive dieting 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q63_eating_dis
Query cancer Integer Recommended Tumor or cancer 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q64_cancer
Query psych_hosp Integer Required Psychiatric hospitalization or counseling, therapy, or treatment for an emotional or psychological problem (including substance abuse/dependence) 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q65_psych_hosp
Query add_diag Integer Required Have you ever been diagnosed with ADD or ADHD 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q66_ADD
Query other_dis Integer Recommended Any other disorders not mentioned 1::4 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now q67_other_dis
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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