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Female Reproductive Lifecycle and Hormones Questionnaire

57 Shared Subjects

N/A
Clinical Assessments
Med History
04/29/2015
rlhq01

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 subjectid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY visit_date
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
session_id String 20 Recommended session ID/screening ID
saps_ad8 String 30 Recommended Form name form_name
site String 101 Recommended Site Study Site site_uid
Query visit String 60 Recommended Visit name visit_name
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified tstst
Query rlhqyr Integer Recommended RLHQ Module III Year
Query rlhqmth Integer Recommended RLHQ Module III Month
Query rlhqday Integer Recommended RLHQ Module III Date of Month
rlhqnts String 250 Recommended Notes about premenstrual/menstrual symptoms
Query rlhq1q1 Integer Recommended Patient's status is childbearing potential 1;2 1=Yes; 2=No
Query rlhq11n Integer Recommended If no, please chack appropriate option 1::4 1=Status post hhysterectomy (ovary sparing/bilateral oophorectomy); 2=Bilateral tubal ligation; 3=Post menopausal (last menses at least one year prior to screening); 4=Other
rlhq11sp String 250 Recommended Other specify
rlhqcntr String 250 Recommended Please document form of contraception
Query rlhq1q2 Integer Recommended Please check the appropriate menopause status 1::4 1=Premenopausal; 2=Perimenopausal; 3=Post menopausal non surgical (more than 12 months); 4=Post menopausal surgical
Query mnpsage Integer Recommended Age of menopause (Years)
dtoosrg Date Recommended Date of oophorectomy surgery
Query rlhqoc Integer Recommended RLHQ Module 1 Question 3 Oral Contraceptive
Query rlhqptch Integer Recommended RLHQ Module 1 Question 3 Patch
Query rlhqhiud Integer Recommended RLHQ Module 1 Question 3 Hormonal IUD
Query rlhqdepo Integer Recommended RLHQ Module 1 Question 3 Depo-contraceptive
Query rlhqhrmn Integer Recommended RLHQ Module 1 Question 3 Hormonal therapy
Query rlhqcrm Integer Recommended RLHQ Module 1 Question 3 vaginal creams
Query rlhqrng Integer Recommended RLHQ Module 1 Question 3 Rings
Query rlhqadrg Integer Recommended RLHQ Module 1 Question 3 Androgens
Query rlhqoth Integer Recommended RLHQ Module 1 Question 3 Other
rlhq13sp String 250 Recommended RLHQ Module 1 Question 3 Other specify textbox
Query meau_01d Integer Recommended If yes, have you been experiencing any hot flashes in the past month? 0;1 0=No; 1=Yes rlhq1q4
Query rlhq1q5 Integer Recommended If yes, do hot flashes interfere with sleep? 1;2 1=Yes; 2=No
mnstrdt Date Recommended Date of Last Menstrual Period rlhq1q6
Query mencycle Integer Recommended type of menstrual cycle 1::3 1=Regular; 2=Irregular; 3=Not occurred for 3 months rlhq1q6a
Query fmc4a Integer Recommended If history of menstruation, days between start of each menstrual period (regular cycle)[Caution: Beware of extreme outliers] rlhq1q6b
Query permen Integer Recommended Premenstrual exacerbation 1;0;-7 0=No; 1=Yes;-7=Refused rlhq1q6c
Query rlhq2q1 Integer Recommended Current use of ORAL contraceptive pills? 1;2 1=Yes; 2=No
rlhq21dt Date Recommended Date contraceptive started
rlhq21nm String 100 Recommended Name of contraceptive
Query rlhq21sc Integer Recommended Schedule of contraceptive 1;2 1=Monthly bleed; 2=Third month bleed/ continuous
rlhq21dc Date Recommended Date of last contraceptive dose change
rlhq21fp Date Recommended Date of first day of current pill pack
Query rlhq2q2 Integer Recommended Current use of other hormonal birth control such as NuvaRing, Contraceptive Patch, or Depo Provera 1;2 1=Yes; 2=No
rlhq22dt Date Recommended Date other birth control started
rlhq22nm String 50 Recommended Other birth control name
rlhq22ds String 50 Recommended Other birth control dose
rlhq22dc Date Recommended Date of last birth control dose change
rlhq22lp Date Recommended Date of last Ring/Patch placement/injection
Query q25_intrauterine_device Integer Recommended Presence of: Intrauterine Device 0;1 0 = No; 1 = Yes rlhq2q3
rlhq23dp Date Recommended Date placed
Query rlhq23tp Integer Recommended Type of IUD 1;2 1=Copper IUD; 2=Mirena / Progesterone IUD
Query rlhq2q4 Integer Recommended Current use of testosterone, DHEA, or methyltestosterone? 1;2 1=Yes; 2=No
rlhq24dt Date Recommended Date treatment started
rlhq24nm String 50 Recommended Treatment name
rlhq24ds String 50 Recommended Treatment dose
rlhq24dc Date Recommended Date of last treatment dose change
Query rlhq2q5 Integer Recommended Current use of thyroid hormone augmentation? 1;2 1=Yes; 2=No
rlhq25dt Date Recommended Date hormones started
rlhq25nm String 50 Recommended Thyroid treatment name
rlhq25ds String 50 Recommended Thyroid treatment dose
rlhq25dc Date Recommended Date of last thyroid treatment dose change
date_updated Date Recommended Date record updated edit_date
comments String 4,000 Recommended Comments about assessment efirstlan
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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