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Psychosocial Therapy Exit Form

289 Shared Subjects

N/A
Clinical Assessments
Exit Form
12/24/2014
ptx01
03/22/2023
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 stepid
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
Query pathway Integer Recommended step pathway 1::9 1=SCP; 2=AD-Acute Depression; 3=REFD-Refractory Dep; 4=RELP-Relapse Prevent; 5=Psy-AD-Psychosocial; 6=Psy-REL-Psychosocial; 7=Omega 3; 8=LiMRS; 9=PAD-Psychosocial
Query exitrz Integer Recommended exit days from randomization
Query certcode Integer Recommended stepbd certification code
Query ptsess Integer Recommended number of psychosocial session
codeppt String 20 Recommended primary psychotherapist code
Query lasesday Integer Recommended last session days since randomization
Query compprot Integer Recommended Completed treatment protocol 0;1;-7 0=No; 1=Yes; -7=Refused
Query stopatnd Integer Recommended Patient has stopped attending sessions 0;1;-7 0=No; 1=Yes; -7=Refused
Query nointer Integer Recommended Patient has stated he/she is no longer interested or wishes to stop 0;1;-7 0=No; 1=Yes; -7=Refused
Query noretphn Integer Recommended Patient does not return phone calls 0;1;-7 0=No; 1=Yes; -7=Refused
Query nointfam Integer Recommended Family members have stated they are no longer interested or will no longer attend 0;1;-7 0=No; 1=Yes; -7=Refused
Query notneed Integer Recommended Therapist believes additional sessions are not clinically indicated 0;1;-7 0=No; 1=Yes; -7=Refused
Query noafford Integer Recommended Patient can no longer financially afford therapy sessions 0;1;-7 0=No; 1=Yes; -7=Refused
Query tranprob Integer Recommended Problems in transportation have made regular sessions impossible 0;1;-7 0=No; 1=Yes; -7=Refused
Query moved Integer Recommended Patient has moved away 0;1;-7 0=No; 1=Yes; -7=Refused
Query comordis Integer Recommended Patient has developed comorbid disorders that make treatment impossible 0;1;-7 0=No; 1=Yes; -7=Refused
Query injail Integer Recommended Patient is in jail 0;1;-7 0=No; 1=Yes; -7=Refused
Query inresfac Integer Recommended Patient is in a long-term hospital or residential facility that makes continuation impossible 0;1;-7 0=No; 1=Yes; -7=Refused
Query comormd Integer Recommended Patient has developed a medical illness that makes continued attendance impossible 0;1;-7 0=No; 1=Yes; -7=Refused
Query other Integer Required Other prevent dose increase 0;1;999 0 = No; 1 = Yes othexit
Query site String 101 Recommended Site Study Site siteid
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.