|
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 |
|
|
CATIEID, bid |
|
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.
|
dema1 |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
dema2, gender |
Query
|
visitid |
Integer |
|
Recommended |
MetaTrial Visit ID |
|
System variable: unique code for each type of visit -use to merge files
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|
Query
|
truncvis |
Integer |
|
Recommended |
Truncated Visit Number |
|
Created variable: provides a numeric visit number for all visits, including unscheduled and end of phase
|
|
Query
|
phase_ct |
String |
20
|
Recommended |
Current Phase. Phase patient was in at the time of the assessment Phase 4 refers to the follow-up phase. |
Pre-Rand; Phase 1/1A; Phase 2; Phase 3; Phase 4; Phase 1B; Open-Choice Phase; Screening; Phase 1
|
|
|
Query
|
visday |
Integer |
|
Recommended |
Number of days from study baseline to date of visit |
|
|
sfqa0b |
|
protocol |
String |
50
|
Recommended |
Protocol [Study] name |
|
|
|
Query
|
surfqa |
Integer |
|
Recommended |
A. Earned income (competitive employment) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq01, sfqa1a1 |
Query
|
surfqaa |
Integer |
|
Recommended |
Dollar amount for earned income |
|
|
sfq01a, sfqa1a2 |
Query
|
surfqb |
Integer |
|
Recommended |
B. Vocational program (Comprehensive Employment And Training Act [CETA], vocational rehabilitation Sheltered workshop, Goodwill, compensated work Training, incentive therapy) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq02, sfqa1b1 |
Query
|
surfqba |
Integer |
|
Recommended |
B. Dollar amount for vocational program |
|
|
sfq02a, sfqa1b2 |
Query
|
surfqc |
Integer |
|
Recommended |
C. Social Security Retirement Benefits (SSA) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq03, sfqa1c1 |
Query
|
surfqca |
Integer |
|
Recommended |
Dollar amount for SSA |
|
|
sfq03a, sfqa1c2 |
Query
|
surfqd |
Integer |
|
Recommended |
D. Social Security Disability Income (SSDI) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq04, sfqa1d1 |
Query
|
surfqda |
Integer |
|
Recommended |
Dollar amount for SSDI |
|
|
sfq04a, sfqa1d2 |
Query
|
surfqe |
Integer |
|
Recommended |
E. Supplemental Security Income (SSI) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq05, sfqa1e1 |
Query
|
surfqea |
Float |
|
Recommended |
Dollar amount for SSI |
|
|
sfq05a, sfqa1e2 |
Query
|
surfqf |
Integer |
|
Recommended |
F. VA Compensation (service connected) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq06, sfqa1f1 |
Query
|
surfqfa |
Integer |
|
Recommended |
Dollar amount for VA Compensation (service-connected) |
|
|
sfq06a, sfqa1f2 |
Query
|
surfqg |
Integer |
|
Recommended |
G. VA Pension (non- service connected) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq07, sfqa1g1 |
Query
|
surfqga |
Integer |
|
Recommended |
Dollar amount for VA Pension (non-service-connected) |
|
|
sfq07a, sfqa1g2 |
Query
|
surfqh |
Integer |
|
Recommended |
H. Other social welfare benefits state or county (general welfare, Aid to Families with Dependent Children [AFDC]) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq08, sfqa1h1 |
Query
|
surfqha |
Integer |
|
Recommended |
Dollar amount for other social welfare |
|
|
sfq08a, sfqa1h2 |
Query
|
surfqi |
Integer |
|
Recommended |
Unemployment compensation |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq09, sfqa1i1 |
Query
|
surfqia |
Integer |
|
Recommended |
Dollar amount for Unemployment compensation |
|
|
sfq09a, sfqa1i2 |
Query
|
surfqj |
Integer |
|
Recommended |
J. Retirement, investment or savings income |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq10, sfqa1j1 |
Query
|
surfqja |
Integer |
|
Recommended |
Dollar amount for retirement, investment or saving income |
|
|
sfq10a, sfqa1j2 |
Query
|
surfqk |
Integer |
|
Recommended |
K. Rent supplements (including HUD, Section 8 Certificates, living programs receiving public Support) |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq11, sfqa1k1 |
Query
|
surfqka |
Integer |
|
Recommended |
Dollar amount for rent supplements |
|
|
sfq11a, sfqa1k2 |
Query
|
surfql |
Integer |
|
Recommended |
L. Food stamps |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
sfq12, sfqa1l1 |
Query
|
surfqla |
Integer |
|
Recommended |
Dollar amount for Food stamps |
|
|
sfq12a, sfqa1l2 |
Query
|
surfqm |
Float |
|
Recommended |
M. How much money did you receive during the past month from all of these sources? |
|
-9999 = Missing
|
sfq13, sfqa2 |
Query
|
surfqn |
Integer |
|
Recommended |
N. Would you say that the amount of money you received during the past month was more than or less than usual? |
1::3;98
|
1 = More than usual; 2 = Same as usual; 3 = Less than usual; 98 = Don't know
|
sfq14, sfqa3 |
Query
|
dworked |
Integer |
|
Recommended |
How many days in the past month have you actually worked for pay? |
|
|
sfq17, sfqa4 |
Query
|
hworked |
Integer |
|
Recommended |
About how many hours a week do/did you usually work? |
|
999 = Missing
|
sfq18, sfqa5 |
Query
|
earnweek |
Integer |
|
Recommended |
About how much did you earn per week? (round to dollars, no cents) |
|
|
sfq19, sfqa6 |
Query
|
surfq2 |
Integer |
|
Recommended |
IB. In addition to the above earnings, during the past month, have you done any casual employment or day jobs, such as yard work or babysitting over a few days for which you got paid? |
0;1
|
0 = No; 1 = Yes
|
sfq20, sfqa7 |
Query
|
surfq2a |
Integer |
|
Recommended |
About how much did you earn doing day jobs in the past month? (round to dollars, no cents) |
|
|
sfq20a, sfqa7a |
Query
|
surfq3 |
Integer |
|
Recommended |
During the past month, have you done any kind of volunteer work (such as working at a hospital or a school)? |
0;1
|
0 = No; 1 = Yes
|
sfq21, sfqa8 |
Query
|
surfq3a |
Integer |
|
Recommended |
About how many days did you do volunteer work? |
|
|
sfq21a, sfqa8a |
Query
|
surfq3b |
Integer |
|
Recommended |
On a day that you did volunteer work, about how many hours per day did you do volunteer work? |
|
|
sfq21b, sfqa8b |
Query
|
surfq4a |
Integer |
|
Recommended |
In the past month, did your wages include: Health benefits |
0::2
|
0 = No; 1 = Yes; 2 = Not working
|
sfq22, sfqa9a |
Query
|
surfq4b |
Integer |
|
Recommended |
In the past month, did your wages include: Retirement benefits (including Social Security) |
0::2
|
0 = No; 1 = Yes; 2 = Not working
|
sfq23, sfqa9b |
Query
|
surfq4c |
Integer |
|
Recommended |
In the past month, did your wages include: Paid Sick Leave |
0::2
|
0 = No; 1 = Yes; 2 = Not working
|
sfq24, sfqa9c |
Query
|
surfq4d |
Integer |
|
Recommended |
In the past month, did your wages include: Other fringe benefits |
0::2
|
0 = No; 1 = Yes; 2 = Not working
|
sfq25, sfqa9d |
Query
|
surfq4e |
Integer |
|
Recommended |
If you did not work in the past month, were you looking for work? |
0::2
|
0 = No; 1 = Yes; 2 = Working
|
sfqa10 |
Query
|
arrest |
Integer |
|
Recommended |
If you had any contacts with the police in the past month, how many resulted in your being picked up or arrested for any criminal activity in the past month? |
|
|
sfqa11 |
Query
|
police |
Integer |
|
Recommended |
How many times in the past month have you had contact with police other than arrests (e.g., loitering)? |
|
|
sfqaa12 |
Query
|
court |
Integer |
|
Recommended |
How many times in the past month did you go to court? (Include only court appearances for offenses listed above). |
|
|
sfqa13 |
Query
|
nitejail |
Integer |
|
Recommended |
How many nights in the past month did you spend in jail? |
|
|
sfqa14 |
Query
|
parole |
Integer |
|
Recommended |
Are you currently on probation or parole? |
0;1
|
0 = No; 1 = Yes
|
sfqa15 |
Query
|
officer |
Integer |
|
Recommended |
How many times in the past month did you see your probation or parole officer? |
|
|
sfqa15a |
Query
|
timeoff |
Integer |
|
Recommended |
When you see your probation or parole officer, how much time do you usually spend with him or her? |
|
|
sfqa15b |
Query
|
income |
Integer |
|
Recommended |
During the past YEAR approximately how much income before taxes and deductions was received by all family members who live with you, excluding yourself. Please include money from all sources. |
0::5
|
0 = Do not live with any family members; 1 = $0-$15000; 2 = $15001-$30000; 3 = $30001-$50000; 4 = $50001-$75000; 5 = Greater than $75000
|
sfq26, sfqa16 |
Query
|
support |
Integer |
|
Recommended |
During the past month how much money did family members provide you for your support? |
|
|
sfq27, sfqa17 |
Query
|
priv1a |
Integer |
|
Recommended |
Which of the following types of health insurance coverage do you have? Private Insurance |
0;1; 3
|
0 = No; 1 = Yes; 3= DK
|
sfq28 |
Query
|
privatea |
Integer |
|
Recommended |
Private Insurance: Through your own employment |
0;1
|
0 = No; 1 = Yes
|
sfq28a |
Query
|
privateb |
Integer |
|
Recommended |
Private Insurance: Through spouse or family members employment |
0;1
|
0 = No; 1 = Yes
|
sfq28b |
Query
|
privatec |
Integer |
|
Recommended |
Private Insurance: Directly purchased (i.e. not through employment) |
0;1
|
0 = No; 1 = Yes
|
sfq28c |
Query
|
privated |
Integer |
|
Recommended |
Private Insurance: Paid by someone not in family |
0;1
|
0 = No; 1 = Yes
|
sfq28d |
Query
|
public1b |
Integer |
|
Recommended |
Which of the following types of health insurance coverage do you have? Public Insurance |
0;1
|
0 = No; 1 = Yes
|
sfq29 |
Query
|
publica |
Integer |
|
Recommended |
Public Insurance: Medicare |
0;1;-7; 3
|
0 = No; 1 = Yes; -7 = Refused; 3=DK
|
sfq29a |
Query
|
publicb |
Integer |
|
Recommended |
Public Insurance: Traditional Medicare |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
publicc |
Integer |
|
Recommended |
Public Insurance: Traditional medicare plus supplemental insurance |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
publicd |
Integer |
|
Recommended |
Public Insurance: Medicare HMO |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
medcaid |
Integer |
|
Recommended |
Which of the following types of health insurance coverage do you have? Medicaid |
0;1; 3
|
0 = No; 1 = Yes; 3=DK
|
|
Query
|
medcaida |
Integer |
|
Recommended |
Medicaid: Traditional Medicaid |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
medcaidb |
Integer |
|
Recommended |
Medicaid: Medicaid managed care |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
medcaidc |
Integer |
|
Recommended |
Medicaid: All medical care |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
medcaidd |
Integer |
|
Recommended |
Medicaid: Behavioral health only |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
insur2 |
Integer |
|
Recommended |
Does your plan require signing up with a primary care doctor or clinic for routine medical care ? |
0;1
|
0 = No; 1 = Yes
|
sfq31 |
Query
|
insur2a |
Integer |
|
Recommended |
Does your plan require approval or referral to see a specialist for medical care? |
0;1
|
0 = No; 1 = Yes
|
sfq32 |
Query
|
insur2b |
Integer |
|
Recommended |
Does your plan require approval or referral to see a specialist for behavioral health services? |
0;1
|
0 = No; 1 = Yes
|
sfq33 |
Query
|
insur2c |
Integer |
|
Recommended |
Does your plan require choosing doctor or clinic from a book, directory or list for medical care? |
0;1
|
0 = No; 1 = Yes
|
sfq34 |
Query
|
insur2d |
Integer |
|
Recommended |
Does your plan require choosing a doctor or clinic from a book, directory or list for behavioral health services? |
0;1
|
0 = No; 1 = Yes
|
sfq35 |
Query
|
insur2e |
Integer |
|
Recommended |
Does your plan pay for out of network care for medical care? |
0;1
|
0 = No; 1 = Yes
|
sfq36 |
Query
|
insur2f |
Integer |
|
Recommended |
Does your plan pay for out of network care for behavioral health services? |
0;1
|
0 = No; 1 = Yes
|
sfq37 |
Query
|
insur2g |
Integer |
|
Recommended |
Does your plan pay for prescription drugs? |
0::4
|
0 = No; 1 = Yes; 2=Yes fully; 3=Yes partially, copay; 4=DK
|
sfq38 |
Query
|
insur2ga |
Integer |
|
Recommended |
Are there deductibles? |
0;1
|
0 = No; 1 = Yes
|
sfq38a |
Query
|
insur2gb |
Integer |
|
Recommended |
Co insurance? |
0;1
|
0 = No; 1 = Yes
|
sfq38b |
Query
|
insur2gc |
Integer |
|
Recommended |
Maximum benefit amount |
|
|
sfq38c |
Query
|
insur2gd |
Integer |
|
Recommended |
Unknown |
0;1
|
0 = No; 1 = Yes
|
sfq38d |
Query
|
fseqno |
Integer |
|
Recommended |
Sequence Number |
0::999
|
The FSEQNO variable in the ADJ form has a special interpretation compared to other forms.
For example, ADJ FSEQNO of '1' can be thought of as being '001', FSEQNO of '2' can be thought of as
being '002', and FSEQNO of '3' can be thought of as being '003'.
The first digit of FSEQNO relates to the corresponding ENF sequence number at that visit and the third
digit relates to the specific adjudicator who completed the adjudication form.
|
|
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
|
Query
|
sfq15 |
Integer |
|
Recommended |
Did [patient] work for pay, at a temporary or day job, or as a volunteer in the past month? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sfq16 |
Integer |
|
Recommended |
If [patient] did not work in the past month, was he/she looking for work? |
0;1;2
|
0=No; 1=Yes; 2=Working
|
|
Query
|
sfq29b |
Integer |
|
Recommended |
Type of medicare |
1;2;3
|
1 = Traditional medicare; 2 = Traditional Medicare plus supplemental i; 3 = Medicare HMO
|
|
Query
|
sfq30 |
Integer |
|
Recommended |
Medicaid |
1; 0
|
1=Yes; 0=No
|
|
Query
|
sfq30a |
Integer |
|
Recommended |
Type of medicaid |
1;2
|
1 = Traditional Medicaid; 2 = Medicaid managed care
|
|
Query
|
sfq30b |
Integer |
|
Recommended |
2nd type of medicaid |
1;2
|
1 = All medical Care; 2 = Behavioral Health only
|
eos04d |
Query
|
monthsbl |
Float |
|
Recommended |
Actual number of months from Baseline |
|
|
|
Query
|
days_baseline |
Integer |
|
Recommended |
Days since baseline |
|
|
|
Query
|
surq011 |
String |
50
|
Recommended |
Is there a person or organization that helps you manage your money? |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq012 |
Integer |
|
Recommended |
Is this person a ... |
1::6
|
1=Family member; 2=Friend; 3=Landlord; 4=Lawyer, banker or accountant; 5=Mental health provider or other clinician; 6=Other
|
|
|
surq012a |
String |
100
|
Recommended |
Is this person a ...Other (specify) |
|
|
|
Query
|
surq013 |
Integer |
|
Recommended |
Are any of your checks mailed directly to this person? |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq014 |
Integer |
|
Recommended |
Does this person serve as a...Someone who receives your social security check and provides you with funds as you need them (Representative payee for Social Security) |
1;2; 9
|
1=Yes; 2=No; 9=DK
|
|
Query
|
surq015 |
Integer |
|
Recommended |
Does this person serve as a...Someone who receives your VA disability check and provides you with funds as you need them. (Fiduciary for VA benefits) |
|
|
|
Query
|
surq016 |
Integer |
|
Recommended |
Does this person serve as a...Someone a court has appointed to manage your funds or help make decisions for you. (Conservator) |
1;2; 9
|
1=Yes; 2=No; 9=DK
|
|
Query
|
surq017 |
Integer |
|
Recommended |
Does this person serve as a...Other money manager |
1;2; 9
|
1=Yes; 2=No; 9=DK
|
|
|
surq017a |
String |
50
|
Recommended |
Other money manager (Specify) |
|
|
|
Query
|
surq018 |
Integer |
|
Recommended |
If you had any contacts with the police in the past month, how many resulted in your being picked up or arrested for any criminal activity in the past month? (Do not include police escort to hospital) |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq019 |
Integer |
|
Recommended |
If you had contacts with police, how many times in the past month have you had contact with them other than arrests (e.g., loitering)? |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq020 |
Integer |
|
Recommended |
If you went to court, how many times in the past month did you go to court? (Include only court appearances for offenses listed above). |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq021 |
Integer |
|
Recommended |
If you were in jail or prison, how many nights In the past month did you spend in jail or prison? |
1;2
|
1=Yes; 2=No
|
|
Query
|
surq026 |
Integer |
|
Recommended |
Public Insurance SCHIP (Federal Healthcare for children, name may vary from by state) |
1;2; 3
|
1=Yes; 2=No; 3=DK
|
|
Query
|
surq027 |
Integer |
|
Recommended |
Public Insurance Veterans Health Administration (VA) |
1;2; 3
|
1=Yes; 2=No; 3=DK
|
|
Query
|
instype |
Integer |
|
Recommended |
Type of Insurance |
1;2; 3
|
1=Private; 2= Public; 3=Uninsured
|
|