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NYU Medical History Form

0 Shared Subjects

Medical History Form as defined by the Phyllis Green and Randolph Cowen Institute for Pediatric Neuroscience, Child Study Centre, New York University Langone Medical Centre
Clinical Assessments
Med History
07/13/2010
nyu_medical_history01
07/15/2010
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.
where_healthcare String 200 Recommended where does the subject receive regular healthcare
last_doctor_visit Date Recommended when was last visit to doctor
last_physical_exam Date Recommended when was date of last physical
illnesses_conditions String 200 Recommended does subject have any illnesses
illnesses_described String 200 Recommended describe the illness
hospitalizations String 200 Recommended has the subject had any hospitalisations
hospitalizations_described String 200 Recommended describe the hospitalisations
when_hospitalized Date Recommended when was the subject hospitalized
current_medication String 300 Recommended subject's current medications
current_meds_described String 200 Recommended Describe subject's current medications
past_medication String 300 Recommended what are subjects past medications
rev_immunoimmunization String 50 Recommended Immunizations
Up to date;Behind;None;NK
NK = Not known
past_meds_described String 200 Recommended describe subjects past medications
sensitivities_allergies_drugs String 200 Recommended does the subject have any sensitivites or allergies to any drugs
sens_allergies_drugs_described String 200 Recommended describe subjects sensitivities or allergies to any drugs
illness_pregnancy String 200 Recommended did the mother experience any illnesses during pregnancy Yes; No
any_medication_preg String 200 Recommended was the mother given any medication during pregnancy
fertilitydrugs_at_contracep String 200 Recommended were fertility drugs used to help conceive subject Yes; No
presmed_alcohol String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Drink alcohol
Yes;No;999
999 = Don't Know
presmed_drugs String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Use recreational drugs (e.g. marijuana, cocaine, etc)
Yes;No
medication_for_illness String 200 Recommended was the mother given any medication for that illness during pregnancy
presmed_smoke String 50 Required In this pregnancy, did the birth mother do any of the following activities - Smoke cigarettes or other tobacco products
Yes;No;999
999=NA/missing
Query ldnb_wtbirthp Float Recommended How much did this baby weigh at birth (pounds)
ldnb_babydeliver String 50 Recommended How was the baby delivered Vaginal;C-Section;Vacuum;Forceps
forceps_vacuum String 3 Required were forceps or a vacuum used to aid delivery
yes;no;999
fullterm_preg String 3 Required was the pregnancy carried to fullterm
yes;no;999
Query ldnb_wtbirtho Float Recommended How much did this baby weigh at birth (ounces)
ldnb_fapgar String 50 Recommended What were the babys APGAR scores - first APGAR (at 1 minute)
natural_artificial_light String 8 Recommended was the light exposure natural or artificial natural;artificial
Query ldnb_hosptotalbabyday Float Recommended How many days total did this baby stay in the hospital (after delivery up until discharge, including the neonatal ICU) (days) 0 :: 365
notes String 200 Recommended Any additional notes
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
light_exposure_therapy String 200 Recommended was the subject exposed to light therapy during pregnancy or following birth
ldnb_sapgar String 50 Recommended What were the babys APGAR scores - second APGAR (at 5 minutes)
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.