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Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised

70 Shared Subjects

N/A
Clinical Assessments
Substance Use
11/24/2015
ciwa_r01
09/05/2023
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 id, subject_id
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 nausea_ciwa Integer Recommended Do you feel sick to stomach? Vomited? Observation 0::7;-99 0=no nausea; 1=mild; 2= (blank); 3= (blank); 4= intermittent; 5= (blank); 6=(blank); 7= constant nausea; -99= missing
Query tremor_ciwa Integer Recommended Observation of visible tremors with extended arms and fingers spread apart. 0::7;-99 0=no tremor; 1=not visible;2= (blank); 3= (blank); 4=moderate; 5= (blank); 6= (blank); 7: severe; -99= missing
Query sweats_ciwa Integer Recommended Observation of Paroxysmal sweats 0::7;-99 0=no visible sweat; 1= barely visible/palms moist; 2= (blank); 3=(blank); 4=obvious beads of sweat; 5= (blank); 6=(blank); 7= drenching sweats; -99= missing
Query anxiety_ciwa Integer Recommended Do you feel nervous? Observation 0::7;-99 0=no anxiety; 1= mild anxious; 2= (blank); 3= (blank); 4 moderately anxious; 5= (blank); 6 (blank); 7= equivalent to acute panic stress or pschizophrenic reactions; -99 missing
Query tactile_ciwa Integer Recommended Have you any itching, pins and needles sensations, any burning, any numbness, or do you feel bugs crawling on or under your skin? Observation 0::7;-99 0= none; 1= very mild itching; 2=mild itching; 3= moderate itching; 4=moderately severe hallucinations; 5= severe hallucinations; 6= extremely severe hallucinations; 7=continuous hallucinations; -99=missing
Query auditory_ciwa Integer Recommended Are you more aware of sounds around you? Are they harsh? Do they frighten you? Are you hearing anything that is disturbing to you? Are you hearing things you know are not there? Observation 0::7;-99 0=not present; 1=very mild harshness; 2=mild harshness; 3=moderate harshness; 4=moderately severe hallucinations; 5=severe halluciantions; 6= extremely severe hallucinations; 7= continuous halluciantions; -99 missing
Query visual_ciwa Integer Recommended Does the light appear to be too bright? Is its color different? Does it hurt your eyes? Are you seeing anything that is disturbing to you? Are you seeing things you know are not there? Observation 0::7;-99 0=not present; 1=very mild sensitivity; 2=mild sensitivity; 3=moderate sensitivity; 4=moderately severe hallucinations; 5=severe halluciantions; 6= extremely severe hallucinations; 7= continuous halluciantions; -99 missing
Query headache_ciwa Integer Recommended Does your head feel different? Does it feel like there is a band around your head? Observation 0::7;-99 0=not present; 1=very mild; 2=mild; 3=moderate; 4=moderately severe; 5=severe; 6=very severe= 7=extremely severe; -99= missing
Query agitation_ciwa Integer Recommended Agitation. Observation 0::7;-99 0=normal activity; 1=somewhat normal; 2=(blank); 3= (blank); 4=moderately fidgety/restless; 5=(blank); 6=(blank); 7=pacing, thrashes about; -99=missing
Query orientation_ciwa Integer Recommended Orientation and Clouding of Sensorium: Ask the following; (What day is this?) (Where are you?) (Who am I?) 0::4;-99 0=oriented; 1=uncertain of date; 2=disoriented for date no more than 2 days; 3= disoriented for date more than 2 days; 4= disoriented for place/person; -99=missing
Query ciwa_score Integer Required CIWA Total score 998=Not calculable because of remote procedures
Query week Float Recommended Week in level/study 99=week 10-week 14
Query visit String 60 Recommended Visit name
bp String 25 Recommended Blood Pressure
heart_rate Integer Recommended heart rate
custom_src_id String 30 Recommended Subject ID how it's defined in lab/project (used for source IDs that change depending on timepoint/visit/etc.)
assess_done Integer Recommended Was this assessment done in person or remotely? 0;1 0 = In person; 1 = Remotely
vtl004a Integer Recommended Standing Systolic Blood pressure (mm/Hg) 0::300
vtl004b Integer Recommended Standing Diastolic Blood pressure (mm/Hg) 0::200
vtl004c Integer Recommended Standing Pulse (bpm) 0::300
pulse2_standing Integer Recommended Standing Pulse rate (bpm) - range 0::7 0 = Less than 80; 1 = 81-100; 2 = 101-110; 3 = 111-120; 4 = 121-130; 5 = 131-140; 6 = 141-150; 7 = Greater than 150
sysbp Float Recommended Sitting systolic blood pressure (mmHg)
diabp Float Recommended Sitting diastolic blood pressure (mmHg)
pulse_sitting Integer Recommended Sitting Pulse rate (bpm)
pulse2_sitting Integer Recommended Sitting Pulse rate (bpm) - range 0::7 0 = Less than 80; 1 = 81-100; 2 = 101-110; 3 = 111-120; 4 = 121-130; 5 = 131-140; 6 = 141-150; 7 = Greater than 150
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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