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Medical and Psychiatrical History Form

0 Shared Subjects

N/A
Clinical Assessments
Med History
08/15/2016
mphf01
04/16/2018
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_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. v1_mh_age, v1_ph_age
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY v1_mh_date, v1_ph_date
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
dsmcrit Integer Recommended Meets criteria for Bipolar Disorder, Type I or II 0;1;-7 0=No; 1=Yes; -7=Refused v1_ph_clindiagnosisbd
dage Integer Recommended Age at onset of first MDE (major depressive episode) -9=Unknown v1_ph_age_first_de
v1_ph_age_first_treatment_de Integer Recommended Age at first treatment of depression
lifetime_episodes_depression Integer Recommended Number of lifetime depressed episodes v1_ph_lifetime_des
firstman Integer Recommended age at first manic episode v1_ph_age_first_me
v1_ph_age_first_treatment_me Integer Recommended Age at first treatment of manic episode
manic_maneps Integer Recommended Manic and Hypomania Total Number of Manic Episodes v1_ph_lifetime_mes
v1_ph_hospitalization_de Integer Recommended Hospitalization for depressive episode 0;1 0= no; 1= yes
v1_ph_hospitalization_den Integer Recommended Psych History Number of hospitalizations for depressive episodes
v1_ph_hospitalization_me Integer Recommended Hospitalization for manic episode 0;1 0= no; 1= yes
v1_ph_hospitalization_men Integer Recommended Psych History Number of hospitalizations for manic episodes
v1_ph_current_depression Integer Recommended Current episode is depression 0;1 0= no; 1= yes
v1_ph_startdate_current_de Date Recommended Start date of current depressive episode
ksas23 Integer Recommended Major Depressive Episode, Current Episode, Duration (weeks) v1_ph_length_current_de
v1_ph_bdmeds_noresponse Integer Recommended Number of current BD medications subject did not respond to
asaps01g Integer Recommended Suicide attempt 0;1 0 = No;1 = Yes v1_ph_suicide_attempt
suicidalityatt_lifetime_tot Integer Recommended Number of Lifetime Suicide Attempts v1_ph_lifetime_suicideattempts
pu_suicdmo String 20 Recommended Number of suicide attempts month v1_ph_suicideattempts_pastmonth
v1_mh_alcohol_status Integer Recommended Alcohol Use - Status 0::2 0= current; 1= former; 2= never
v1_mh_alcohol_frequency Integer Recommended Alcohol Use - Frequency 0::4 0= daily; 1= weekly; 2= biweekly; 3= monthly; 4= occasionally
v1_mh_alcohol_amount Integer Recommended Alcohol Use - Amount (drinks/week)
v1_mh_nicotine_status Integer Recommended Nicotine Use - Status 0::2 0= current; 1= former; 2= never
v1_mh_nicotine_frequency Integer Recommended Nicotine Use - Frequency 0::4 0= daily; 1= weekly; 2= biweekly; 3= monthly; 4= occasionally
v1_mh_nicotine_amount Integer Recommended Nicotine Use - Amount (packs/week)
v1_mh_cap1 String 500 Recommended Condition/Abnormality/Procedure 1 v1_mh_cap
migraine Integer Recommended migraine headaches 0;1;-7 0=No; 1=Yes; -7=Refused
elv_bp Integer Recommended Elevated Blood Pressure at the visit: systolic blood pressure >= 130 mmHg or diastolic blood pressure >= 85 mmHg 0;1 0=No; 1=Yes raised_bp
cr2 Integer Recommended Diabetes Mellitus 0;1 0 = No current diabetes or random BS < 220;1 = Diagnosis of diabetes or random BS >220 diabetes
version_form String 121 Recommended Form used/assessment name
central_obesity Integer Recommended Central obesity (ethnicity-specific waist circumference) 0 :: 1 0 = no; 1 = yes
bmi_obesity Integer Recommended BMI >= 30 0 :: 1 0 = no; 1 = yes
raised_triglycerides Integer Recommended Raised triglycerides (greater than 1.7 mmol/L for males, greater than 1.29 mmol/L for females, or treatment for lipid abnormality) 0 :: 1 0 = no; 1 = yes
reduced_hdl Integer Recommended Reduced HDL (<1.03 mmol/L for males, <1.29 mmol/L for females, or treatment for lipid abnormality) 0 :: 1 0 = no; 1 = yes
crit1_summary Integer Recommended Meet obesity (WC or BMI) plus trig/hdl/bp criterion item 0 :: 1 0 = no; 1 = yes
inflammatory_bowel_disease Integer Recommended Inflammatory bowel disease (ulcerative colitis, Crohn's disease) 0 :: 1 0 = no; 1 = yes
rheum_disorder_psoriasis Integer Recommended Rheumatological disorders (rheumatoid arthritis); psoriasis 0 :: 1 0 = no; 1 = yes rheumatological_disorder_psoriasis
cigarette_smoking Integer Recommended Smoking cigarettes (daily - minimum half a pack) 0 :: 1 0 = no; 1 = yes
high_crp Integer Recommended C-reactive protein greater than or equal to 5 mg/L 0 :: 1 0 = no; 1 = yes
total_number_inflam_criteria Integer Recommended Total number of inflammatory criteria met DOES NOT INCL MIGRAINE 0 :: 999
v1_mh_cap_total_number Integer Recommended Condition/Abnormality/Procedures - Total number of items mentioned in v1_MH_CAP 0 :: 999
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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