|
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 |
|
|
subjectid |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
visit_date |
|
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 |
|
session_id |
String |
20
|
Recommended |
session ID/screening ID |
|
|
|
|
saps_ad8 |
String |
30
|
Recommended |
Form name |
|
|
form_name |
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
site_uid |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
visit_name |
Query
|
completed |
Integer |
|
Recommended |
Checks if completed |
0::3
|
0=No; 1=Yes; 2=Yes, lost; 3=Unverified
|
tstst |
Query
|
rlhqyr |
Integer |
|
Recommended |
RLHQ Module III Year |
|
|
|
Query
|
rlhqmth |
Integer |
|
Recommended |
RLHQ Module III Month |
|
|
|
Query
|
rlhqday |
Integer |
|
Recommended |
RLHQ Module III Date of Month |
|
|
|
|
rlhqnts |
String |
250
|
Recommended |
Notes about premenstrual/menstrual symptoms |
|
|
|
Query
|
rlhq1q1 |
Integer |
|
Recommended |
Patient's status is childbearing potential |
1;2
|
1=Yes; 2=No
|
|
Query
|
rlhq11n |
Integer |
|
Recommended |
If no, please chack appropriate option |
1::4
|
1=Status post hhysterectomy (ovary sparing/bilateral oophorectomy); 2=Bilateral tubal ligation; 3=Post menopausal (last menses at least one year prior to screening); 4=Other
|
|
|
rlhq11sp |
String |
250
|
Recommended |
Other specify |
|
|
|
|
rlhqcntr |
String |
250
|
Recommended |
Please document form of contraception |
|
|
|
Query
|
rlhq1q2 |
Integer |
|
Recommended |
Please check the appropriate menopause status |
1::4
|
1=Premenopausal; 2=Perimenopausal; 3=Post menopausal non surgical (more than 12 months); 4=Post menopausal surgical
|
|
Query
|
mnpsage |
Integer |
|
Recommended |
Age of menopause (Years) |
|
|
|
|
dtoosrg |
Date |
|
Recommended |
Date of oophorectomy surgery |
|
|
|
Query
|
rlhqoc |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Oral Contraceptive |
|
|
|
Query
|
rlhqptch |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Patch |
|
|
|
Query
|
rlhqhiud |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Hormonal IUD |
|
|
|
Query
|
rlhqdepo |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Depo-contraceptive |
|
|
|
Query
|
rlhqhrmn |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Hormonal therapy |
|
|
|
Query
|
rlhqcrm |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 vaginal creams |
|
|
|
Query
|
rlhqrng |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Rings |
|
|
|
Query
|
rlhqadrg |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Androgens |
|
|
|
Query
|
rlhqoth |
Integer |
|
Recommended |
RLHQ Module 1 Question 3 Other |
|
|
|
|
rlhq13sp |
String |
250
|
Recommended |
RLHQ Module 1 Question 3 Other specify textbox |
|
|
|
Query
|
meau_01d |
Integer |
|
Recommended |
If yes, have you been experiencing any hot flashes in the past month? |
0;1
|
0=No; 1=Yes
|
rlhq1q4 |
Query
|
rlhq1q5 |
Integer |
|
Recommended |
If yes, do hot flashes interfere with sleep? |
1;2
|
1=Yes; 2=No
|
|
|
mnstrdt |
Date |
|
Recommended |
Date of Last Menstrual Period |
|
|
rlhq1q6 |
Query
|
mencycle |
Integer |
|
Recommended |
type of menstrual cycle |
1::3
|
1=Regular; 2=Irregular; 3=Not occurred for 3 months
|
rlhq1q6a |
Query
|
fmc4a |
Integer |
|
Recommended |
If history of menstruation, days between start of each menstrual period (regular cycle)[Caution: Beware of extreme outliers] |
|
|
rlhq1q6b |
Query
|
permen |
Integer |
|
Recommended |
Premenstrual exacerbation |
1;0;-7
|
0=No; 1=Yes;-7=Refused
|
rlhq1q6c |
Query
|
rlhq2q1 |
Integer |
|
Recommended |
Current use of ORAL contraceptive pills? |
1;2
|
1=Yes; 2=No
|
|
|
rlhq21dt |
Date |
|
Recommended |
Date contraceptive started |
|
|
|
|
rlhq21nm |
String |
100
|
Recommended |
Name of contraceptive |
|
|
|
Query
|
rlhq21sc |
Integer |
|
Recommended |
Schedule of contraceptive |
1;2
|
1=Monthly bleed; 2=Third month bleed/ continuous
|
|
|
rlhq21dc |
Date |
|
Recommended |
Date of last contraceptive dose change |
|
|
|
|
rlhq21fp |
Date |
|
Recommended |
Date of first day of current pill pack |
|
|
|
Query
|
rlhq2q2 |
Integer |
|
Recommended |
Current use of other hormonal birth control such as NuvaRing, Contraceptive Patch, or Depo Provera |
1;2
|
1=Yes; 2=No
|
|
|
rlhq22dt |
Date |
|
Recommended |
Date other birth control started |
|
|
|
|
rlhq22nm |
String |
50
|
Recommended |
Other birth control name |
|
|
|
|
rlhq22ds |
String |
50
|
Recommended |
Other birth control dose |
|
|
|
|
rlhq22dc |
Date |
|
Recommended |
Date of last birth control dose change |
|
|
|
|
rlhq22lp |
Date |
|
Recommended |
Date of last Ring/Patch placement/injection |
|
|
|
Query
|
q25_intrauterine_device |
Integer |
|
Recommended |
Presence of: Intrauterine Device |
0;1
|
0 = No; 1 = Yes
|
rlhq2q3 |
|
rlhq23dp |
Date |
|
Recommended |
Date placed |
|
|
|
Query
|
rlhq23tp |
Integer |
|
Recommended |
Type of IUD |
1;2
|
1=Copper IUD; 2=Mirena / Progesterone IUD
|
|
Query
|
rlhq2q4 |
Integer |
|
Recommended |
Current use of testosterone, DHEA, or methyltestosterone? |
1;2
|
1=Yes; 2=No
|
|
|
rlhq24dt |
Date |
|
Recommended |
Date treatment started |
|
|
|
|
rlhq24nm |
String |
50
|
Recommended |
Treatment name |
|
|
|
|
rlhq24ds |
String |
50
|
Recommended |
Treatment dose |
|
|
|
|
rlhq24dc |
Date |
|
Recommended |
Date of last treatment dose change |
|
|
|
Query
|
rlhq2q5 |
Integer |
|
Recommended |
Current use of thyroid hormone augmentation? |
1;2
|
1=Yes; 2=No
|
|
|
rlhq25dt |
Date |
|
Recommended |
Date hormones started |
|
|
|
|
rlhq25nm |
String |
50
|
Recommended |
Thyroid treatment name |
|
|
|
|
rlhq25ds |
String |
50
|
Recommended |
Thyroid treatment dose |
|
|
|
|
rlhq25dc |
Date |
|
Recommended |
Date of last thyroid treatment dose change |
|
|
|
|
date_updated |
Date |
|
Recommended |
Date record updated |
|
|
edit_date |
|
comments |
String |
4,000
|
Recommended |
Comments about assessment |
|
|
efirstlan |
|
mencycle_regularity |
Integer |
|
Recommended |
Does the patient currently have regular menstrual periods, approximately once per month? |
0;1
|
0=No; 1=Yes
|
|
|
men_pme |
Integer |
|
Recommended |
Does the patient have a history of worsening in relation to the luteal or premenstrual part of the menstrual cycle (ie., 3-14 days of mood worsening prior to the onset of menses during most menstrual cycles)? |
0;1
|
0=No; 1=Yes
|
|