|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
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src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
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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.
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interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
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sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
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gender |
Query
|
phne_sc_1 |
String |
200
|
Recommended |
1. What is your native language? |
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phne_sc_2 |
String |
40
|
Recommended |
What is your highest grade completed in school? |
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Query
|
phne_sc_3 |
String |
5
|
Recommended |
3. Have you ever had an MRI done before? |
Yes;No
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Query
|
phne_sc_4 |
String |
120
|
Recommended |
When (have you had an MRI done before)? |
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Query
|
phne_sc_5 |
String |
5
|
Recommended |
Did you experience problems? |
Yes;No
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Query
|
phne_sc_6 |
String |
5
|
Recommended |
4. Have you ever had surgery or any other invasive procedures? Or any implants of any kind? |
Yes;No
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Query
|
phne_sc_7 |
String |
160
|
Recommended |
What kind of surgery have you had and when did you have it? |
|
Heart:(i.e. cardiac pacemaker, cardiac defibrillator, heart valve replacement); Brain/Head:(aneurysm clip, ear implant); Spine/Body:(metal rods in bones; joint replacement, metal or wire mesh implants, transdermal deliver system (Nitro), nerve stimulation device or electronic pumps, impanted drug infusion device, vascular filter, IUD or diaphragm)
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Query
|
phne_sc_8 |
String |
5
|
Recommended |
May we have the name and phone number of your physician to verify this information if needed? |
Yes;No
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Query
|
phne_sc_9 |
String |
5
|
Recommended |
5. Are you currently nursing, pregnant, or planning on becoming pregnant? |
Yes;No
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Query
|
phne_sc_10 |
String |
5
|
Recommended |
Are you currently using birth control pills or any contraception? |
Yes;No
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Query
|
phne_sc_11 |
String |
5
|
Recommended |
6. Do you currently wear any dental devices (braces, orthodontia)? |
Yes;No
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|
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Query
|
phne_sc_12 |
String |
5
|
Recommended |
7. Do you have any tattoos or body piercings that cannot be removed? |
Yes;No
|
|
|
Query
|
phne_sc_13 |
String |
5
|
Recommended |
Do the tattoos have any metal in the ink? |
Yes;No
|
|
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Query
|
phne_sc_14 |
String |
5
|
Recommended |
8. Have you ever worked as a machinist, metal worker, or in any profession or hobby involving |
Yes;No
|
|
|
Query
|
phne_sc_15 |
String |
5
|
Recommended |
9. Have you ever been injured (shot, cut) with a metallic object? |
Yes;No
|
|
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Query
|
phne_sc_16 |
String |
100
|
Recommended |
If so please describe (have you ever been injured with a metallic object) |
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|
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Query
|
phne_sc_17 |
String |
5
|
Recommended |
10. Have you ever had an injury to your eyes or been in a car accident which involved metal objects entering the eyes? |
Yes;No
|
|
|
Query
|
phne_sc_18 |
String |
5
|
Recommended |
11. Do you wear glasses or contact lenses? |
Yes;No
|
|
|
Query
|
phne_sc_19 |
String |
5
|
Recommended |
12. Do you have any problems with hearing (partial, full hearing loss)? |
Yes;No
|
|
|
Query
|
phne_sc_20 |
String |
5
|
Recommended |
Do you wear any ear pieces such as a hearing aid? |
Yes;No
|
|
|
Query
|
phne_sc_21 |
String |
5
|
Recommended |
13. Do you have any fears of small spaces? (Claustrophobia) |
Yes;No
|
|
|
Query
|
phne_sc_22 |
String |
5
|
Recommended |
14. Do you feel anxious in crowded rooms? |
Yes;No
|
|
|
Query
|
phne_sc_23 |
String |
5
|
Recommended |
15. Do you feel anxious in elevators? |
Yes;No
|
|
|
Query
|
phne_sc_24 |
String |
5
|
Recommended |
16. Can you lie flat on your back for 1 hour where your head is enclosed in a small tube? |
Yes;No
|
|
|
Query
|
phne_sc_25 |
String |
5
|
Recommended |
17. (A drug test is required) is this an issue for you ? |
Yes;No
|
|
|
Query
|
phne_sc_26 |
String |
5
|
Recommended |
18. Do you have a financial conservator or other? |
Yes;No
|
|
|
Query
|
phne_sc_28 |
String |
5
|
Recommended |
Health/ Medical.1. Are you currently seeing a doctor to be treated? |
Yes;No
|
|
|
|
phne_sc_29 |
String |
100
|
Recommended |
Health/Medical. If yes (are you currently seeing a doctor to be treated) Please describe? |
|
|
|
Query
|
phne_sc_30 |
String |
5
|
Recommended |
Health/ Medical.2. Have you ever been hospitalized for a psychiatric illness? |
Yes;No
|
|
|
Query
|
phne_sc_31 |
String |
200
|
Recommended |
Health/Medical. If yes (have you ever been hospitalized for a psychiatric illness), please describe |
|
|
|
Query
|
phne_sc_32 |
String |
5
|
Recommended |
Health/ Medical. Have you been hospitalized at all in the last 6 months? |
Yes;No
|
|
|
Query
|
phne_sc_33 |
String |
100
|
Recommended |
Health/Medical. If yes (have you been hospitalized at all in the last 6 months) please describe. |
|
|
|
Query
|
phne_sc_34 |
String |
5
|
Recommended |
Health/ Medical.3. Have you ever been diagnosed or are you currently diagnosed with a psychological disorder? |
Yes;No
|
|
|
Query
|
phne_sc_35 |
String |
5
|
Recommended |
Health/ Medical.4. Have you ever had a seizure? |
Yes;No
|
|
|
Query
|
phne_sc_36 |
String |
100
|
Recommended |
Health/Medical. If yes (have you ever had a seizure) please describe |
|
|
|
Query
|
phne_sc_37 |
String |
5
|
Recommended |
Health/ Medical.5. Have you ever had a brain injury (TBI=traumatic brain injury, brain lesion, loss of consciousness for more than 30 minute)? |
Yes;No
|
|
|
Query
|
phne_sc_38 |
String |
100
|
Recommended |
Health/Medical. Explain (have you ever had a brian injury) |
|
|
|
Query
|
phne_sc_39 |
String |
5
|
Recommended |
Health/ Medical.6. Are you currently taking any medications? |
Yes;No
|
|
|
Query
|
phne_sc_40 |
String |
100
|
Recommended |
Health/Medical. If yes (are you currently taking any medications), which ones and dosage |
|
|
|
Query
|
phne_sc_41 |
String |
5
|
Recommended |
Health/Medical. Are any of these new medications? |
Yes;No
|
|
|
Query
|
phne_sc_42 |
String |
120
|
Recommended |
Health/Medical. If so, when did you start taking them? |
|
|
|
Query
|
phne_sc_43 |
String |
5
|
Recommended |
Health/ Medical.7. Do you have any learning disabilities? |
Yes;No
|
|
|
|
phne_sc_44 |
String |
100
|
Recommended |
Health/Medical. If yes (do you have any learning disabilites), please describe |
|
|
|
Query
|
phne_sc_45 |
String |
5
|
Recommended |
Study Specific.1. Have you ever received any social skills training, currently or in the past? |
Yes;No
|
|
|
Query
|
phne_sc_46 |
String |
5
|
Recommended |
Study Specific.2. Any immediate relatives diagnosed with ASD, schizophrenia, psychosis or bipolar disorder? |
Yes;No
|
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