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BU Medical Form

31 Shared Subjects

Boston University Medical Form
Clinical Assessments
Med History
06/27/2013
bu_medical_form01
06/27/2013
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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query eegtest String 10 Recommended Did the subject take a EEG exam?
TRUE;FALSE;UNKNOWN;NK
NK = Not known
Query eeg_age_months Integer Recommended If the participant has had EEG, provide the age in months when they had EEG Age in years using two digit format
Query eeg_age_years Integer Recommended If the participant has had EEG, provide the age in years when they had EEG Age in months using two digit format
Query diagnosis_autism String 10 Required Has the participant been diagnosed with Autism?
Yes;No;999
999=NA/missing
Query diagnosis_autism_madeby String 100 Recommended If the participant has been diagnosed with autism, who gave this diagnosis?
Query diagnosis_seizures String 10 Required Has the participant been diagnosed with seizures?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not apply
Query diagnosis_seizures_current String 20 Required Is child having seizures currently? Yes; No; Don't Know (DK); Not Applicable (N/A)
Query diagnosis_other String 20 Recommended Did the subject recieve another diagnosis? Yes; No; Don't Know (DK); Not Applicable (N/A)
Query diagnosis_other_specify String 500 Recommended What other diagnoses has the participant had?
Query medication_devdisorder String 20 Required Is the child taking medication for a developmental disorder Yes; No; Don't Know (DK); Not Applicable (N/A)
Query medication1_name String 500 Recommended Name first medication that the participant has taken 0 = No medication; 999= Legitimately skipped
Query medication1_current String 10 Required First medication currently taking?
Yes;No;999
999=NA/missing
Query medication2_name String 500 Recommended Name second medication that the participant has taken 0 = No medication; 999= Legitimately skipped
Query medication2_current String 10 Recommended second medication currently taking?
Yes;No
Query medication3_name String 500 Recommended Name third medication that the participant has taken 0 = No medication; 999= Legitimately skipped
Query medication3_current String 10 Recommended third medication currently taking?
Yes;No
medication4_name String 500 Recommended Name fourth medication that the participant has taken 0 = No medication; 999= Legitimately skipped
Query medication4_current String 10 Recommended fourth medication currently taking?
Yes;No
Query specialdiet_current String 6 Required taking special diets presently? TRUE;FALSE;999
Query specialdiet_past String 6 Recommended taking special diets in the past? TRUE;FALSE; NK
Query specialdiet_current_desc String 1,000 Recommended Special diet - Describe
Query supplements_current String 6 Recommended taking Supplements presently? TRUE;FALSE
Query currmed_supplement String 255 Recommended Supplements (Herbal, Vitamin, etc.) (Supplement, Dose, Frequency, Reason)
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.