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NIMH RV Clinical History Checklist

154 Shared Subjects

NIMH Research Volunteer Study – Clinical History Checklist
Clinical Assessments
Med History
05/15/2017
himhrv_chc01
09/27/2017
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
nimh_rv_clinhx_01 Integer Recommended Past treatment for medical/mental health condition 0::4 0=Medical hospitalization; 1=Mental health hospitalization; 2=Treatment for alcohol and/or drug abuse; 3=Mental health counseling; 4=Medication for a mental health condition
current_medication String 300 Recommended subject's current medications nimh_rv_clinhx_02
nimh_rv_clinhx_03 Integer Recommended Cancer 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_04 Integer Recommended Heart disease / Stroke 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_05 Integer Recommended Diabetes 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_06 Integer Recommended Lung disease 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_07 Integer Recommended Liver, stomach, or intestinal disease 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_08 Integer Recommended Kidney disease 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_09 Integer Recommended Thyroid or endocrine disease 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_10 Integer Recommended Blood disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_11 Integer Recommended Epilepsy/seizure disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_12 Integer Recommended Dementia/Alzheimer's disease 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_13 Integer Recommended Other medical disorder (including genetic disorders) 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_14 Integer Recommended Alcohol abuse/dependence 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_15 Integer Recommended Drug abuse/dependence 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_16 Integer Recommended Depression 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_17 Integer Recommended Bipolar disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_18 Integer Recommended Anxiety disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_19 Integer Recommended Schizophrenia/psychosis 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_20 Integer Recommended Autism spectrum disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_21 Integer Recommended Eating disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_22 Integer Recommended Post-traumatic stress disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_23 Integer Recommended Attention deficit hyperactivity disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
nimh_rv_clinhx_24 Integer Recommended Other mental disorder 0::6 0=You; 1=Grandparents; 2=Father; 3=Mother; 4=Siblings; 5=Children; 6=None
cfmh_othr_cancer_cmt String 255 Recommended Cancer. Specify Type nimh_rv_clinhx_03a
nimh_rv_clinhx_04a String 200 Recommended Heart disease / Stroke. Specify
diabetesspecify String 50 Recommended Diabetes if yes specify nimh_rv_clinhx_05a
nimh_rv_clinhx_07a String 200 Recommended Liver, stomach, or intestinal disease. Specify
nimh_rv_clinhx_08a String 200 Recommended Kidney disease. Specify
nimh_rv_clinhx_09a String 200 Recommended Thyroid or endocrine disease. Specify
nimh_rv_clinhx_10a String 200 Recommended Blood disorder. Specify
nimh_rv_clinhx_11a String 300 Recommended Epilepsy/seizure disorder. Specify
nimh_rv_clinhx_12a String 200 Recommended Dementia/Alzheimer's disease. Specify
nimh_rv_clinhx_13a String 200 Recommended Other medical disorder (including genetic disorder). Specify
nimh_rv_clinhx_14a String 200 Recommended Alcohol abuse/dependence. Specify
nimh_rv_clinhx_15a String 200 Recommended Drug abuse/dependence. Specify
nimh_rv_clinhx_17a String 200 Recommended Bipolar disorder. Specify
nimh_rv_clinhx_19a String 200 Recommended Schizophrenia/psychosis. Specify
nimh_rv_clinhx_20a String 300 Recommended Autism spectrum disorder. Specify
depressionspecify String 200 Recommended Depression if yes specify nimh_rv_clinhx_16a
nimh_rv_clinhx_22a String 200 Recommended Eating disorder. Specify
medhx_anxiety_specify String 500 Recommended If Anxiety Disorder, specify: nimh_rv_clinhx_18a
nimh_rv_clinhx_24a String 200 Recommended Other mental disorder. Specify
midihist_028a String 250 Recommended ADD or ADHD (Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder) describe nimh_rv_clinhx_23a
nimh_rv_clinhx_06a String 200 Recommended Lung disease. Specify
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.