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BIOS Screening Reports

99 Shared Subjects

N/A
Clinical Assessments
Med History
06/08/2017
bios_screening01
06/13/2017
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 id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY adate
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 visit String 60 Recommended Visit name tpoint
Query height Float Recommended Medical history and physical development - Height (inches) inches feet, inches
weight String 50 Recommended weight -5=item seen but not answered; -999=data not submitted (incomplete)
examdate Date Recommended Date of last medical exam? cmedhx11a
Query aller Integer Recommended Allergies, Medications 0;1;9 1 = Yes; 0 = No; 9 = Unknown cmedhx13, medhx2
rev_immunomedallergymed String 255 Recommended Medication Allergies: Medications cmedhx13c, medhx2a
allergic_reaction_spec String 250 Recommended Please specify Food allergies clear allergic reaction not suspected based on family history cmedhx13d, medhx2b
medhx2c String 100 Recommended Please specify insect allergies: cmedhx13e
Query screen18 Integer Recommended Do you have other food allergies? 0;1 0=No; 1=Yes cmedhx13a, medhx2d
Query medhx2e Integer Recommended Do you have any allergies to insects? 0;1 0 = No; 1 = Yes cmedhx13b
Query psych_hosp Integer Recommended Psychiatric hospitalization or counseling, therapy, or treatment for an emotional or psychological problem (including substance abuse/dependence) 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now cmedhx15, medhx3
hup9dx1 String 250 Recommended Physical or mental hospitalizations - details 1st cmedhx15a, medhx3a
hup9dx2 String 250 Recommended Physical or mental hospitalizations - details 2nd cmedhx15b, medhx3b
hup9dx3 String 250 Recommended Physical or mental hospitalizations - details 3rd cmedhx15c, medhx3c
Query cmedhx20 Integer Recommended Any operations? 0;1 0 = No;1 = Yes medhx4
operation1 String 500 Recommended List any operations the participant has had? First occurrence medhx4a
operation2 String 500 Recommended List any operations the participant has had? Second occurrence medhx4b
operation3 String 500 Recommended List any operations the participant has had? Third occurrence medhx4c
Query moos_13a Integer Recommended 13. You Experienced a serious illness or injury 0;1 0 = No; 1 = Yes cmedhx16, medhx5
hup10dx1 String 250 Recommended Accidents, injuries, or other mishaps - details 1st cmedhx16a, medhx5a
hup10dx2 String 250 Recommended Accidents, injuries, or other mishaps - details 2nd cmedhx16b, medhx5b
hup10dx3 String 250 Recommended Accidents, injuries, or other mishaps - details 3rd cmedhx16c, medhx5c
hup10dx4 String 250 Recommended Accidents, injuries, or other mishaps - details 4th cmedhx16d, medhx5d
Query headinjr Integer Recommended head injury 0;1 0= no; 1= yes cmedhx17, medhx6
Query w1_m_cu_hdinj Integer Recommended health at interview - head injury with unconsciousness 0;1; -888; -999 0 = No; 1 = Yes; -999 = missing; -888 = not applicable cmedhx17a, medhx6a
Query cmedhx18 Integer Recommended Are any current medications taken regularly? 0;1 0 = No;1 = Yes medhx7
medication1_name String 500 Recommended Name first medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18a, medhx7a
medication2_name String 500 Recommended Name second medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18b, medhx7b
medication3_name String 500 Recommended Name third medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18c, medhx7c
medication4_name String 500 Recommended Name fourth medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18d, medhx7d
medication5_name String 500 Recommended Name fifth medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18e, medhx7e
medication6_name String 500 Recommended Name sixth medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18f, medhx7f
medication7_name String 500 Recommended Name seventh medication that the participant has taken 0 = No medication; 999= Legitimately skipped cmedhx18g, medhx7g
medication8_name String 500 Recommended Name eighth medication that the participant has taken 0 = No medication; 999= Legitimately skipped medhx7h
medication9_name String 500 Recommended Name ninth medication that the participant has taken medhx7i
medication10_name String 100 Recommended Name tenth medication that the participant has taken medhx7j
medication11_name String 500 Recommended Medication 11 name medhx7k
medication12_name String 500 Recommended Med name12 medhx7l
medication13_name String 500 Recommended Medication 13 name medhx7m
medication14_name String 500 Recommended Medication 14 name medhx7n
Query cmedhx19 Integer Recommended Are there any past medications which were taken regularly? 0;1 0 = No;1 = Yes medhx8
medhx8a String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 1 cmedhx19a
medhx8b String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 2 cmedhx19b
medhx8c String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 3 cmedhx19c
medhx8d String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 4 cmedhx19d
medhx8e String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 5 cmedhx19e
medhx8f String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 6 cmedhx19f
medhx8g String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 7 cmedhx19g
medhx8h String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 8 cmedhx19h
medhx8i String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 9 cmedhx19i
medhx8j String 100 Recommended Have you taken any medications regularly in the past? If yes, please specify: 10
Query subus30 Integer Recommended Does the client currently use any other recreational drugs? 1;0 1=Yes; 0=No medhx9
medhx9a String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 1
medhx9b String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 2
medhx9c String 100 Recommended Do you use other recreational "street" drugs? If yes, please specify - 3
Query ftnd_7 Integer Recommended Do you currently smoke any cigarettes? Y/N 0::2; -99; 77; 88 0=No; 1=Yes; 2=No, but used to; -99=NA; 77=refused; 88=missing medhx11
Query smoke_current_packs Float Recommended how many packs per day if yes? 0::10 medhx11a
Query medhx12 Integer Recommended Do you drink alcohol? 0;1 0 = No; 1 = Yes
Query v1_mh_alcohol_amount Integer Recommended Alcohol Use - Amount (drinks/week) medhx12a
Query q17_b6 Integer Recommended Any problems with eyes or eyesight -7;-8;-9;0;1 Field should not be left blank. If missing please use -78 -9. cmedhx22, medhx13
medhx13a String 100 Recommended If yes, please describe problems with eyes: cmedhx22a
Query cmedhx21 Integer Recommended Has your child had frequent ear infections? 0;1 0 = No;1 = Yes medhx14
medhx14a String 100 Recommended If yes, please describe problems with ears: cmedhx21a
Query medhx15 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Headaches? 0;1 0 = No; 1 = Yes cmedhx35
medhx15a String 100 Recommended If yes, please describe problems with headaches: cmedhx35a
Query medhx16 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Migraines? 0;1 0 = No; 1 = Yes
medhx16a String 500 Recommended If yes, please describe problems with migraines:
Query medhx17 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Fainting? 0;1 0 = No; 1 = Yes
medhx17a String 100 Recommended If yes, please describe problems with fainting:
Query medhx18 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Seizures? 0;1 0 = No; 1 = Yes
medhx18a String 100 Recommended If yes, please describe problems with seizures:
Query cmedhx29 Integer Recommended Have there been any convulsions or other problems with the nervous system? 0;1 0 = No;1 = Yes medhx19
medhx19a String 100 Recommended If yes, please describe neurological problems: cmedhx29a
Query medhx20 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Thyroid problems? 0;1 0 = No; 1 = Yes
medhx20a String 100 Recommended If yes, please describe thyroid problems:
Query medhx21 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Diabetes? 0;1 0 = No; 1 = Yes
medhx21a String 100 Recommended If yes, please describe problems with diabetes:
Query cmedhx34 Integer Recommended Any hormonal problems? 0;1 0 = No;1 = Yes medhx22
medhx22a String 100 Recommended If yes, please describe hormonal or endocrine problems: cmedhx34a
Query medhx23 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any heart problems, chest pain, or circulation problems? 0;1 0 = No; 1 = Yes cmedhx26
medhx23a String 100 Recommended If yes, please describe heart problems, chest pain, or circulation problems: cmedhx26a
Query medhx24 Integer Recommended Please check and briefly describe if you have any problems in the following areas: High blood pressure? 0;1 0 = No; 1 = Yes
medhx24a String 100 Recommended If yes, please describe high blood pressure problems:
Query medhx25 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Asthma? 0;1 0 = No; 1 = Yes
medhx25a String 100 Recommended If yes, please describe asthma problems:
Query cmedhx25 Integer Recommended Is there asthma, recurrent cough or any lung problems? 0;1 0 = No;1 = Yes medhx26
medhx26a String 100 Recommended If yes, please describe lung or breathing problems: cmedhx25a
Query cmedhx27 Integer Recommended Any problems with urination? 0;1 0 = No;1 = Yes medhx27
medhx27a String 100 Recommended If yes, please describe urinary problems: cmedhx27a
Query medhx28 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any liver disease? 0;1 0 = No; 1 = Yes cmedhx33
medhx28a String 100 Recommended If yes, please describe liver disease: cmedhx33a
Query medhx29 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Constipation? 0;1 0 = No; 1 = Yes
medhx29a String 100 Recommended If yes, please describe constipation:
Query cmedhx28 Integer Recommended Any problems with diarrhea or constipation? 0;1 0 = No;1 = Yes medhx30
medhx30a String 100 Recommended If yes, please describe diarrhea problems: cmedhx28a
Query medhx31 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Stomach or duodenal ulcer? 0;1 0 = No; 1 = Yes
medhx31a String 100 Recommended If yes, please describe stomach or dudenal ulcer problems:
Query medhx32 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other stomach or bowel problems? 0;1 0 = No; 1 = Yes
medhx32a String 100 Recommended If yes, please describe stomach or bowel problems:
Query medhx33 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Lupus or other autoimmune disease? 0;1 0 = No; 1 = Yes
medhx33a String 100 Recommended If yes, please describe lupus or autoimmune disease problems:
Query cmedhx30 Integer Recommended Any eczema, hives, or other skin conditions? 0;1 0 = No;1 = Yes medhx34
medhx34a String 100 Recommended If yes, please describe skin problems: cmedhx30a
Query medhx35 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Arthritis? 0;1;-9 0 = No; 1 = Yes; -9 = Not applicable or Missing
medhx35a String 100 Recommended If yes, please describe arthritis problems:
Query medhx36 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Other bone or joint? 0;1 0 = No; 1 = Yes
medhx36a String 100 Recommended If yes, please describe bone and joint problems:
Query medhx37 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Weight loss? 0;1 0 = No; 1 = Yes
medhx37a String 100 Recommended If yes, please describe weight loss problems:
Query medhx38 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Weight gain? 0;1 0 = No; 1 = Yes
medhx38a String 100 Recommended If yes, please describe weight gain problems:
Query medhx39 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For females - Any gynecological problems? 0;1 0 = No; 1 = Yes
medhx39a String 100 Recommended If yes, please describe gynecological problems:
Query medhx40 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For Females - Any menstrual problems? 0;1 0 = No; 1 = Yes
medhx40a String 100 Recommended If yes, please describe menstrual problems:
Query medhx41 Integer Recommended Please check and briefly describe if you have any problems in the following areas: For females - Any pregnancies? 0;1 0 = No; 1 = Yes
Query ros_12sub Integer Recommended If yes to multiple pregnancies, how many? 0 :: 1000; -99 -99=NA medhx41a
Query medhx41b Integer Recommended Any complications with pregancies? 0;1 0 = No; 1 = Yes
wk_preg_status_com String 250 Recommended Pregnancy. If some complications, please specify medhx41c
Query medhx42 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any infectious diseases? 0;1 0 = No; 1 = Yes
medhx42a String 100 Recommended If yes, please describe infectious diseases:
Query medhx43 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any type of cancer? 0;1 0 = No; 1 = Yes
medhx43a String 100 Recommended If yes, please describe cancer problems:
Query medhx44 Integer Recommended Please check and briefly describe if you have any problems in the following areas: Any problems with your blood? For example, excessive bleeding or anemia? 0;1 0 = No; 1 = Yes
medhx44a String 100 Recommended If yes, please describe blood problems:
Query cmedhx38 Integer Recommended Any other medical problems? 0;1;-9 0=No; 1=Yes; -9 = missing/not reported medhx45
Query ecigs_a Integer Recommended Nicotine containing e-cigarettes? 0;1 0 = No; 1 = Yes ecigs_c
Query relationship Integer Recommended Relationship of respondent to individual 1::94;-999 1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker rel
Query q17_b11 Integer Recommended Any problem with mouth lips or teeth -7;-8;-9;0;1 Field should not be left blank. If missing please use -78 -9. cmedhx23
cmedhx23a String 100 Recommended Specify problems with teeth
Query cmedhx24 Integer Recommended Does he/she have frequent cold/sore throats? 0;1 0 = No; 1 = Yes
cmedhx24a String 100 Recommended Details about frequent cold/sore throats
Query cmedhx31 Integer Recommended Has your child ever been anemic? 0;1 0 = No;1 = Yes
cmedhx31a String 100 Recommended Details about anemia
Query medhx_kidur Integer Recommended Kidney/Urinary Problems 0::2; -9 0 = No; 1 = Yes; 2 = Not sure; -9 = missing/not reported cmedhx32
scq_26_sp String 100 Recommended Specify any kind of problem with bladder or kidney or urination cmedhx32a
Query fhe_q10 Integer Recommended Respondent has sleep problems 0;1;9 0= No; 1= Yes; 9= Do not know cmedhx36
hup5dx1 String 250 Recommended Sleep problems - 1st problem cmedhx36a
Query cmedhx37 Integer Recommended Any history of physical and/or sexual abuse? 0;1 0 = No;1 = Yes
cmedhx37a String 100 Recommended Details about physical and/or sexual abuse
Query pabuse Integer Recommended Traumatic Event: Physical abuse 0;1 0 = No; 1 = Yes
Query sabuse Integer Recommended Traumatic Event: Sexual abuse 0;1 0 = No; 1 = Yes
version_form String 121 Recommended Form used/assessment name
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)
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