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Depression Entry Form

533 Shared Subjects

N/A
Clinical Assessments
Entry Form
12/22/2014
ad01
12/19/2023
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 stepid
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 daysrz Integer Recommended days since randomization
Query certcode Integer Recommended stepbd certification code
Query agege18 Integer Recommended current age ge 18 years 0;1;-7 0=No; 1=Yes; -7=Refused
Query deprcrit Integer Recommended meets criteria major depression 0;1;-7 0=No; 1=Yes; -7=Refused
Query btype Integer Recommended bipolar type 1;2 1=Bipolar Type I; 2=Bipolar Type II
Query taperrx Integer Recommended tapered antidepressants 0;1;-7 0=No; 1=Yes; -7=Refused
Query moodstab Integer Recommended mood stabilizer treatment 0;1;-7 0=No; 1=Yes; -7=Refused
Query usingbc Integer Recommended currently using birth control 0;1;-7 0=No; 1=Yes; -7=Refused bcontrol
Query unrespon Integer Recommended unresponsive to treatment 0;1;-7 0=No; 1=Yes; -7=Refused failstx
Query intoler Integer Recommended intolerance bupropion paroxetine 0;1;-7 0=No; 1=Yes; -7=Refused
Query unstable Integer Recommended unstable or contradication to treatment with antidepressants 0;1;-7 0=No; 1=Yes; -7=Refused
Query hypomani Integer Recommended mixed episode or hypomania 0;1;-7 0=No; 1=Yes; -7=Refused
Query subabuse Integer Recommended curr substance abuse or depend 0;1;-7 0=No; 1=Yes; -7=Refused
Query contrain Integer Recommended Contraindication to mood stabilizers 0;1;-7 0=No; 1=Yes; -7=Refused
Query othstudy Integer Recommended Patient participating in Non-STEP-BD study 0;1;-7 0=No; 1=Yes; -7=Refused nonstep
Query pregnant Integer Recommended Patient is currently pregnant 0::2;-7; 999 0=No; 1=Yes;2=DK;-7= Refused; 999=Legimately skipped
Query pronset Integer Recommended prior to onset of episode 1::3 1=Remission longer than 8 weeks; 2=manic/hypomanic; 3=mixed/cycling
Query lith Integer Recommended lithium yes no 0;1;-7 0=No; 1=Yes; -7=Refused
Query litdose Float Recommended lithium dose in serum
Query carb Integer Recommended carbamazepine 0;1;-7 0=No; 1=Yes; -7=Refused
Query carbdose Float Recommended carbamazepine dose
Query valp Integer Recommended valproate 0;1;-7 0=No; 1=Yes; -7=Refused
Query valdose Float Recommended valproate dose in serum
Query gab Integer Recommended gabapentin 0;1;-7 0=No; 1=Yes; -7=Refused
Query gabdose Float Recommended gabapentin daily dose
Query lamictal Integer Recommended lamotrigine lamictal 0;1;-7 0=No; 1=Yes; -7=Refused lam
Query lamdose Float Recommended lamotrigine daily dose
Query zyprexa Integer Recommended zyprexa olanzapine 0;1;-7 0=No; 1=Yes; -7=Refused olan
Query olandose Float Recommended olanzapine daily dose -999=legitimately skipped
Query othms Integer Recommended other putative mood stabilizer 0;1;-7 0=No; 1=Yes; -7=Refused
Query othdose Float Recommended other mood stab daily dose
Query othunit Integer Recommended other mood stab unit 1::3 1=mmol/L; 2=ug/ml; 3=mg
Query othdose2 Float Recommended other mood stab daily dose
Query othunit2 Integer Recommended other mood stab unit 2 1::3 1=mmol/L; 2=ug/ml; 3=mg
Query askrand Integer Recommended asked patient to be randomized 0;1;-7 0=No; 1=Yes; -7=Refused
Query ptcon Integer Recommended Patient consented
0;1
0=No; 1=Yes consent
Query rcpentry Integer Recommended consent days since randomization
Query adtxopt Integer Recommended Acute Depression treatment option 1::3 1=Paroxetine/placebo; 2=Bupropion/placebo; 3=No Preference
Query whytreat Integer Recommended why choose this treatment 1::4 1=Proven non-responsive to other treatment option; 2=Patient symptoms consistent with treatment chosen; 3=Concerned about side effects of other choice; 4=Other, specify
Query pttx Integer Recommended previous patient treatment protocols 0;1;-7 0=No; 1=Yes; -7=Refused
Query askpsytx Integer Recommended asked patient psychosocial treatment 0;1;-7 0=No; 1=Yes; -7=Refused
Query accpsytx Integer Recommended accepatiented rand psychosocial treatment 0;1;-7 0=No; 1=Yes; -7=Refused
Query stopther Integer Recommended agree to stop other therapy 0;1;-7 0=No; 1=Yes; -7=Refused
Query othrpart Integer Recommended Does the patient have a family member, a spouse, or close friend who would be willing to take part in treatment? 0;1;-7 0=No; 1=Yes; -7=Refused
Query willpart Integer Recommended patient willing others psycho treatment 0;1;-7 0=No; 1=Yes; -7=Refused
Query site String 101 Recommended Site Study Site site_id, siteid
Query adinelig Integer Recommended ineligible for acute depression pharmacotherapy study 0;1;-7 0=No; 1=Yes; -7=Refused
Query refusead Integer Recommended Has the patient been deemed fully eligible for the acute depression pharmacology study but has refused it 0;1;-7 0=No; 1=Yes; -7=Refused
Query takmdsta Integer Recommended most currently take mood stabilizers 0;1;-7; 999 0=No; 1=Yes; -7=Refused; 999=missing
Query offerect Integer Recommended patient offered electroconvulsive therapy 0;1;-7 0=No; 1=Yes; -7=Refused
Query inaprcp Integer Recommended patient inappropriate for rcp 0;1;-7 0=No; 1=Yes; -7=Refused
Query intolmed Integer Recommended History of intolerance to more than one of the following: inositol, lamotrigine, or risperidone 0;1;-7 0=No; 1=Yes; -7=Refused
Query rdisease Integer Recommended retinal disease 0;1;-7 0=No; 1=Yes; -7=Refused
Query reftreat Integer Recommended treatment option 1::4 1=Lamotrigine/Inositol; 2=Risperidone/Inositol; 3=Lamotrigine/Risperidone; 4=No preference
Query ptinrefd Integer Recommended Patient is in refractory depression pathway 0;1;-7 0=No; 1=Yes; -7=Refused
Query more4ref Integer Recommended > 4 weeks in refractory depression pathway 0;1;-7 0=No; 1=Yes; -7=Refused
Query less6ref Integer Recommended < 6 weeks in refractory depression pathway 0;1;-7 0=No; 1=Yes; -7=Refused
Query ssri Integer Recommended Patient is currently taking SSRI 0;1;-7; 999 0=No; 1=Yes; -7=Refused; 999=missing
Query tprozac Integer Recommended Patient is currently taking Prozac 0;1;-7 0=No; 1=Yes; -7=Refused
realmeds Integer Recommended My chances of receving a real medication to treat depression at this point are: 0::4 0= 0%; 1= 25%; 2= 50%; 3= 75%; 4= 100%
mydepression Integer Recommended I believe the chances of my depression being completely better at the end of this study are: 0::6 0= Very Poor; 1= Somewhat Poor; 2= Slightly Poor; 3= No Different; 4= Slightly Good; 5= Somewhat Good; 6= Very Good
endstudy Integer Recommended Compared with now, I think my depression at the end of this study will be: 0::6 0= Much Worse; 1= Somewhat Worse; 2= Slightly Worse; 3= No Different; 4= Slightly Better; 5= Somewhat Better; 6= Much Better
postpartum_mde Integer Recommended Was an major depressive episode present during the postpartum period? 0;1 0=No; 1=Yes
antenatal_mde Integer Recommended Was an major depressive episode present during the antenatal period? 0;1 0=No; 1=Yes
mde_history Integer Recommended Does the patient have a history of a Major Depressive Disorder diagnosis recorded in the chart? 0;1 0=No; 1=Yes
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.