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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Clinic Visit

5,707 Shared Subjects

N/A
Clinical Assessments
Phys Exam
12/10/2014
ccv01
03/02/2021
View Change History
01
Definition
Submission Template
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 bid, id, randid
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
level String 10 Recommended Treatment level
Query week Float Recommended Week in level/study 99=week 10-week 14
crcid String 40 Recommended CRC ID/ROA ID
Query clinid Integer Recommended Clinician ID
Query clinicid Integer Recommended Clinic ID
Query update Integer Recommended Updated form 0;1 1= yes; 0= no
Query vis_type Integer Recommended Visit type 0::2 1=Phone/remote; 0=doctor's office/In person; 2=No, not phone interview locale, phone
Query menop Integer Recommended Menopausal/post-hysterectomy/male 0;1 0=No; 1=Yes
Query mpdatm Integer Recommended Date of last menstrual period mpdate
Query medication1_name String 500 Recommended Name first medication that the participant has taken 0 = No medication; 999= Legitimately skipped admd1, llaa3a, stnm1
Query medication2_name String 500 Recommended Name second medication that the participant has taken 0 = No medication; 999= Legitimately skipped admd2, llaa3b, stnm2
Query medication3_name String 500 Recommended Name third medication that the participant has taken 0 = No medication; 999= Legitimately skipped admd3, llaa3c, stnm3
Query medication4_name String 500 Recommended Name fourth medication that the participant has taken 0 = No medication; 999= Legitimately skipped admd4, llaa3d, llaada, stnm4
medication1_dosage String 150 Recommended First medication dosage 0 = No medication; 999 = Missing adds1, llaa4a1
medication2_dosage String 100 Recommended Second medication dosage 0 = No medication; 999 = Missing adds2, llaa4b1
Query medication3_dosage String 100 Recommended Third medication dosage 0 = No medication; 999 = Missing adds3, llaa4c1
Query medication4_dosage String 100 Recommended Fourth medication dosage 0 = No medication; 999 = Missing adds4, llaa4d1
Query lithm Integer Recommended Patient taking Li/NTP 0;1 0=No; 1=Yes
Query mtype Integer Recommended Med type 1::4 1=Li; 2=NTP; 3 = Other psychiatric medication, 4 = Non-psychiatric medication
Query serum Float Recommended Most recent serum level
Query drdat Integer Recommended Date blood drawn
Query liadj Integer Recommended Li or NTP dose adjustment needed 0;1;-2 0=No; 1=Yes; -2=N/A
Query litdy Integer Recommended Li or NTP serum level needed today 0;1;-2 0=No; 1=Yes; -2=N/A
Query suicd Integer Recommended Patient presently a suicide risk 0;1 0=No; 1=Yes risksui, risksuic
Query remsn Integer Recommended Patient in remission 0;1 0=No; 1=Yes
Query raise Integer Recommended Dose will be raised 0;1 0=No; 1=Yes
Query effct Integer Recommended Side effects prevent dose increase 0;1 0=Not checked; 1=Checked sideefct
Query cnmd Integer Recommended Concomitant meds prevent dose increase 0;1 0=Not checked; 1=Checked
Query cncn Integer Recommended Medical condition prevents dose increase 0;1 0=Not checked; 1=Checked
Query prtcl Integer Recommended Protocol prohibits dose increase 0;1 0=Not checked; 1=Checked
Query other Integer Required Other prevent dose increase 0;1;999 0 = No; 1 = Yes
Query stmed Integer Recommended Currently on STAR*D meds? 0;1 0=No; 1=Yes
Query stmd1 String 100 Recommended Prescribed med code 1
Query stmd2 String 50 Recommended Prescribed med code 2
Query stmd3 String 50 Recommended Prescribed med code 3
Query stmd4 String 50 Recommended Prescribed med code 4
Query stmd5 String 50 Recommended Prescribed med code 5
Query stmd6 String 50 Recommended Prescribed med code 6
Query stds1 Float Recommended Prescribed med daily dose 1
Query stds2 Float Recommended Prescribed med daily dose 2
Query stds3 Float Recommended Prescribed med daily dose 3
Query stds4 Float Recommended Prescribed med daily dose 4
Query stds5 String 50 Recommended Prescribed med daily dose 5
Query stds6 String 50 Recommended Prescribed med daily dose 6
Query adstart1 Integer Recommended Study med start date at this dose 1
Query adstart2 Integer Recommended Study med start date at this dose 2
Query adstart3 Integer Recommended Study med start date at this dose 3
Query adstart4 Integer Recommended Study med start date at this dose 4
Query stsd1 Float Recommended Prescribed med start date 1
Query stpdate1 Float Recommended Study med stop date1 sted1
Query stsd2 Float Recommended Prescribed med start date 2
Query stpdate2 Float Recommended Study med stop date2 sted2
Query stsd3 Float Recommended Prescribed med start date 3
Query stpdate3 Float Recommended Study med stop date3 sted3
Query stsd4 Float Recommended Prescribed med start date 4
Query stpdate4 Float Recommended Study med stop date4 sted4
Query stsd5 Integer Recommended Prescribed med start date 5
Query stpdate5 Integer Recommended Prescribed med end date 5 sted5
Query stsd6 Integer Recommended Prescribed med start date 6
Query stpdate6 Integer Recommended Prescribed med end date 6 sted6
Query trtmt Integer Recommended Treatment plan 1::4 1=Continue current level; 2=Go to next level; 3=Go to follow up; 4=Exit study
Query fnaid Integer Recommended Billed to third party 0;1 0=No; 1=Yes
Query days_baseline Integer Recommended Days since baseline date
Query visit String 60 Recommended Visit name int1, vtype
Query uvfa1a Integer Recommended Why did this visit occur:Assessment of possible change in psychiatric symptoms? 0;1 0=No; 1=Yes
Query uvfa1b Integer Recommended Why did this visit occur: Assessment of possible change in drug tolerability, adverse event? 0;1 0=No; 1=Yes
Query uvfa1c Integer Recommended Why did this visit occur: Assessment of possible change in medical status. 0;1 0=No; 1=Yes
Query uvfa1d Integer Recommended Why did this visit occur: Assessment of need for medication changes or adjustment or re-supply. 0;1 0=No; 1=Yes
Query fseqno Integer Recommended Sequence Number 0::999 The FSEQNO variable in the ADJ form has a special interpretation compared to other forms. For example, ADJ FSEQNO of '1' can be thought of as being '001', FSEQNO of '2' can be thought of as being '002', and FSEQNO of '3' can be thought of as being '003'. The first digit of FSEQNO relates to the corresponding ENF sequence number at that visit and the third digit relates to the specific adjudicator who completed the adjudication form.
Query version_form String 121 Recommended Form used/assessment name vers
Query daysrz Integer Recommended days since randomization llaa0b, uvfa0b, visitdt
Query llaa1 Integer Recommended Is the patient taking a lipid lowering agent? 0;1 0=No; 1= Yes
Query llaa2 Integer Recommended Since the last study visit, have there been any changes in the specific lipid-lowering agent the patient is taking or in the dose of that agent? 0;1 0=No; 1= Yes
Query medication5_name String 500 Recommended Name fifth medication that the participant has taken 0 = No medication; 999= Legitimately skipped llaa3e, stnm5
Query medication6_name String 500 Recommended Name sixth medication that the participant has taken 0 = No medication; 999= Legitimately skipped llaa3f, stnm6
medication5_dosage String 100 Recommended Fifth medication dosage 0 = No medication; 999 = Missing llaa4e1
Query medication6_dosage String 100 Recommended Sixth medication dosage 0 = No medication; 999 = Missing llaa4f1
Query medication1_unit String 100 Recommended Units of medication #1: llaa4a2
Query medication2_unit String 100 Recommended Units of medication #2: llaa4b2
Query medication3_unit String 100 Recommended Units of medication #3: llaa4c2
medication4_unit String 100 Recommended Units of medication #4: llaa4d2
medication5_unit String 100 Recommended Units of medication #5: llaa4e2
Query medication6_unit String 100 Recommended Units of medication #6: llaa4f2
Query llaa5a Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #1? 0::50; -999 999=Legitimately skipped
Query llaa5b Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #2? 0::50; -999 999=Legitimately skipped
Query llaa5c Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #3? 0::50; -999 999=Legitimately skipped
Query llaa5d Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #4? 0::50; -999 999=Legitimately skipped
Query llaa5e Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #5? 0::50; -999 999=Legitimately skipped
Query llaa5f Integer Recommended Since your last appointment, on how many days did you NOT TAKE medication #6? 0::50; -999 999=Legitimately skipped
Query llaa6a Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication #1? 0::50; -999 999=Legitimately skipped
Query llaa6b Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication #2? 0::50; -999 999=Legitimately skipped
Query llaa6c Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication #3? 0::50; -999 999=Legitimately skipped
Query llaa6d Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication # 4? 0::50; -999 999=Legitimately skipped
Query llaa6e Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication #5? 0::50; -999 999=Legitimately skipped
Query llaa6f Integer Recommended Since your last appointment, on how many days did you take MORE THAN or LESS THAN the prescribed dose of medication #6? 0::50; -999 999=Legitimately skipped
Query llaa7a Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to medication #1: (Choose one LLAA7A from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query llaa7b Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to the medication: (Choose one from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query llaa7c Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to medication #3: (Choose one from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query llaa7d Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to medication #4: (Choose one from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query llaa7e Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to medication #5: (Choose one from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query llaa7f Integer Recommended Based on the clinician's best judgment, please indicate the patient's adherence to the medication: (Choose one from A, B, C, D, or E below) 1::5; 999 999=Legitimately skipped
Query study String 100 Recommended Study; The code for each individual study studyid
Query site String 101 Recommended Site Study Site siteid
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified formcomp
Query subtrial_name Integer Recommended Name of subtrial 1::3 1=Crossover; 2=Guanfacine; 3= Open Label MPH
Query vis_q01 Integer Recommended Attended visit? 0::3 0=No; 1=Yes;2=Yes, visit form entered; 3=Yes, data collected - visit form added later
Query qccur_r Float Recommended QIDS-C current score (transcribed) qccur
Query hrsd_r Float Recommended HRS-D current score (transcribed) 999=missing hrsdcur
Query atmtsuic Integer Recommended Attempted suicide 0;1 0=No; 1=Yes
Query eeg012 Integer Recommended Women only: Still experiencing menstrual periods? 0;1;9 0=No; 1=Yes; 9=N/A menop_1
Query qcbeg_r Float Recommended QIDS-C beginning score (transcribed)
Query qcimp_r Float Recommended QIDS-C percent improvement (transcribed)
Query fibser_1 Integer Recommended 1. Choose the response that best describes the frequency (how often) of the side effects of the medication you have taken within the past week for your depression. 0::7 0=No side effects; 1=Present 10% of the time; 2=Present 25% of the time; 3=Present 5-% of the time; 4=Present 75% of the time; 5=Present 90% of the time; 6=Present all the time; 7=refused fiserf, fiserfrg, fiserfrq
Query fibser_2 Integer Recommended 2. Choose the response that best describes the intensity (how severe) of the side effects that you believe are due to the medication you have taken within the last week for your depression 0::6 0=No side effects; 1=Trivial; 2=Mild; 3=Moderate; 4=Marked; 5=Severe; 6=Intolerable fideri, fiserint
Query fibser_3 Integer Recommended 3. Choose the response that best describes the degree to which antidepressant medication side effects that you have had over the last week have interfered with your day to day functions. 0::6 0=No impairment; 1=Minimal impairment; 2=Mild impairment; 3=Moderate impairment; 4=Marked impairment; 5=Severe impairment; 6=Unable to function due to side effects grseb
Query cgi_sii_0_7 Integer Recommended CGI SII 0 - 7 Improvment/change 0::7; 9 0 = Not assessed; 1 = Very much improved; 2 = Much improved; 3 = Minimally improved; 4 = No change; 5 = Minimally worse; 6 = Much worse; 7 = Very much worse; 9=NA cgi_i
Query maq Integer Recommended 0 = N/A, no prescribed meds;1 = Never missed;2 = Rarely;3 = Sometimes;4 = Less than half the time;5 = About half the time;6 = Somewhat more than half the time;7 = Very often;8 = Nearly all the time;9 = All the time
Query stmed_1 Integer Recommended 0=No;1=Yes
Query stmd7 Integer Recommended
Query medication7_name String 500 Recommended Name seventh medication that the participant has taken 0 = No medication; 999= Legitimately skipped stnm7
Query stsd7 Integer Recommended Prescribed med start date 7
Query sted7 Integer Recommended
Query stds7 Float Recommended
Query phase Integer Recommended Phase 9 =follow up
Query response Integer Recommended 1 = NonResponse(<30% reduction in HRSD scores and HRSD >15 for 2 consecutive visits and met the DSM-IV criteria for MDD for 2 consecutive visits during weeks 6, 8, 10, and 12) 2 = Partial Response(not meeting criteria for NonResponse or Remission) 3 = Remission(>60% reduction in HRSD scores and HRSD <8 for 2 consecutive visits and does not meet DSM-IV criteria for MDD for 2 consecutive visits during weeks 6, 8, 10, and 12)If the patient meets the criteria for NonResponse the patient will advance to the Randomization Phase (Phase II). If the patient has had a partial response, continue at the maximum tolerated dose of the current medication up to week 12 then advance to the Randomization Phase. If the patient meets the criteria for Remission at week 12, continue on current medications in Phase II with patient visits scheduled only once every 4 weeks.
Query pharma_time Integer Recommended time time
baseline_a_002 String 100 Recommended Interview Start Time:
minietm String 10 Recommended Time interview ended
urt_q02 String 5 Recommended Time of last study med taken Q.2 Enter valid time using 24 hour clock in the following format: hh:mm; -888=NA
cpbv01 Integer Recommended Category of Eligibility at study entry: Participant status 0::4 0=Pre-manifest subject with known mutation, SARA score ? 2.5; 1=50%-at- risk subject, SARA score ? 2.5; 2=Early symptomatic subject SARA score > 3 to 9.5 inclusive; 3=Previously early-stage subject during 2009-2012, any SARA score; 4=Control Subject
cpbv02 Float Recommended Total SARA score at the baseline visit
cpbv03 Integer Recommended Participant current status: 0::4 0=50% at risk subject; DNA status unknown; Sara score ? 2.5; 1=50%-at-risk subject, DNA status unknown, SARA score > 3.0; 2=Premanifest subject, with known mutation, SARA score ? 2.5; 3=Early phase subject, with known mutation, SARA score 3 to 9.5; 4=Clearly symptomatic subject SARA score ? 10
cpbv04 Integer Recommended Patricipant Status: Clearly symptomatic subject SARA score ? 10 0;1 0=READISCA participant only; 1=Past participant of CRC-SCA, EUROSCA, ESMI or SPATAX as early-stage patient
cpbv05 Float Recommended Current SARA total score:
cpbv06 Integer Recommended If subject was enrolled as premanifest subject with known genotype at the beginning of this study, does he/she want to know about Phenoconversion? 0;1 0=No; 1=Yes
cpbv07 Integer Recommended If subject is 50%-at-risk subject with unknown genotype, does he/she want to know about Phenoconversion and/or genotype? 0::3 0=Phenoconversion; 1=Genotype; 2=Both; 3=Neither
cpbv08 Date Recommended If premanifest or 50%-at-risk subject has shown SARA >3.0, what is the date of the phenoconversion?
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:

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