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IVR Form

4,041 Shared Subjects

N/A
Clinical Assessments
Questionnaire
12/10/2014
ivra01
03/22/2023
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 id
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 days_baseline Integer Recommended Days since baseline date
level String 10 Recommended Treatment level
Query week Float Recommended Week in level/study 99=week 10-week 14
Query crcid String 40 Recommended CRC ID/ROA ID
Query update Integer Recommended Updated form 0;1 1= yes; 0= no
Query sae Integer Recommended Was this an SAE (severe adverse event) 0;1 0=No; 1=Yes
Query reason Integer Recommended Primary reason for alert 1::5 1=Suicide attempt within week prior to IVR call; 2=Suicide plan within week prior to IVR call but not at time of IVR call; 3=Suicidal plan at time of IVR call; 4=Misunderstanding of IVR questions; 5=Other reason
Query action_ia Integer Recommended Action taken 0;1 0=No; 1=Yes
Query er_ref Integer Recommended Referred to ER 0;1 0=Not checked; 1=Checked er
Query clinvis Integer Recommended Clinic visit scheduled 0;1 0=Not checked; 1=Checked
Query contract Integer Recommended Safety contract negotiated 0;1 0=Not checked; 1=Checked
Query other Integer Required Other prevent dose increase 0;1;999 0 = No; 1 = Yes actoth
Query contact_date Integer Recommended Date patient contacted contact
Query pat_status Integer Recommended Patient status at contact 1::3 1=Suicidal ideation with plan - AT RISK; 2=Suicidal ideation but no plan; 3=Suicidal ideation status
Query action_call Integer Recommended Call Action 0::5 0=Level exit; 1=New Level; 2=Follow-up; 3=Study exit; 4=Reactivation; 5=Interim month follow-up action
Query txassign String 20 Recommended Treatment to which Pt was assigned
Query medswl2 Integer Recommended Level: Medication Switch 1::3 1=Yes; 2=No; 3= definitely time of day medswl2a, medswl3, medswl4
Query medaugl2 Integer Recommended Level: Medication Augmentation 1::3 1=Yes; 2=No; 3= definitely time of day medaugl3
Query cogswl2 Integer Recommended Level: Cognitive Switch 1::3 1=Yes; 2=No; 3= definitely time of day
Query cogaugl2 Integer Recommended Level: Cognitive Augmentation 1::3 1=Yes; 2=No; 3= definitely time of day
Query nextlev Integer Recommended Next level
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.