|
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 |
|
|
patient_id |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
demo_date |
|
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.
|
age |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
Query
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
999= Missing Data
|
demo_interviewer |
Query
|
entry_status |
Integer |
|
Recommended |
Entry status |
1::10
|
1 = Inpatient; 2 = Outpatient; 3 = Nursing Home ; 4 = Partial Hospital ; 5 = Other; 6= Normal Control; 7= Chrono; 8= Senior Center; 9= Mistreatment Agency; 10= Primary Care
|
|
Query
|
live |
Integer |
|
Recommended |
Living arrangements |
1::5
|
1 = Lives alone; 2 = Lives with Others; 3 = Senior Residence; 4 = Nursing home; 5 = Other
|
|
Query
|
live_others |
String |
200
|
Recommended |
Living other |
|
|
live_other |
Query
|
maritalstatus |
Integer |
|
Recommended |
Marital Status: |
0::6;-99;77;88
|
0= Married ; 1= Living together ; 2= Separated ; 3= Divorced ; 4= Single ; 5 = Widowed ; 6 = Civil Union ; -99= N/A ; 77= Refused ; 88= Missing
|
marital_status |
Query
|
ethnicity |
String |
30
|
Recommended |
Ethnicity of participant |
|
|
|
Query
|
race |
String |
30
|
Recommended |
Race of study subject |
|
|
|
|
otherrace |
String |
100
|
Recommended |
specify other race |
|
The following questions are about you or the child's family.
|
race_other |
Query
|
religion |
String |
100
|
Recommended |
Religion |
|
|
|
Query
|
educat |
Float |
|
Recommended |
Number of years in formal education |
|
999=Unknown/Missing
|
education |
Query
|
rel_organized |
String |
200
|
Recommended |
Specify "other organized religion |
|
|
religion_other |
Query
|
occ_title |
String |
100
|
Recommended |
Patient(s) occupational title |
|
|
|
Query
|
subjectindustry |
String |
100
|
Recommended |
Subject's occupation: Industry or type of business |
|
|
|
Query
|
workyn |
Integer |
|
Recommended |
Is the client currently working |
|
0=No; 1=Yes
|
cur_work, cw |
Query
|
occ_title_2 |
String |
100
|
Recommended |
Patient(s) spouse(s) occupational title |
|
|
occ_title_sp |
Query
|
ind_type_2 |
String |
100
|
Recommended |
Patient(s) spouse(s) industry or type of business |
|
|
ind_type_sp |
Query
|
cp_relationship |
String |
100
|
Recommended |
Contact person: Relationship |
|
|
|
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
comments_demo, demo_comments |
Query
|
fr_1 |
Integer |
|
Recommended |
Thinking about your money situation, would you say you: |
1::3
|
1 =Can't make ends meet ; 2 =Have just enough to get along ; 3 =Are comfortable
|
finres_1 |
Query
|
fr_2 |
Integer |
|
Recommended |
Patient(s) range of income |
1::23
|
1 =Less than $9,000 ; 2 =$9,000 to $12,999 ; 3 =$13,000 to $15,999 ; 4 =$16,000 to $18,999 ; 5 =$19,000 to $21,999 ; 6 =$22,000 to $24,999 ; 7 =$25,000 to $27,999 ; 8 =$28,000 to $30,999 ; 9 =$31,000 to $34,999 ; 10 =$35,000 to $39,999 ; 11 =$40,000 to $44,999 ; 12 =$45,000 to $49,999 ; 13 =$50,000 to $54,999 ; 14 =$55,000 to $59,999 ; 15 =$60,000 to $64,999 ; 16 =$65,000 to $69,999 ; 17 =$70,000 to $74,999 ; 18 =$75,000 to $79,999 ; 19 =$80,000 to $84,999 ; 20 =$85,000 to $89,999 ; 21 =$90,000 to $94,999 ; 22 =$95,000 to $99,999 ; 23 =$100,000 or more
|
finres_2 |
Query
|
fr_3 |
String |
10
|
Recommended |
Patient(s) medicaid status |
|
|
|
Query
|
finres_comments |
String |
50
|
Recommended |
Financial Resources comments |
|
|
|
Query
|
dode |
String |
10
|
Recommended |
Date of Data Entry |
|
|
demo_entered |
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
|
|
ind_type |
String |
65
|
Recommended |
Industry/Type of Business (Subject) |
|
|
|
|
occ_code |
Integer |
|
Recommended |
Occupational Code (subject) |
1::8
|
1= Farm Laborer, Day Laborer; 2= Unskilled Worker, Service Worker; 3= Machine Operator, Semiskilled Worker; 4= Skilled Manual Worker; 5= Clerical/Sales, Small Farm Owner; Technician, Semiprofessional, Supervisor, Office Mgr; 6= Small Business Owner, Farm Owner, Teacher; 7= Mid-Level Manager or Professional; 8= Senior Manager or Professional
|
|
|
occ_code_sp |
Integer |
|
Recommended |
Occupational Code (Spouse) |
1::8
|
1= Farm Laborer, Day Laborer; 2= Unskilled Worker, Service Worker; 3= Machine Operator, Semiskilled Worker; 4= Skilled Manual Worker; 5= Clerical/Sales, Small Farm Owner; Technician, Semiprofessional, Supervisor, Office Mgr; 6= Small Business Owner, Farm Owner, Teacher; 7= Mid-Level Manager or Professional; 8= Senior Manager or Professional
|
|
|
pp_id |
Integer |
|
Recommended |
DFTA STARS Peer Place ID |
|
|
|
|
hr_id |
String |
50
|
Recommended |
Health Rhythms ID |
|
|
|
|
sfq30 |
Integer |
|
Recommended |
Medicaid |
1; 0
|
1=Yes; 0=No
|
finres_3 |
|
publica |
Integer |
|
Recommended |
Public Insurance: Medicare |
0;1;-7; 3
|
0 = No; 1 = Yes; -7 = Refused; 3=DK
|
finres_4 |
|
surfql |
Integer |
|
Recommended |
L. Food stamps |
0;1;3
|
1 = Yes; 0 = No; 3 = Not known
|
finres_5 |
|
study |
String |
100
|
Recommended |
Study; The code for each individual study |
|
|
|
|
w2h_id |
String |
20
|
Recommended |
Way to Health ID |
|
|
|