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Medical Screen Definitions

23 Shared Subjects

Medical Screen Definitions
Clinical Assessments
Phys Exam
02/19/2013
medscreen01
01/19/2024
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
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY exam_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. exam_age
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query allergies String 300 Recommended allergies
Query blood_ps Integer Recommended systolic blood pressure
Query blood_pd Integer Recommended diastolic blood pressure
Query heart_rate Integer Recommended heart rate
Query temp_celc Integer Recommended temperature Celsius T
Query cardio_respratecount String 50 Recommended Respiratory Rate - Count RR
Query height_met Float Recommended Height - Metric Unit 999 = Missing; -999 = No Data HEIGHT
Query weight_met Float Recommended Weight - Metric Unit 999 = Missing; -999 = No Data WEIGHT
Query skin_abnorm String 10 Recommended Any other skin abnormalities? Yes;No;NK NK = Not known
Query heent String 10 Recommended Heent exam normal; abnormal; other
Query lymph_nodes String 10 Recommended Lymph nodes exam normal; abnormal; other
Query neck_thyroid String 10 Recommended Neck/thyroid exam normal; abnormal; other
Query chest_lung String 10 Recommended Chest/lung exam normal; abnormal; other; not done
Query cardiac String 10 Recommended Cardiac exam normal; abnormal; other
Query abdomen String 10 Recommended Abdomen exam normal; abnormal; other
Query musculosceletal String 10 Recommended Musculosceletal exam normal; abnormal; other
Query extremeties String 10 Recommended Extremities exam normal; abnormal; other
Query medprob_neuro String 50 Recommended Neurological: Is there any known abnormality in this area
No;Yes;Don't Know
neurological
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
tmsa02 Integer Recommended If weight obtained objectively, which applies? 1 :: 4;999 1= Tanita Scale;2= Not Tanita Scale; 3= Doctors Appointment; 4= Medial Records; 999= Missing Value
tmsa03 Integer Recommended Able to access chart? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa04 Integer Recommended Bariatric surgery procedure: 1 :: 5;999 1= Gastric Bypass; 2= Sleeve Gastrectomy; 3= Gastric Band; 4= Not Available In Chart; 5= Other; 999= Missing Value
tmsa04a String 200 Recommended If Other, for Bariatric Surgery Procedure, please specify:
tmsa04b Date Recommended Bariatric surgery date: MM/DD/YYYY
tmsa04c Integer Recommended Bariatric surgery date not available in chart 1;2;999 1= Not Available In Chart; 2= Available In Chart; 999= Missing Value
tmsa05 Integer Recommended Weight loss medication? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa06 Integer Recommended Are you currently enrolled in a weight loss program? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa07 Integer Recommended Do you have any history of infectious hepatitis, HIV, or any other active (contagious) disease? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa08 Integer Recommended Do you have any of the following leg problems: Circulation problems, leg ulcers, tendonitis, swelling of the calf ankle or foot (called edema)? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa09 Integer Recommended Will you have to use a ladder, be around heavy machinery, or explosive vapors during the course of this study? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa10 Integer Recommended Visual assessment of legs completed: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa10a String 4,000 Recommended Nurse Comment for visual assessment of legs:
tmsa11 Integer Recommended Do you have neuropathy? This is caused by nerve damage and can often result in weakness, numbness and pain, usually in the hands and feet. 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa12 Integer Recommended Have you ever had a blood clot? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa13 Integer Recommended Do you have a nickel or other metal allergy? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa14 Integer Recommended Do you have a pacemaker or any other implanted electronic medical device? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa15 Integer Recommended Is there any possibility you could be pregnant? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa16 Integer Recommended Are you breastfeeding? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa17 Integer Recommended Have you had more than one bariatric surgery procedure? 1;2;999 1= Yes; 2= No; 999= Missing Value
aescode Integer Recommended Staff code number of person completing this form 999= Missing Data
tmsa17a String 4,000 Recommended Describe (if you have had more than one bariatric surgery procedure):
tmsa18 Integer Recommended Have you had a revision of your original procedure? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa18a String 4,000 Recommended Describe (if you have had a revision of your original procedure):
tmsa19 Integer Recommended Assessed legs: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa20 Integer Recommended Device fit: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa21 Integer Recommended Assessed for Other: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa21a String 4,000 Recommended Nurse Comment for assessed leg and other:
tmsa22 Integer Recommended Blood collection completed: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa23 Integer Recommended Cheek swab collection completed: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa23a String 4,000 Recommended Nurse Comment for blood and cheek swab:
tmsa_photoid Integer Recommended Verified by photo ID: 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa24a Integer Recommended Visit 1 Signature 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa24b Integer Recommended Visit 1 Signature Staff ID:
tmsa24c Date Recommended Visit 1 Signature Date: MM/DD/YYYY
tmsa25 Integer Recommended Visual inspection of legs completed? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa26 Integer Recommended Adverse Event Assessment completed? 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa26a String 4,000 Recommended Nurse Comment for visual inspection of leg, and adverse events assessment:
tmsa27a Date Recommended Stool Collection Date: MM/DD/YYYY
tmsa27b String 10 Recommended Stool Collection Time: HH:MM AM/PM
tmsa27c Integer Recommended Collected by: 1;2;999 1= Study Staff; 2= Participant; 999= Missing Value
tmsa27d String 200 Recommended Any problems with stool collection:
height_std Float Recommended Height - Standard Unit -1 = Not known; 999 = Missing
tmsa27e Integer Recommended Recorded by Staff ID:
tmsa28a Integer Recommended Visit 2 Signature 1;2;999 1= Yes; 2= No; 999= Missing Value
tmsa28b Integer Recommended Visit 2 Signature Staff ID:
tmsa28c Date Recommended Visit 2 Signature Date: MM/DD/YYYY
weight_std Float Recommended Weight - Standard Unit -1 = Not known; 999 = Missing
bmi Float Recommended body mass index of subject -9 = Missing
tmsa01 Integer Recommended How was weight obtained? 1;2;999 1= Objective; 2= Self Report, Describe; 999= Missing Value
tmsa01a String 4,000 Recommended Self Report, Describe:
tms_wt04 String 100 Recommended Weight loss Medication 2:
tms_wt04a Date Recommended Start Date 2 (using Weight loss Medication 2): MM/DD/YYYY
tms_wt04b Float Recommended Dose 2 (using Weight loss Medication 2):
tms_wt04c String 50 Recommended Frequency 2 (using Weight loss Medication 2):
tms_wt04d Integer Recommended Weight when med started (self-report) 2: Lbs
tms_wt05 String 100 Recommended Name of weight loss program:
tms_wt05a Date Recommended Start date of weight loss program: MM/DD/YYYY
tms_wt05b Integer Recommended Weight when started the program: Lbs
tms_wt01 Integer Recommended Lowest weight since surgery (self-report): Lbs
tms_wt02 Integer Recommended Pre-surgery weight in lbs: Lbs
tms_wt03 String 100 Recommended Weight loss Medication 1:
tms_wt03a Date Recommended Start Date 1 (using Weight loss Medication 1): MM/DD/YYYY
tms_wt03b Float Recommended Dose 1 (using Weight loss Medication 1):
tms_wt03c String 50 Recommended Frequency 1 (using Weight loss Medication 1):
tms_wt03d Integer Recommended Weight when med started (self-report) 1: Lbs
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.

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