|
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 |
|
|
SUBJECT, subject_id |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
PCSDate, UPSDate, date, upsa_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_months |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
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
|
PCSCODE, UPSCODE |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
assessment_number |
Query
|
bafinfo |
Integer |
|
Recommended |
Check if the Assessment was not done. |
0::2
|
0=No; 1=Yes; 2=Unverified
|
PCSINFO, UPSINFO, upsa_ucsd_upsa_performance_based_skills_assessment_complete |
Query
|
pcstlt |
Integer |
|
Recommended |
Perceived Competency Scale Total |
0::28
|
|
|
Query
|
medmng |
Integer |
|
Recommended |
Medication Management Score |
0::37
|
|
ucsd_medmngm |
Query
|
compln |
Integer |
|
Recommended |
Comprehension and Planning |
0::27
|
|
|
Query
|
financ |
Integer |
|
Recommended |
Financial |
0::11
|
|
upsa_finnancial |
Query
|
cmmct |
Integer |
|
Recommended |
Communication |
0::12
|
|
upsa_communication |
Query
|
trspt |
Integer |
|
Recommended |
Transportation |
0::9
|
|
|
Query
|
hshld |
Integer |
|
Recommended |
Household Skills |
0::4
|
|
|
Query
|
uscd_01 |
Integer |
|
Recommended |
Financial Skills counting money and making change: Show me one dollar and three cents - all in coins / UPSA version: one dollar and two cents |
0;1
|
1=Correct
|
|
|
uscd_01a |
String |
20
|
Recommended |
Response: Financial Skills counting money and making change: Show me one dollar and three cents - all in coins / UPSA version: one dollar and two cents |
|
|
|
Query
|
uscd_02 |
Integer |
|
Recommended |
Financial Skills counting money and making change: Show me six dollars and seventy-four cents / UPSA version: six dollars and seventy-three cents |
0;1
|
1=Correct
|
|
|
uscd_02a |
String |
20
|
Recommended |
Response: Financial Skills counting money and making change: Show me six dollars and seventy-four cents / UPSA version: six dollars and seventy-three cents |
|
|
|
Query
|
uscd_03 |
Integer |
|
Recommended |
Financial Skills counting money and making change: Show me tweleve dollars and eighteen cents / UPSA version: twelve dollars and seventeen cents |
0;1
|
1=Correct
|
|
|
uscd_03a |
String |
20
|
Recommended |
Response: Financial Skills counting money and making change: Show me tweleve dollars and eighteen cents / UPSA version: twelve dollars and seventeen cents |
|
|
|
Query
|
uscd_04 |
Integer |
|
Recommended |
Financial Skills counting money and making change: Imagine that you are buying some items from a store. You give me, the cashier, ten dollars to pay the bill. The items cost $6.49. show me how much change you should get back from 10.00 |
0::2
|
2=Correct
|
|
|
uscd_04a |
String |
250
|
Recommended |
Response: Financial Skills counting money and making change: Imagine that you are buying some items from a store. You give me, the cashier, ten dollars to pay the bill. The items cost $6.49. show me how much change you should get back from 10.00 |
|
|
|
Query
|
uscd_05 |
Integer |
|
Recommended |
Financial Skill paying Bills: Today's Date |
0;1
|
1=Correct
|
|
Query
|
uscd_06 |
Integer |
|
Recommended |
Financial Skill paying Bills: Franklin Gas & Electric Company or FG&E |
0;1
|
1=Correct
|
|
Query
|
uscd_07 |
Integer |
|
Recommended |
Financial Skill paying Bills: thirty seven dollars and 17/00 |
0;1
|
1=Correct
|
|
Query
|
uscd_08 |
Integer |
|
Recommended |
Financial Skill paying Bills: 37.17 |
0;1
|
1=Correct
|
|
Query
|
uscd_09 |
Integer |
|
Recommended |
Financial Skill paying Bills: Subject's name signed |
0;1
|
1=Correct
|
|
Query
|
uscd_10 |
Integer |
|
Recommended |
Financial Skill paying Bills: 8497936006 |
0;1
|
1=Correct
|
|
Query
|
uscd_11 |
Integer |
|
Recommended |
Communication skills: What number you would dial for help in case of an emergency (9-1-1) |
0;1
|
1=Correct
|
|
|
uscd_11a |
String |
250
|
Recommended |
Response: |
|
|
|
Query
|
uscd_12 |
Integer |
|
Recommended |
Communication skills: Directory assistance and ask for the telephone number of David Johnson who lives in Albuquerque (4-1-1) dialed 4-1-1 |
0;1
|
1=Correct
|
|
|
uscd_12a |
String |
250
|
Recommended |
Response: |
|
|
|
Query
|
uscd_12b |
Integer |
|
Recommended |
Communication skills: Directory assistance and ask for the telephone number of David Johnson who lives in Albuquerque (4-1-1) speak/asked for David Johnson |
0;1
|
1=Correct
|
|
|
uscd_12c |
String |
250
|
Recommended |
Response: |
|
|
|
Query
|
uscd_13 |
Integer |
|
Recommended |
Communication Skills: listen carefully to this number and dial it from memory: 569-9669 |
0;1
|
1=Correct
|
|
Query
|
uscd_14 |
Integer |
|
Recommended |
Communication skills: Call the doctor's office and leave a voice-mail message requesting to reschedule your medical appointment for the following day at the same time. Be sure to include all necessary information (record verbatim, de-identify name and number if applicable). |
0;1
|
1=Correct
|
|
Query
|
uscd_15 |
Integer |
|
Recommended |
Communication skills doctor office call: Provided name |
0;1
|
1=Yes;0=No
|
|
Query
|
uscd_16 |
Integer |
|
Recommended |
Communication skills doctor office call: Provided date and time of appointment |
0;1
|
1=Yes;0=No
|
|
Query
|
uscd_17 |
Integer |
|
Recommended |
Communication skills doctor office call: Resched. For following day/time |
0;1
|
1=Yes;0=No
|
|
Query
|
uscd_18 |
Integer |
|
Recommended |
Communication skills doctor office call: provided call back tel. # |
0;1
|
1=Yes;0=No
|
|
|
uscd_19 |
String |
250
|
Recommended |
Communication skills doctor office call: Verbatim Response with doctors letter |
|
|
|
Query
|
uscd_20 |
Integer |
|
Recommended |
Communication skills item 1: Medical insurance card |
0;1
|
1=Correct
|
|
Query
|
uscd_21 |
Integer |
|
Recommended |
Communication skills item 2: List of current medications |
0;1
|
1=Correct
|
|
Query
|
uscd_22 |
Integer |
|
Recommended |
Communication skills item 3: No food or liquid except water for 12 hours before the appointment |
0;1
|
1=Correct
|
|
Query
|
uscd_23 |
Integer |
|
Recommended |
Communication skills item 3a: No food |
0;1
|
1=Yes;0=No
|
|
Query
|
uscd_24 |
Integer |
|
Recommended |
Communication skills item 3b: No drink |
0;1
|
1=Yes;0=No
|
|
Query
|
uscd_25 |
Integer |
|
Recommended |
Communication skills item 3c: For 12 hrs prior |
0;1
|
1=Yes;0=No
|
|
|
uscd_26 |
String |
250
|
Recommended |
Communication skills doctor office call: Verbatim Response without doctors letter |
|
|
|
Query
|
uscd_27 |
Float |
|
Recommended |
Financial Total Score |
|
|
|
Query
|
uscd_28 |
Float |
|
Recommended |
Communication Total Score |
|
|
|
Query
|
uscd_29 |
Float |
|
Recommended |
Financial Percent Correct |
|
|
|
Query
|
uscd_30 |
Float |
|
Recommended |
Communication Percent Correct |
|
|
|
Query
|
uscd_31 |
Integer |
|
Recommended |
Financial Subscale Score |
|
|
upsa_financial_subscore |
Query
|
uscd_32 |
Integer |
|
Recommended |
Communication Subscale Score |
|
|
upsa_communication_subscore |
Query
|
uscd_33 |
Integer |
|
Recommended |
UPSA-B Summary Total Score |
0::128
|
|
ucsd_upsa, upsa_total, upsa_totalscore |
|
uscd_05a |
String |
20
|
Recommended |
Response: Financial Skill paying Bills: Today's Date |
|
|
|
|
uscd_06a |
String |
200
|
Recommended |
Response: Financial Skill paying Bills: Franklin Gas & Electric Company or FG&E / UPSA version: Pay to Order Of |
|
|
|
|
uscd_07a |
String |
200
|
Recommended |
Response: Financial Skill paying Bills: thirty seven dollars and 17/00 / UPSA version: Written Amount |
|
|
|
|
uscd_08a |
String |
20
|
Recommended |
Response: Financial Skill paying Bills: 37.17 / UPSA version: Numeric Amount |
|
|
|
|
uscd_09a |
String |
200
|
Recommended |
Response: Financial Skill paying Bills: Subject's name signed |
|
|
|
|
uscd_10a |
String |
20
|
Recommended |
Response: Financial Skill paying Bills: 8497936006 / UPSA version: Account number |
|
|
|
|
uscd_13a |
String |
20
|
Recommended |
Response: Communication Skills: listen carefully to this number and dial it from memory: 569-9669 |
|
|
|
|
uscd_14a |
String |
200
|
Recommended |
Response: Communication skills: Call the doctor's office and leave a voice-mail message requesting to reschedule your medical appointment for the following day at the same time. Be sure to include all necessary information (record verbatim, de-identify name and number if applicable). |
|
|
|
|
uscd_17a |
String |
200
|
Recommended |
Response: Communication skills doctor office call: Resched. For following day/time |
|
|
|
|
uscd_20a |
String |
200
|
Recommended |
Response: Communication skills item 1: Medical insurance card |
|
|
|
|
uscd_21a |
String |
200
|
Recommended |
Response: Communication skills item 2: List of current medications |
|
|
|
|
uscd_22a |
String |
20
|
Recommended |
Response: Communication skills item 3: No food or liquid except water for 12 hours before the appointment |
|
|
|
Query
|
upsa_1a1_score |
Integer |
|
Recommended |
How to arrive: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1a1_remarks |
String |
100
|
Recommended |
How to arrive: Remarks |
|
|
|
Query
|
upsa_1a2_score |
Integer |
|
Recommended |
What to do, line 1: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1a2_remarks |
String |
100
|
Recommended |
What to do, line 1: Remarks |
|
|
|
Query
|
upsa_1a3_score |
Integer |
|
Recommended |
What to do, line 2: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1a3_remarks |
String |
100
|
Recommended |
What to do, line 2: Remarks |
|
|
|
Query
|
upsa_1a4_score |
Integer |
|
Recommended |
Scenario 1: Appropriate Items, 1: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1a4_remarks |
String |
100
|
Recommended |
Scenario 1: Appropriate Items, 1: Remarks |
|
|
|
Query
|
upsa_1a5_score |
Integer |
|
Recommended |
Scenario 1: Appropriate Items, 2: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1a5_remarks |
String |
100
|
Recommended |
Scenario 1: Appropriate Items, 2: Remarks |
|
|
|
Query
|
upsa_1a6_score |
Integer |
|
Recommended |
Scenario 1: Appropriate Items, 3: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1a6_remarks |
String |
100
|
Recommended |
Scenario 1: Appropriate Items, 3: Remarks |
|
|
|
Query
|
upsa_1a7_score |
Integer |
|
Recommended |
Scenario 1: Appropriate Items, 4: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1a7_remarks |
String |
100
|
Recommended |
Scenario 1: Appropriate Items, 4: Remarks |
|
|
|
Query
|
upsa_1a8_score |
Integer |
|
Recommended |
Scenario 1: Appropriate Items, 5: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1a8_remarks |
String |
100
|
Recommended |
Scenario 1: Appropriate Items, 5: Remarks |
|
|
|
Query
|
upsa_1b1_score |
Integer |
|
Recommended |
Zoo hours, line 1: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1b1_remarks |
String |
100
|
Recommended |
Zoo hours, line 1: Remarks |
|
|
|
Query
|
upsa_1b2_score |
Integer |
|
Recommended |
Zoo hours, line 2: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1b2_remarks |
String |
100
|
Recommended |
Zoo hours, line 2: Remarks |
|
|
|
Query
|
upsa_1b3_score |
Integer |
|
Recommended |
Special attractions, line 1: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1b3_remarks |
String |
100
|
Recommended |
Special attractions, line 1: Remarks |
|
|
|
Query
|
upsa_1b4_score |
Integer |
|
Recommended |
Special attractions, line 2: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_1b4_remarks |
String |
100
|
Recommended |
Special attractions, line 2: Remarks |
|
|
|
Query
|
upsa_1b5_score |
Integer |
|
Recommended |
Scenario 2: Appropriate Items, 1: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1b5_remarks |
String |
100
|
Recommended |
Scenario 2: Appropriate Items, 1: Remarks |
|
|
|
Query
|
upsa_1b6_score |
Integer |
|
Recommended |
Scenario 2: Appropriate Items, 2: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1b6_remarks |
String |
100
|
Recommended |
Scenario 2: Appropriate Items, 2: Remarks |
|
|
|
Query
|
upsa_1b7_score |
Integer |
|
Recommended |
Scenario 2: Appropriate Items, 3: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1b7_remarks |
String |
100
|
Recommended |
Scenario 2: Appropriate Items, 3: Remarks |
|
|
|
Query
|
upsa_1b8_score |
Integer |
|
Recommended |
Scenario 2: Appropriate Items, 4: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1b8_remarks |
String |
100
|
Recommended |
Scenario 2: Appropriate Items, 4: Remarks |
|
|
|
Query
|
upsa_1b9_score |
Integer |
|
Recommended |
Scenario 2: Appropriate Items, 5: Score |
0;2
|
0 = Incorrect; 2 = Correct
|
|
|
upsa_1b9_remarks |
String |
100
|
Recommended |
Scenario 2: Appropriate Items, 5: Remarks |
|
|
|
Query
|
upsa_4_1_score |
Integer |
|
Recommended |
Bus to National City: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_1_remarks |
String |
100
|
Recommended |
Bus to National City: Remarks |
|
|
|
Query
|
upsa_4_2_score |
Integer |
|
Recommended |
Bus Fare: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_2_remarks |
String |
100
|
Recommended |
Bus Fare: Remarks |
|
|
|
Query
|
upsa_4_3_score |
Integer |
|
Recommended |
Bus Schedule Information: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_3_remarks |
String |
100
|
Recommended |
Bus Schedule Information: Remarks |
|
|
|
Query
|
upsa_4_4_score |
Integer |
|
Recommended |
First Trolley Station: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_4_remarks |
String |
100
|
Recommended |
First Trolley Station: Remarks |
|
|
|
Query
|
upsa_4_5_score |
Integer |
|
Recommended |
Second Trolley Station: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_5_remarks |
String |
100
|
Recommended |
Second Trolley Station: Remarks |
|
|
|
Query
|
upsa_4_6_score |
Integer |
|
Recommended |
Transfer: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_4_6_remarks |
String |
100
|
Recommended |
Transfer: Remarks |
|
|
|
Query
|
upsa_5_1_score |
Integer |
|
Recommended |
Sugar: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_5_1_remarks |
String |
100
|
Recommended |
Sugar: Remarks |
|
|
|
Query
|
upsa_5_2_score |
Integer |
|
Recommended |
Raisins: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_5_2_remarks |
String |
100
|
Recommended |
Raisins: Remarks |
|
|
|
Query
|
upsa_5_3_score |
Integer |
|
Recommended |
Cinnamon: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_5_3_remarks |
String |
100
|
Recommended |
Cinnamon: Remarks |
|
|
|
Query
|
upsa_5_4_score |
Integer |
|
Recommended |
Cloves: Score |
0;1
|
0 = Incorrect; 1 = Correct
|
|
|
upsa_5_4_remarks |
String |
100
|
Recommended |
Cloves: Remarks |
|
|
|
|
study |
String |
100
|
Recommended |
Study; The code for each individual study |
|
|
|
Query
|
ucsd_compla |
Integer |
|
Recommended |
UPSA Summary Score: Comprehension/Planning |
0::20
|
|
|
Query
|
ucsd_comm |
Integer |
|
Recommended |
UPSA Summary Score: Communication |
0::20
|
|
|
Query
|
ucsd_trans |
Integer |
|
Recommended |
UPSA Summary Score: Transportation |
0::20
|
|
|
Query
|
ucsd_house |
Integer |
|
Recommended |
UPSA Summary Score: Household Skills |
0::20
|
|
|
Query
|
upsa1_total |
Integer |
|
Recommended |
UPSA Total Score |
0::100
|
|
|
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
|
Query
|
ucsd_fin_ia |
Integer |
|
Recommended |
Financial Skills, Out of the total possible 50 points, how many do you think you earned? |
0::50
|
|
|
Query
|
ucsd_med_number |
Integer |
|
Recommended |
Communication skills doctor office call: dialed correct number |
0;1
|
1=Correct; 0= Incorrect
|
|
Query
|
ucsd_com_ia |
Integer |
|
Recommended |
Communication Skills, Out of the total possible 50 points, how many do you think you earned? |
0::50
|
|
|