Data Dictionary for radcmotce

Number of Blaise fields: 196

Seq # Var Question Data Type/Coding
1 versiondate Version Date
2 formdescr Form Description
3 formno Form Number String[10]
4 version Version Number String[10]
5 spirobr RADCMOT-CE Form 1. Spirometry 2. Finger Tap, Grip, Pinch 3. Pin Sensations 4. Rydel Tuning Fork Would you like to complete spirometry? 1= Complete 2= Skip
6 fingtapbr RADCMOT-CE Form 1. Spirometry 2. Finger Tap, Grip, Pinch 3. Pin Sensations 4. Rydel Tuning Fork Would you like to complete Finger Tap, Grip, Pinch? 1= Complete 2= Skip
7 pinbr RADCMOT-CE Form 1. Spirometry 2. Finger Tap, Grip, Pinch 3. Pin Sensations 4. Rydel Tuning Fork Would you like to complete Pin Sensations? 1= Complete 2= Skip
8 tuningbr RADCMOT-CE Form 1. Spirometry 2. Finger Tap, Grip, Pinch 3. Pin Sensations 4. Rydel Tuning Fork Would you like to complete Rydel Tuning Fork? 1= Complete 2= Skip
9 projid ^formdescr Form: ^formno Version: ^version (^versiondate) Enter project ID number. String[8]
10 visit Enter curent visit code from face sheet: CODE F/U Year CODE F/U Year CODE F/U Year CODE F/U Year 00 = Baseline 08 = 8th F/U 16 = 16th F/U 24 = 24th F/U 01 = 1st F/U 09 = 9th F/U 17 = 17th F/U 25 = 25th F/U 02 = 2nd F/U 10 = 10th F/U 18 = 18th F/U 26 = 26th F/U 03 = 3rd F/U 11 = 11th F/U 19 = 19th F/U 27 = 27th F/U 04 = 4th F/U 12 = 12th F/U 20 = 20th F/U 28 = 28th F/U 05 = 5th F/U 13 = 13th F/U 21 = 21th F/U 29 = 29th F/U 06 = 6th F/U 14 = 14th F/U 22 = 22th F/U 30 = 30th F/U 07 = 7th F/U 15 = 15th F/U 23 = 23th F/U String[2]
11 baseyear Enter year of baseline from face sheet: 1993 .. 2025
12 autodate Automatic Date. Date type
13 autotime Automatic Time. TimeType
14 autolog Automatic Logged Date. Date type
15 intid INTERVIEWER ID 100 .. 997
16 compid Laptop ID String[20]
17 dateint Date of interview Date type
18 educ ^educ_question Elementary 0 1 2 3 4 5 6 7 8 High School 9 10 11 12 College 13 14 15 16 Graduate Professional 17 18 19 20 21 ... 0 .. 30
19 formlang What language will be used to administer this form? 1= English 2= EspaƱol
20 spiroqs Will spirometry data be entered directly into Blaise form? 1= Yes 2= No
21 fev11 RESET Spirometry device FEV1 Trial 1 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
22 pvc1 PVC Trial 1 _____ liters 0.00 .. 10.00
23 fer1 FER Trial 1 _____ percent 0 .. 100
24 pef1 PEF Trial 1 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
25 fev12 RESET Spirometry device FEV1 Trial 2 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
26 pvc2 PVC Trial 2 _____ liters 0.00 .. 10.00
27 fer2 FER Trial 2 _____ percent 0 .. 100
28 pef2 PEF Trial 2 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
29 spcom Spirometry Enter any comment. [Press enter to continue if none.] String[250]
30 q8atap FINGER TAPPING [DEPRESS BUTTON UNTIL '--' APPEARS.] 1. Right index finger. 'I want to see how quickly you can tap this key. When I tell you to begin, tap this key as quickly as you can until I tell you to stop.' Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
31 q8ana Specify reason. String[40]
32 q8btap FINGER TAPPING [RESET TAPPER] Left index finger. Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
33 q8bna Specify reason. String[40]
34 q8ctap FINGER TAPPING [RESET TAPPER] Right index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
35 q8cna Specify reason. String[40]
36 q8dtap FINGER TAPPING [RESET TAPPER] Left index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
37 q8dna Specify reason. String[40]
38 rhand1 HAND DYNAMOMETRY [SET RED NEEDLE TO 0.] 'I want to see how strongly you can squeeze this handle. When I say go, squeeze the handle as hard as you can until I tell you to stop.' Right Hand Trial 1 [RECORD IN POUNDS.] 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
39 rhand1na Specify reason. String[40]
40 lhand1 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
41 lhand1na Specify reason. String[40]
42 rhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
43 rhand2na Specify reason. String[40]
44 lhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
45 lhand2na Specify reason. String[40]
46 rthand1 PINCH DYNAMOMETRY [SET RED NEEDLE TO 0.] 'I want to see how strongly you can pinch this plate. When I say go, squeeze the plate as hard as you can until I tell you to stop.' Right Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
47 rthand1n Specify reason. String[40]
48 lthand1 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
49 lthand1n Specify reason. String[40]
50 rthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
51 rthand2n Specify reason. String[40]
52 lthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
53 lthand2n Specify reason. String[40]
54 hpinsym Pin sensation 1. Back of index fingers symmetric 1= Yes 2= Right with less sensation than left 3= Left with less sensation than right 7= Unable to test
55 rhandpin Pin sensation 2. Right Index vs. Pinky [EXAMINER: Now instruct the subject that you will test the sensation of the index and pinky fingers. Ask the subject to tell you whether they feel the same; if they are different, where does he/she feel it more, the index finger or the small finger.] 1= Same 2= Index possible more than pinky 3= Index definitely more than pinky 4= Pinky possibly more than index 5= Pinky definitely more than index
56 lhandpin Pin sensation 3. Left Index vs. Pinky 1= Same 2= Index possible more than pinky 3= Index definitely more than pinky 4= Pinky possibly more than index 5= Pinky definitely more than index
57 fpinsym Pin sensation 4. Top of big toe symmetric 1= Yes 2= Right with less sensation than left 3= Left with less sensation than right 7= Unable to test
58 rlegpin Stocking pattern of pin loss 5. Right Leg. [EXAMINER: Tell the subject that he/she will feel the pin on the toe and ankle. Determine whether it is the same or different -- consistent with a stocking pattern of sensory loss.] 1= Yes 2= Possible 3= No
59 ltlegpin Stocking pattern of pin loss 6. Left leg. 1= Yes 2= Possible 3= No
60 rtoe Tuning Fork - Right toe [Enter 0 for absent] 0 .. 100
61 ltoe Tuning Fork - Left toe [Enter 0 for absent] 0 .. 100
62 rankle Tuning Fork - Right ankle [Enter 0 for absent] 0 .. 100
63 lankle Tuning Fork - Left ankle [Enter 0 for absent] 0 .. 100
64 howwell 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? 1= Quite well 2= Fairly well 3= Somewhat 4= Very Little 5= Not at all
65 hearimp 2. Does the participant have a SUBSTANTIAL hearing impairment? 1= Yes 2= No
66 visimp 3. Does the participant have a SUBSTANTIAL visual impariment? 1= Yes, completely blind 2= Yes, very poor 3= Yes, poor 4= No, not substantial
67 phyeffrt 4. How great an effort do you think the participant put into the physical function items? 1= A great deal 2= A considerable amount 3= A moderate amount 4= A little bit 5= Hardly any
68 formcode Please enter status code. 11 = COMPLETE 13 = COMPLETE, portion with proxy 12 = INCOMPLETE, refused 14 = INCOMPLETE, too impaired 21 = INCOMPLETE interim, complete later 73 = NOT TESTED, out of town 31 = NOT TESTED, moved 33 = NOT TESTED, refused 75 = NOT TESTED, hospitalized 76 = NOT TESTED, other 42 = DECEASED 43 = WITHDRAWN 44 = WITHDRAWN, Autopsy OK 11 .. 76
69 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
70 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
71 statid Please enter you staff id. 100 .. 997
72 formch Has the form been modified? 1= Yes 2= No
73 revidate Enter the date that the form was modified. Date type
74 revintd Enter your staff id number. 100 .. 997
75 anydev Are there any protocol deviations or missing data items to enter? 1= Yes 2= No
76 numdev How many total protocol deviations and tests with missing items to enter? 1 .. 20
77 reas00 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
78 test00 Enter test or procedure. String[15]
79 item00 List items involved. [SEPARATE BY A COMMA] String[20]
80 code00 Enter data code used. 1= Don't Know 2= Refusal 3= other
81 oth00 Enter other code used. String[20]
82 expl00 Explain what happened String[100]
83 reas01 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
84 test01 Enter test or procedure. String[15]
85 item01 List items involved. [SEPARATE BY A COMMA] String[20]
86 code01 Enter data code used. 1= Don't Know 2= Refusal 3= other
87 oth01 Enter other code used. String[20]
88 expl01 Explain what happened String[100]
89 reas02 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
90 test02 Enter test or procedure. String[15]
91 item02 List items involved. [SEPARATE BY A COMMA] String[20]
92 code02 Enter data code used. 1= Don't Know 2= Refusal 3= other
93 oth02 Enter other code used. String[20]
94 expl02 Explain what happened String[100]
95 reas03 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
96 test03 Enter test or procedure. String[15]
97 item03 List items involved. [SEPARATE BY A COMMA] String[20]
98 code03 Enter data code used. 1= Don't Know 2= Refusal 3= other
99 oth03 Enter other code used. String[20]
100 expl03 Explain what happened String[100]
101 reas04 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
102 test04 Enter test or procedure. String[15]
103 item04 List items involved. [SEPARATE BY A COMMA] String[20]
104 code04 Enter data code used. 1= Don't Know 2= Refusal 3= other
105 oth04 Enter other code used. String[20]
106 expl04 Explain what happened String[100]
107 reas05 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
108 test05 Enter test or procedure. String[15]
109 item05 List items involved. [SEPARATE BY A COMMA] String[20]
110 code05 Enter data code used. 1= Don't Know 2= Refusal 3= other
111 oth05 Enter other code used. String[20]
112 expl05 Explain what happened String[100]
113 reas06 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
114 test06 Enter test or procedure. String[15]
115 item06 List items involved. [SEPARATE BY A COMMA] String[20]
116 code06 Enter data code used. 1= Don't Know 2= Refusal 3= other
117 oth06 Enter other code used. String[20]
118 expl06 Explain what happened String[100]
119 reas07 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
120 test07 Enter test or procedure. String[15]
121 item07 List items involved. [SEPARATE BY A COMMA] String[20]
122 code07 Enter data code used. 1= Don't Know 2= Refusal 3= other
123 oth07 Enter other code used. String[20]
124 expl07 Explain what happened String[100]
125 reas08 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
126 test08 Enter test or procedure. String[15]
127 item08 List items involved. [SEPARATE BY A COMMA] String[20]
128 code08 Enter data code used. 1= Don't Know 2= Refusal 3= other
129 oth08 Enter other code used. String[20]
130 expl08 Explain what happened String[100]
131 reas09 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
132 test09 Enter test or procedure. String[15]
133 item09 List items involved. [SEPARATE BY A COMMA] String[20]
134 code09 Enter data code used. 1= Don't Know 2= Refusal 3= other
135 oth09 Enter other code used. String[20]
136 expl09 Explain what happened String[100]
137 reas10 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
138 test10 Enter test or procedure. String[15]
139 item10 List items involved. [SEPARATE BY A COMMA] String[20]
140 code10 Enter data code used. 1= Don't Know 2= Refusal 3= other
141 oth10 Enter other code used. String[20]
142 expl10 Explain what happened String[100]
143 reas11 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
144 test11 Enter test or procedure. String[15]
145 item11 List items involved. [SEPARATE BY A COMMA] String[20]
146 code11 Enter data code used. 1= Don't Know 2= Refusal 3= other
147 oth11 Enter other code used. String[20]
148 expl11 Explain what happened String[100]
149 reas12 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
150 test12 Enter test or procedure. String[15]
151 item12 List items involved. [SEPARATE BY A COMMA] String[20]
152 code12 Enter data code used. 1= Don't Know 2= Refusal 3= other
153 oth12 Enter other code used. String[20]
154 expl12 Explain what happened String[100]
155 reas13 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
156 test13 Enter test or procedure. String[15]
157 item13 List items involved. [SEPARATE BY A COMMA] String[20]
158 code13 Enter data code used. 1= Don't Know 2= Refusal 3= other
159 oth13 Enter other code used. String[20]
160 expl13 Explain what happened String[100]
161 reas14 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
162 test14 Enter test or procedure. String[15]
163 item14 List items involved. [SEPARATE BY A COMMA] String[20]
164 code14 Enter data code used. 1= Don't Know 2= Refusal 3= other
165 oth14 Enter other code used. String[20]
166 expl14 Explain what happened String[100]
167 reas15 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
168 test15 Enter test or procedure. String[15]
169 item15 List items involved. [SEPARATE BY A COMMA] String[20]
170 code15 Enter data code used. 1= Don't Know 2= Refusal 3= other
171 oth15 Enter other code used. String[20]
172 expl15 Explain what happened String[100]
173 reas16 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
174 test16 Enter test or procedure. String[15]
175 item16 List items involved. [SEPARATE BY A COMMA] String[20]
176 code16 Enter data code used. 1= Don't Know 2= Refusal 3= other
177 oth16 Enter other code used. String[20]
178 expl16 Explain what happened String[100]
179 reas17 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
180 test17 Enter test or procedure. String[15]
181 item17 List items involved. [SEPARATE BY A COMMA] String[20]
182 code17 Enter data code used. 1= Don't Know 2= Refusal 3= other
183 oth17 Enter other code used. String[20]
184 expl17 Explain what happened String[100]
185 reas18 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
186 test18 Enter test or procedure. String[15]
187 item18 List items involved. [SEPARATE BY A COMMA] String[20]
188 code18 Enter data code used. 1= Don't Know 2= Refusal 3= other
189 oth18 Enter other code used. String[20]
190 expl18 Explain what happened String[100]
191 reas19 Protocol Deviation or Missing Data? 1= Protocol Deviation 2= Missing Data
192 test19 Enter test or procedure. String[15]
193 item19 List items involved. [SEPARATE BY A COMMA] String[20]
194 code19 Enter data code used. 1= Don't Know 2= Refusal 3= other
195 oth19 Enter other code used. String[20]
196 expl19 Explain what happened String[100]

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