Number of Blaise fields: 196
Seq # | Var | Question | Data Type/Coding |
---|---|---|---|
1 | versiondate | ||
2 | formdescr | ||
3 | formno | String[10] | |
4 | version | String[10] | |
5 | spirobr | 1= Complete 2= Skip | |
6 | fingtapbr | 1= Complete 2= Skip | |
7 | pinbr | 1= Complete 2= Skip | |
8 | tuningbr | 1= Complete 2= Skip | |
9 | projid | String[8] | |
10 | visit | String[2] | |
11 | baseyear | 1993 .. 2025 | |
12 | autodate | Date type | |
13 | autotime | TimeType | |
14 | autolog | Date type | |
15 | intid | 100 .. 997 | |
16 | compid | String[20] | |
17 | dateint | Date type | |
18 | educ | 0 .. 30 | |
19 | formlang | 1= ENG 2= ESP | |
20 | spiroqs | 1= Yes 2= No | |
21 | fev11 | Este próximo test medirá cómo de rápido y cuánto aire puede usted soplar. No hay resistencia. Será como soplar cien velas en un pastel de cumpleaños. Esto es lo que quiero que haga usted. Tome aire tan profundamente como pueda (llene sus pulmones con todo el aire que pueda), sujete, abra la boca, ponga sus labios firmemente en el tubo, luego sople tan fuerte y rápido como usted pueda, como si usted estuviera soplando cien velas en un pastel de cumpleaños.(demostrar) ¿Preparado?...tome aire profundamente, sujete, abra bien, labios firmes, Sople!!! ... y pare (repetir para el Segundo intento) RESET Spirometry device FEV1 Trial 1 [Enter 95.5 for tried but unable.] _____ liters | 0.00 .. 95.50 |
22 | pvc1 | 0.00 .. 10.00 | |
23 | fer1 | 0 .. 100 | |
24 | pef1 | 0 .. 999 | |
25 | fev12 | 0.00 .. 95.50 | |
26 | pvc2 | 0.00 .. 10.00 | |
27 | fer2 | 0 .. 100 | |
28 | pef2 | 0 .. 999 | |
29 | spcom | String[250] | |
30 | q8atap | FINGER TAPPING [TURN DIAL TO TAPPING TEST] 1. Right hand. 'Quiero ver que tan rápido usted puede presionar esta tecla. Ahora pruebe con su mano derecha. Cuando yo le diga que empiece, presione esta tecla de forma continua o repetida, lo más rápido que pueda hasta que le diga que pare.' 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 | String[40] | |
32 | q8btap | 1 .. 97 | |
33 | q8bna | String[40] | |
34 | q8ctap | 1 .. 97 | |
35 | q8cna | String[40] | |
36 | q8dtap | 1 .. 97 | |
37 | q8dna | String[40] | |
38 | rhand1 | HAND DYNAMOMETRY [SET RED NEEDLE TO 0.] 'Quiero ver con cuánta fuerza puede usted apretar este aparato manual. Cuando yo le diga que empiece, apriete con tanta fuerza como pueda hasta que yo le diga que pare.' 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 | String[40] | |
40 | lhand1 | 0 .. 777 | |
41 | lhand1na | String[40] | |
42 | rhand2 | 0 .. 777 | |
43 | rhand2na | String[40] | |
44 | lhand2 | 0 .. 777 | |
45 | lhand2na | String[40] | |
46 | rthand1 | PINCH DYNAMOMETRY [SET RED NEEDLE TO 0.] 'Quiero ver con cuánta fuerza puede usted apretar este disco. Cuando yo le diga que empiece, apriete este disco con tanta fuerza como pueda hasta que yo le diga que pare.' 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 | String[40] | |
48 | lthand1 | 0 .. 77 | |
49 | lthand1n | String[40] | |
50 | rthand2 | 0 .. 77 | |
51 | rthand2n | String[40] | |
52 | lthand2 | 0 .. 77 | |
53 | lthand2n | String[40] | |
54 | hpinsym | 1= Yes 2= rtless 3= ltless 7= notest | |
55 | rhandpin | 1= Same 2= possmore 3= defmore 4= Posspink 5= pinkydef | |
56 | lhandpin | 1= Same 2= possmore 3= defmore 4= Posspink 5= pinkydef | |
57 | fpinsym | 1= Yes 2= rtless 3= ltless 7= notest | |
58 | rlegpin | 1= Yes 2= Possible 3= No | |
59 | ltlegpin | 1= Yes 2= Possible 3= No | |
60 | rtoe | 0 .. 100 | |
61 | ltoe | 0 .. 100 | |
62 | rankle | 0 .. 100 | |
63 | lankle | 0 .. 100 | |
64 | howwell | 1= qw 2= fw 3= sw 4= vl 5= naa | |
65 | hearimp | 1= Yes 2= No | |
66 | visimp | 1= ycb 2= yvp 3= yp 4= nns | |
67 | phyeffrt | 1= agd 2= aca 3= ama 4= alb 5= ha | |
68 | formcode | 11 .. 76 | |
69 | formpart | 1= Yes 2= No | |
70 | formcomm | String[120] | |
71 | statid | 100 .. 997 | |
72 | formch | 1= Yes 2= No | |
73 | revidate | Date type | |
74 | revintd | 100 .. 997 | |
75 | anydev | 1= Sí 2= No | |
76 | numdev | 1 .. 20 | |
77 | reas00 | 1= prot 2= miss | |
78 | test00 | String[15] | |
79 | item00 | String[20] | |
80 | code00 | 1= dont 2= ref 3= other | |
81 | oth00 | String[20] | |
82 | expl00 | String[100] | |
83 | reas01 | 1= prot 2= miss | |
84 | test01 | String[15] | |
85 | item01 | String[20] | |
86 | code01 | 1= dont 2= ref 3= other | |
87 | oth01 | String[20] | |
88 | expl01 | String[100] | |
89 | reas02 | 1= prot 2= miss | |
90 | test02 | String[15] | |
91 | item02 | String[20] | |
92 | code02 | 1= dont 2= ref 3= other | |
93 | oth02 | String[20] | |
94 | expl02 | String[100] | |
95 | reas03 | 1= prot 2= miss | |
96 | test03 | String[15] | |
97 | item03 | String[20] | |
98 | code03 | 1= dont 2= ref 3= other | |
99 | oth03 | String[20] | |
100 | expl03 | String[100] | |
101 | reas04 | 1= prot 2= miss | |
102 | test04 | String[15] | |
103 | item04 | String[20] | |
104 | code04 | 1= dont 2= ref 3= other | |
105 | oth04 | String[20] | |
106 | expl04 | String[100] | |
107 | reas05 | 1= prot 2= miss | |
108 | test05 | String[15] | |
109 | item05 | String[20] | |
110 | code05 | 1= dont 2= ref 3= other | |
111 | oth05 | String[20] | |
112 | expl05 | String[100] | |
113 | reas06 | 1= prot 2= miss | |
114 | test06 | String[15] | |
115 | item06 | String[20] | |
116 | code06 | 1= dont 2= ref 3= other | |
117 | oth06 | String[20] | |
118 | expl06 | String[100] | |
119 | reas07 | 1= prot 2= miss | |
120 | test07 | String[15] | |
121 | item07 | String[20] | |
122 | code07 | 1= dont 2= ref 3= other | |
123 | oth07 | String[20] | |
124 | expl07 | String[100] | |
125 | reas08 | 1= prot 2= miss | |
126 | test08 | String[15] | |
127 | item08 | String[20] | |
128 | code08 | 1= dont 2= ref 3= other | |
129 | oth08 | String[20] | |
130 | expl08 | String[100] | |
131 | reas09 | 1= prot 2= miss | |
132 | test09 | String[15] | |
133 | item09 | String[20] | |
134 | code09 | 1= dont 2= ref 3= other | |
135 | oth09 | String[20] | |
136 | expl09 | String[100] | |
137 | reas10 | 1= prot 2= miss | |
138 | test10 | String[15] | |
139 | item10 | String[20] | |
140 | code10 | 1= dont 2= ref 3= other | |
141 | oth10 | String[20] | |
142 | expl10 | String[100] | |
143 | reas11 | 1= prot 2= miss | |
144 | test11 | String[15] | |
145 | item11 | String[20] | |
146 | code11 | 1= dont 2= ref 3= other | |
147 | oth11 | String[20] | |
148 | expl11 | String[100] | |
149 | reas12 | 1= prot 2= miss | |
150 | test12 | String[15] | |
151 | item12 | String[20] | |
152 | code12 | 1= dont 2= ref 3= other | |
153 | oth12 | String[20] | |
154 | expl12 | String[100] | |
155 | reas13 | 1= prot 2= miss | |
156 | test13 | String[15] | |
157 | item13 | String[20] | |
158 | code13 | 1= dont 2= ref 3= other | |
159 | oth13 | String[20] | |
160 | expl13 | String[100] | |
161 | reas14 | 1= prot 2= miss | |
162 | test14 | String[15] | |
163 | item14 | String[20] | |
164 | code14 | 1= dont 2= ref 3= other | |
165 | oth14 | String[20] | |
166 | expl14 | String[100] | |
167 | reas15 | 1= prot 2= miss | |
168 | test15 | String[15] | |
169 | item15 | String[20] | |
170 | code15 | 1= dont 2= ref 3= other | |
171 | oth15 | String[20] | |
172 | expl15 | String[100] | |
173 | reas16 | 1= prot 2= miss | |
174 | test16 | String[15] | |
175 | item16 | String[20] | |
176 | code16 | 1= dont 2= ref 3= other | |
177 | oth16 | String[20] | |
178 | expl16 | String[100] | |
179 | reas17 | 1= prot 2= miss | |
180 | test17 | String[15] | |
181 | item17 | String[20] | |
182 | code17 | 1= dont 2= ref 3= other | |
183 | oth17 | String[20] | |
184 | expl17 | String[100] | |
185 | reas18 | 1= prot 2= miss | |
186 | test18 | String[15] | |
187 | item18 | String[20] | |
188 | code18 | 1= dont 2= ref 3= other | |
189 | oth18 | String[20] | |
190 | expl18 | String[100] | |
191 | reas19 | 1= prot 2= miss | |
192 | test19 | String[15] | |
193 | item19 | String[20] | |
194 | code19 | 1= dont 2= ref 3= other | |
195 | oth19 | String[20] | |
196 | expl19 | String[100] |