Request Data
Important Information
Request Process
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Committee Review
All data requests are carefully reviewed by our Data Access Committee to ensure appropriate use of the data and protection of participant privacy.
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Regulatory Requirements
If approved, you will need to complete appropriate documentation (Data Use Agreement, Memorandum of Understanding, or IRB application/amendment) before receiving data.
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Timeline
Review typically takes 5-10 business days. Once approved, our data team may need up to 10 business days to assemble your requested data after regulatory approval is complete.
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Additional Information
You may be asked to provide additional information about your research objectives to help evaluate your request and ensure appropriate data stewardship.
For questions about the request process, please contact:
prechter-data-request@med.umich.eduData Request Form
Complete this form to request access to the selected variables for your research.
Providing detailed and accurate information will help us process your request more efficiently.
Request Details Guide
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Researcher Information
Please provide complete details about your position, institution, and contact information, including the name of the Principal Investigator.
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Project Description
Clearly state your research objectives, methodology, and how the requested data will be used. Include any specific hypotheses you plan to test and your data disposition plans after the project is complete.
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Timeline
Specify when you need the data and the expected duration of your project. This helps us prioritize requests and plan our resources accordingly.
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IRB Status
Indicate whether your research has IRB approval or exemption if internal to UMICH. If applicable, provide the IRB protocol number and approval date.
Data Specifications
Please select the specific data characteristics you need for your research.
These selections help us understand your data requirements more precisely.
Diagnosis
Time
Selected Variables
You've selected 295 variables for your request.
Review your selected variables below before submitting your request.
| Variable Name | Form | Description | Type |
|---|---|---|---|
| a107_logic | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a49_b | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>how did (<span style="font-weight: normal… | Notes |
| a83_d | A_Mood_Episodes_W_Specifiers | (did you make any risky or impulsive business investments or get involved in a … | Notes |
| as54 | A_Mood_Episodes_W_Specifiers | Feeling unusually restless. | Dropdown |
| ad_20 | Anxiety_Disorder | Did you take any medications for these attacks? | Radio |
| ad_33a_1 | Anxiety_Disorder | Agoraphobic | Radio |
| ad_36_social | Anxiety_Disorder | Social - did you seek help from anyone, like a doctor or other professional? | Radio |
| ad_37_simple | Anxiety_Disorder | Simple - did you take any medications? | Radio |
| ad_37_yes_simple | Anxiety_Disorder | Simple - if yes:specify: | Text |
| ad_39a | Anxiety_Disorder | Agoraphobic onset age | Text |
| ad_40c | Anxiety_Disorder | Simple/specific | Text |
| ad_41 | Anxiety_Disorder | If question 40 is 17 or less, code yes if phobia lasted at least 6 months. | Radio |
| anxiety_disordercsv_notes | Anxiety_Disorder | Notes | Notes |
| audit_f5 | Audit_Full | How often during the last year have you failed to do what was normally expected… | Radio |
| b1 | B_And_C_Psychotic_And_Associated_Symptoms | Delusion of reference, i.e., events, objects, or other persons in the individua… | Text |
| b27_notes | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><em>th… | descriptive |
| b44_g | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><p style="margin-top: 6pt; padding-left: 40p… | Notes |
| bc1_f | Bc_Psychotic_Screening | Did you ever have the feeling that street signs or billboards had a special mea… | Notes |
| bc5_b | Bc_Psychotic_Screening | Have you ever felt that something you did, or should have done but did not do, … | Notes |
| be_adhd_aao | Best_Estimates | Adhd (314.00): age of onset | Text |
| be_affective_psychosis | Best_Estimates | Affective psychosis | Radio |
| be_agwopd_conf | Best_Estimates | Agoraphobic without panic disorder (300.22): confidence | Dropdown |
| be_alcohol | Best_Estimates | Alcohol | Radio |
| be_alcohol_aao | Best_Estimates | Age of onset | Text |
| be_anorexia_aao | Best_Estimates | Anorexia nervosa (307.10): age of onset | Text |
| be_anorexia_conf | Best_Estimates | Anorexia nervosa (307.10): confidence | Dropdown |
| be_anxiety_oth_comorbid | Best_Estimates | D. Anxiety and other comorbid conditions | Checkbox |
| be_aspd_aao | Best_Estimates | Aspd (301.70): age of onset | Text |
| be_bulimia_aao | Best_Estimates | Bulimia nervosa (307.51): age of onset | Text |
| be_cannabis | Best_Estimates | Cannabis | Radio |
| be_cannabis_aao | Best_Estimates | Age of onset | Text |
| be_cannabis_conf | Best_Estimates | Confidence | Dropdown |
| be_cannabis_quit | Best_Estimates | Quit age | Text |
| be_chronicity_affective | Best_Estimates | Chronicity of affective disorder (since aao) | Radio |
| be_chronicity_substance | Best_Estimates | Chronicity of substance abuse (since affective onset) | Radio |
| be_cocaine_quit | Best_Estimates | Quit age | Text |
| be_digs_life | Best_Estimates | Interview | Radio |
| be_dsm3r | Best_Estimates | Dsmiiir | Dropdown |
| be_dsmiv | Best_Estimates | Dsmiv | Dropdown |
| be_fd_up | Best_Estimates | First degree with unipolar | Checkbox |
| be_interviewdate | Best_Estimates | Interview date | Text |
| be_nicotine | Best_Estimates | Nicotine | Radio |
| be_nicotine_aao | Best_Estimates | Age of onset | Text |
| be_ocd_conf | Best_Estimates | Ocd: confidence | Dropdown |
| be_opiate_conf | Best_Estimates | Confidence | Dropdown |
| be_othaffective_aao_2 | Best_Estimates | Age of onset | Text |
| be_othaffective_aao_3 | Best_Estimates | Age of onset | Text |
| be_othaffective_aao_5 | Best_Estimates | Age of onset | Text |
| be_othaffective_conf_1 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_2 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_3 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_4 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_5 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_6 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_conf_7 | Best_Estimates | Confidence | Dropdown |
| be_othaffective_specify | Best_Estimates | Specify medical condition | Text |
| be_other_affective | Best_Estimates | B. Other affective diagnosis | Checkbox |
| be_othercom | Best_Estimates | Other comorbid conditions: specify | Text |
| be_othercom_2 | Best_Estimates | Other comorbid conditions: specify | Text |
| be_othercom_3 | Best_Estimates | Other comorbid conditions: specify | Text |
| be_othercom_4 | Best_Estimates | Other comorbid conditions: specify | Text |
| be_othercom_aao | Best_Estimates | Other comorbid conditions: age of onset | Text |
| be_othercom_aao_3 | Best_Estimates | Other comorbid conditions: age of onset | Text |
| be_othercom_conf | Best_Estimates | Other comorbid conditions: confidence | Dropdown |
| be_othercom_conf_2 | Best_Estimates | Other comorbid conditions: confidence | Dropdown |
| be_othersubs | Best_Estimates | Other substance | Text |
| be_othersubs_conf | Best_Estimates | Confidence | Dropdown |
| be_patho_gamble_aao | Best_Estimates | Pathological gambling (312.31): age of onset | Text |
| be_patho_gamble_conf | Best_Estimates | Pathological gambling (312.31): confidence | Dropdown |
| be_pdwag_aao | Best_Estimates | Panic disorder with agoraphobia (300.21): age of onset | Text |
| be_pdwag_conf | Best_Estimates | Panic disorder with agoraphobia (300.21): confidence | Dropdown |
| be_pdwoag_aao | Best_Estimates | Panic disorder without agoraphobia (300.01): age of onset | Text |
| be_pdwoag_conf | Best_Estimates | Panic disorder without agoraphobia (300.01): confidence | Dropdown |
| be_ptsd_aao | Best_Estimates | Ptsd (309.81): age of onset | Text |
| be_rapid_cycling | Best_Estimates | Rapid cycling (4 or more in a year) | Radio |
| be_raterid | Best_Estimates | Rater id | Text |
| be_rdc_aao | Best_Estimates | Rdc: age of onset | Text |
| be_rdc_confidence | Best_Estimates | Rdc: confidence | Dropdown |
| be_sedative_aao | Best_Estimates | Age of onset | Text |
| be_sedative_conf | Best_Estimates | Confidence | Dropdown |
| be_sedative_quit | Best_Estimates | Quit age | Text |
| be_sign | Best_Estimates | Signature | Text |
| be_socialphobia_aao | Best_Estimates | Social phobia (300.23): age of onset | Text |
| be_socialphobia_conf | Best_Estimates | Social phobia (300.23): confidence | Dropdown |
| be_source | Best_Estimates | Source | Radio |
| be_specificphobia_aao | Best_Estimates | Specific phobia (300.29): age of onset | Text |
| be_status | Best_Estimates | Status | Radio |
| be_stimulant | Best_Estimates | Stimulant | Radio |
| be_stimulant_conf | Best_Estimates | Confidence | Dropdown |
| be_stimulant_quit | Best_Estimates | Quit age | Text |
| be_submitted | Best_Estimates | Befd submitted ? | yesno |
| bsps_1c | Bsps | Talking to strangers | Radio |
| bsps_2d | Bsps | Being embarrassed or humiliated | Radio |
| bsps_2f | Bsps | Social gatherings | Radio |
| bsps_2g | Bsps | Doing something while being watched (this does not include speaking) | Radio |
| bsps_fear_missing | Bsps | Fear: count of questions that were unanswered | Calculation |
| bsps_physiological_missing | Bsps | Physiological: count of questions that were unanswered | Calculation |
| bsps_total | Bsps | Total bsps score | Calculation |
| caq_17 | Caq | I don't anticipate that anything good will happen so that everything will feel … | Radio |
| aa_b | Cssrs_Baseline | <i style="background-color:#0272a6">past month</i> | Radio |
| cssrs_1a | Cssrs_Baseline | 1a. Wish to be dead - <i style="background-color:#da70d6">lifetime:</i> time … | Radio |
| cssrs_3a | Cssrs_Baseline | 3a. Active suicidal ideation with any methods (not plan) without intent to act … | Radio |
| cssrs_3b | Cssrs_Baseline | 3b. Active suicidal ideation with any methods (not plan) without intent to act … | Radio |
| cssrs_4_desc | Cssrs_Baseline | If answered yes to 4a/4b, describe: | Notes |
| cssrs_ab_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime:</i>: | Radio |
| cssrs_ab_b_desc | Cssrs_Baseline | Describe: | Notes |
| cssrs_control_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime:</i>: | Radio |
| cssrs_mlad | Cssrs_Baseline | Most lethal attempt date | Text |
| cssrs_mlap | Cssrs_Baseline | Most lethal attempt | Radio |
| cssrs_note | Cssrs_Baseline | Note | Notes |
| cssrs_sb_as_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime:</i>: | Radio |
| cssrs_sb_as_b | Cssrs_Baseline | <i style="background-color:#4cbb17">past year</i>: | Radio |
| deter_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime:</i>: | Radio |
| interrupted_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime</i>: | Radio |
| ioi_pxm_mostsevere | Cssrs_Baseline | Most severe ideation in the <i style="background-color:#0272a6">past month</i> … | Text |
| past_months | Cssrs_Baseline | <i style="background-color:#0272a6">past months</i> | Text |
| sb_prepactbeh_dtl | Cssrs_Baseline | Detail (preparatory acts or behavior) | Notes |
| cssrs_v2_1_desc | Cssrs_Life | Describe: | Notes |
| cssrs_v2_2a | Cssrs_Life | <div class="rich-text-field-label"><p>2. Non-specific active suicidal thoughts:… | yesno |
| cssrs_v2_3a | Cssrs_Life | <div class="rich-text-field-label"><p>3. Active suicidal ideation with any meth… | yesno |
| cssrs_v2_4_desc | Cssrs_Life | Describe: | Notes |
| cssrs_v2_ab_display2 | Cssrs_Life | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">si… | descriptive |
| cssrs_v2_ia | Cssrs_Life | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">si… | yesno |
| cssrs_v2_mla | Cssrs_Life | Most lethal attempt | Dropdown |
| cssrs_v2_mlad_month | Cssrs_Life | Most lethal attempt date month: | Dropdown |
| cssrs_v2_mlap | Cssrs_Life | Most lethal attempt: | Dropdown |
| cssrs_v2_pa | Cssrs_Life | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">si… | yesno |
| cssrs_v2_sb | Cssrs_Life | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">si… | yesno |
| cssrs_v2_sb_c | Cssrs_Life | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">si… | yesno |
| cssrs_v2_total_attempts | Cssrs_Life | Since last visit: total # of attempts | Text |
| cssrs_b_1_desc | Cssrs_Scid_5 | Describe: | Notes |
| cssrs_b_1a | Cssrs_Scid_5 | <div class="rich-text-field-label"><p><span style="text-decoration: underline; … | yesno |
| cssrs_b_3a | Cssrs_Scid_5 | <div class="rich-text-field-label"><p><span style="text-decoration: underline; … | yesno |
| cssrs_b_5b | Cssrs_Scid_5 | <div class="rich-text-field-label"><p><span style="text-decoration: underline; … | yesno |
| cssrs_b_aa_b | Cssrs_Scid_5 | Actual attempts: past year | yesno |
| cssrs_b_ab_b | Cssrs_Scid_5 | Past year: has there been a time when you started to do something to try to end… | yesno |
| cssrs_b_ab_total | Cssrs_Scid_5 | <i style="background-color:#da70d6">lifetime:</i>: total # of aborted attempts | Text |
| cssrs_b_c2_notes | Cssrs_Scid_5 | Describe: | Notes |
| cssrs_b_control_b | Cssrs_Scid_5 | Past months: controllability :could/can you stop thinking about killing yoursel… | Dropdown |
| cssrs_b_dur_b | Cssrs_Scid_5 | Past months duration: when you have the thoughts how long do they last? | Dropdown |
| cssrs_b_ia_py_notes | Cssrs_Scid_5 | Describe: | Notes |
| cssrs_b_mfad_yr | Cssrs_Scid_5 | Year: initial/first attempt date | Text |
| cssrs_b_mfap | Cssrs_Scid_5 | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">in… | Dropdown |
| cssrs_b_mlad_yr | Cssrs_Scid_5 | Year: most lethal attempt date | Text |
| cssrs_b_mrad_yr | Cssrs_Scid_5 | Year: most recent attempt date | Text |
| cssrs_b_mrap | Cssrs_Scid_5 | <div class="rich-text-field-label"><p><span style="color: rgb(224, 62, 45);">mo… | Dropdown |
| cssrs_b_prep_a | Cssrs_Scid_5 | Lifetime: have you taken any steps towards making a suicide attempt or preparin… | yesno |
| cssrs_b_reason_b | Cssrs_Scid_5 | Past months: reasons for ideation what sort of reasons did you have for thinki… | Dropdown |
| aa_a_v2 | Cssrs_V2 | Since last visit: | Radio |
| cssrs_1a_v2 | Cssrs_V2 | Wish to be dead - since last visit <br><font size=1 color="#9f5f9f">(subject e… | Radio |
| cssrs_2a_v2 | Cssrs_V2 | Non-specific active suicidal thoughts - since last visit <br><font size=1 colo… | Radio |
| cssrs_4a_v2 | Cssrs_V2 | Active suicidal ideation with some intent to act, without specific plan - since… | Radio |
| cssrs_5_desc_v2 | Cssrs_V2 | If answered yes to 5, describe: | Notes |
| cssrs_ab_a_desc_v2 | Cssrs_V2 | Describe: | Notes |
| cssrs_ab_a_v2 | Cssrs_V2 | Since last visit: | Radio |
| cssrs_ab_total_v2 | Cssrs_V2 | Since last visit: total # of aborted attempts | Text |
| cssrs_ia_v2 | Cssrs_V2 | <u>interrupted attempts</u> when the person is interrupted (by any outside cir… | descriptive |
| cssrs_inter_total_v2 | Cssrs_V2 | Since last visit: total # of interrupted attempts | Text |
| cssrs_note_v2 | Cssrs_V2 | Note | Notes |
| freq_a_v2 | Cssrs_V2 | Most severe: how many times have you had these thoughts? | Radio |
| interrupted_a_v2 | Cssrs_V2 | Since last visit: | Radio |
| ioi_mostsevere_v2 | Cssrs_V2 | Most severe ideation (type# 1-5) | Text |
| past_months_v2 | Cssrs_V2 | <i style="background-color:#0272a6">past months</i> | Text |
| dg_adoptnature | Demographics_Edigs | If yes: clarify nature of adoption | Text |
| dg_childcount | Demographics_Edigs | How many living children do you have? | Text |
| dg_hoh | Demographics_Edigs | 10b. If the subject not head of household: what is/was the occupation of the he… | Dropdown |
| dg_military | Demographics_Edigs | Have you ever been in the military? | Radio |
| dg_presentoc | Demographics_Edigs | What is your present occupation? | Dropdown |
| e111_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e199 | E_Substance_Use_Disorders | Pcp | Text |
| e219_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>have you ever found that once you started… | Notes |
| gmr | Hamd | <u>global mania rating</u> | Radio |
| hamd_17 | Hamd | <div class="rich-text-field-label"><p><u>17. Weight loss</u></p> <p><span style… | Radio |
| hamd_17_atypical | Hamd | <font size = 2 color=#5959ab>hamd 17 + atypical score</font> | Calculation |
| hamd_17a_total | Hamd | 17-hamilton with atypical item (25 items) total | Text |
| hamd_18b | Hamd | <u>18b. Diurnal variation severity</u> <font size = 2 color=#5959ab> if present… | Radio |
| hamd_20 | Hamd | <u>20. Paranoid symptoms</u> <font size=2 color="#871f78">this past week, have… | Radio |
| hamd_4a | Hamd | <u>4a. Increased eating</u> <font size=2 color="#871f78">in the past week, hav… | Radio |
| hamd_5 | Hamd | <div class="rich-text-field-label"><p><u>5. Middle insomnia</u><br><br></p> <p … | Radio |
| hamd_6 | Hamd | <div class="rich-text-field-label"><p><u>6. Delayed insomnia</u><br><br></p> <p… | Radio |
| hamd_7a | Hamd | <u>7a. Social withdrawal</u> <font size=2 color="#871f78">in the last week, ha… | Radio |
| hamd_8 | Hamd | <u>8. Psychomotor retardation</u> rate based on observation: | Radio |
| hamd_8a | Hamd | <u>8a. Fatigability </u> (or low energy, or feelings of being heavy, leaden, w… | Radio |
| hamd_exclude | Hamd | Reason for exclusion | Text |
| hamd_grid_image_16 | Hamd | Insight grid image | descriptive |
| hamd_grid_image_18 | Hamd | Diurnal variation grid image | descriptive |
| hamd_grid_image_21 | Hamd | Obsessional and compulsive symptoms grid image | descriptive |
| hamd_grid_image_3 | Hamd | Suicide grid image | descriptive |
| hamd_grid_image_7 | Hamd | Work and activities grid image | descriptive |
| hamd_labdata | Hamd | Include lab data in the study | yesno |
| hamd_pa | Hamd | Is this patient currently suffering from panic attacks? if yes, complete the p… | yesno |
| md_11 | Major_Depression | Were you feeling a loss of energy or more tired than usual? | Radio |
| md_18 | Major_Depression | <h6 style="background-color:#da70d6">interviewer</h6>: review symptoms in 6-16 … | Radio |
| md_21_a | Major_Depression | If yes to question 21: 21a. Did these (refer to experiences) occur either just … | Radio |
| md_21_c | Major_Depression | 21c. If yes: how long did they last after your mood returned to normal? | Text |
| md_21_spec | Major_Depression | If yes: specify: | Notes |
| md_24 | Major_Depression | Were you prescribed medication for depression or was there a change in your dos… | Radio |
| md_24_spec | Major_Depression | If yes: specify | Text |
| md_25_a | Major_Depression | 25a. If yes: for how long (inpatient)? | Text |
| md_26 | Major_Depression | Did you receive ect (shock treatments)? | Radio |
| md_35a_spec | Major_Depression | If yes: specify: | Text |
| md_63 | Major_Depression | Rdc minor role dysfunction if no change in question 62: was your functioning in… | Radio |
| md_7a | Major_Depression | 7a. Were you unable to fall asleep | Radio |
| md_7c | Major_Depression | 7c. Were you waking up in the middle of the night and having trouble going back… | Radio |
| details_if_yes_for_th2_ef2 | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mg_conh | Medical_History_Digs | Congestive heart | Radio |
| mh_8a | Medical_History_Digs | A. How many times have you been pregnant including miscarriages, abortions and … | Text |
| mh_abort | Medical_History_Digs | Ii. Number of abortions | Text |
| mh_ane_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_art | Medical_History_Digs | Arthiritis | Radio |
| mh_art_age | Medical_History_Digs | Age of onset | Text |
| mh_ast | Medical_History_Digs | Asthma | Radio |
| mh_ast_age | Medical_History_Digs | Age of onset | Text |
| mh_ast_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_bro | Medical_History_Digs | Chronic bronchitis | Radio |
| mh_dia_age | Medical_History_Digs | Age of onset | Text |
| mh_dos1_weeks | Medical_History_Digs | Duration of dosage (medication 1) | Text |
| mh_dos3_weeks | Medical_History_Digs | Duration of dosage (medication 3) | Text |
| mh_emp_age | Medical_History_Digs | Age of onset | Text |
| mh_fib_age | Medical_History_Digs | Age of onset | Text |
| mh_goi_age | Medical_History_Digs | Age of onset | Text |
| mh_goi_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_hatt | Medical_History_Digs | Heart attack/angina | Radio |
| mh_hatt_age | Medical_History_Digs | Age of onset | Text |
| mh_hatt_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_head | Medical_History_Digs | Head injury | Radio |
| mh_lc | Medical_History_Digs | Liver condition | Radio |
| mh_mp_disc | Medical_History_Digs | Do you have any other medical problem or condition we haven't discussed | Radio |
| mh_neu_age | Medical_History_Digs | Age of onset | Text |
| mh_ost | Medical_History_Digs | Osteoporosis/ brittle bones | Radio |
| mh_ost_age | Medical_History_Digs | Age of onset | Text |
| mh_ove | Medical_History_Digs | Overweight | Radio |
| mh_preg_emo | Medical_History_Digs | 8c. Have you ever had any severe emotional problems during pregnancy or within … | Radio |
| mh_preg_emo_spec | Medical_History_Digs | If yes: specify | Text |
| mh_quest2 | Medical_History_Digs | If yes to any: how do(es) this condition(s) affect your daily life? | descriptive |
| mh_quest5 | Medical_History_Digs | Have you ever had any of the following tests: | descriptive |
| mh_sc_age | Medical_History_Digs | Age of onset | Text |
| mh_section_1_end | Medical_History_Digs | _______________________________________________________________________________… | Notes |
| mh_st_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_ulc | Medical_History_Digs | Ulcer | Radio |
| mh_ulc_age | Medical_History_Digs | Age of onset | Text |
| mmse_5b | Modified_Minimental_Status_Examination | 5b. Ask the subject to repeat the following "no ifs, ands, or buts."score 1 poi… | Text |
| mmse_5c | Modified_Minimental_Status_Examination | 5c. Ask the subject to follow a three-stage command (e.g. "take a paper in your… | Text |
| mmse_registration | Modified_Minimental_Status_Examination | Name three objects or concepts for the subject(e.g. Fish hook, shoe, green) tak… | descriptive |
| mmse_tot | Modified_Minimental_Status_Examination | Total score | Calculation |
| mmse_trial4 | Modified_Minimental_Status_Examination | Trial 4: | Text |
| mmse_trial5 | Modified_Minimental_Status_Examination | Trial 5: | Text |
| klonopin_clonazepam | Overview_Of_Psychiatric_Disturbance | Klonopin (clonazepam) | Checkbox |
| opd_4a | Overview_Of_Psychiatric_Disturbance | 4a. If yes to 4: how many times were you admitted to an inpatient unit? | Text |
| other_sedatives | Overview_Of_Psychiatric_Disturbance | Other sedatives/ hypnotics/ minor tranquilizers | Checkbox |
| seconal_secobarbital | Overview_Of_Psychiatric_Disturbance | Seconal (secobarbital) | Checkbox |
| was_there_ever_a_time_when | Overview_Of_Psychiatric_Disturbance | Was there ever a time when you or someone else thought you needed professional … | Radio |
| xenan_alprazolam | Overview_Of_Psychiatric_Disturbance | Xanax (alprazolam) | Checkbox |
| ptsd_13 | Post_Traumatic_Stress_Disorder | Irritability or angry outbursts (apart from depression or mania) | Radio |
| ptsd_3 | Post_Traumatic_Stress_Disorder | Have you ever been bothered by unwanted thoughts or dreams or images that kept … | Radio |
| ptsd_7 | Post_Traumatic_Stress_Disorder | Have you ever tried in general to avoid activities, places or people that remin… | Radio |
| ptsd_9 | Post_Traumatic_Stress_Disorder | Since the event, do you tend to feel detached from other people? | Radio |
| sighd_1 | Sighd | <u>depressed mood: </u>(sadness, hopeless, helpless, worthless) <font size=2 c… | Radio |
| sighd_12 | Sighd | <u>hypochodriasis</u> <font size=2 color="#871f78">in the last week, how much … | Radio |
| sighd_16 | Sighd | <u>somatic symptoms gastrointestinal</u> <font size=2 color="#871f78">how has … | Radio |
| sighd_17_score | Sighd | <font size = 2 color=#b03060>depression score (17 items)</font> | Calculation |
| sighd_18 | Sighd | <u>diurnal variation a.</u> note whether symptoms are worse in morning or eveni… | Radio |
| sighd_18b | Sighd | <u>diurnal variation b.</u> when present, mark the severity of the variation | Radio |
| sighd_19 | Sighd | <u>depersonalization and derealization</u> feeling of unreality <font size=2 c… | Radio |
| sighd_5 | Sighd | <u>a. Loss of weight </u> (rate either a or b) <font size=2 color="#871f78">ha… | Radio |
| sighd_6 | Sighd | <u>insomnia early</u> <font size=2 color="#871f78">how have you been sleeping … | Radio |
| sighd_8 | Sighd | <u>insomnia late</u> <font size=2 color="#871f78">what time have you been waki… | Radio |
| sighd_9 | Sighd | <u>anxiety psychic</u> <font size=2 color="#871f78">have you been feeling espe… | Radio |
| sighd_a4 | Sighd | <u>increased eating</u> <font size=2 color="#871f78">in the past week, have yo… | Radio |
| sighd_a7 | Sighd | <u>fatigability </u> (or low energy, or feelings of being heavy, leaden, weighe… | Radio |
| sighd_a8 | Sighd | <u>diurnal variation type b</u> <font size=2 color="#871f78">this week, have y… | Radio |
| sighd_missing | Sighd | <font size = 2 color=#b03060>sighd: count of questions that were unaswered</fon… | Calculation |
| sighd_note | Sighd | Note | Notes |
| som_2a | Somatization | 2a. Temporary blindness in one or both eyes lasting several seconds or more? | Radio |
| som_2b | Somatization | 2b. Double vision? | Radio |
| som_diag | Somatization | Diagnostic criteria for somatization disorder: | Checkbox |
| fd_bp_2 | Summary | N/A | Calculation |
| fd_bp_9 | Summary | N/A | Calculation |
| fd_up_9 | Summary | N/A | Calculation |
| sd_bp_4 | Summary | N/A | Calculation |
| sd_nmd_0 | Summary | N/A | Calculation |
| sd_up_0 | Summary | N/A | Calculation |
| sd_up_1 | Summary | N/A | Calculation |
| sd_up_2 | Summary | N/A | Calculation |
| sd_up_3 | Summary | N/A | Calculation |
| sd_up_4 | Summary | N/A | Calculation |
| telephone_interview_for_cognitive_statuscsv_notes | Telephone_Interview_For_Cognitive_Status | Notes | Notes |
| tics7d | Telephone_Interview_For_Cognitive_Status | What animal does wool come from? score one point for sheep or lamb only | Text |
| tics_1 | Telephone_Interview_For_Cognitive_Status | Please tell me your name. score one point for first name and one point for last… | Text |
| tics_10 | Telephone_Interview_For_Cognitive_Status | With your finger, tap 5 times on the part of the phone you speak into. score tw… | Text |
| tics_8 | Telephone_Interview_For_Cognitive_Status | Say this: "no ifs ands or buts." say this: "methodist episcopal." score one poi… | Text |
| tics_tot | Telephone_Interview_For_Cognitive_Status | Total score | Calculation |
| ymrs_3 | YMRS | <u>3. Sexual interest</u> <font size = 2 color=#5959ab> how has your interest … | Text |
| ymrs_missing | YMRS | <font size = 2 color ="#5959ab">ymrs: count of questions that were unanswered</… | Calculation |
| ymrs_score | YMRS | <font size = 2 color ="#5959ab">ymrs score</font> | Calculation |