i2b2 Import from Onyx Mapping Version 1

The mapping is made up of 13 questionnaires. These are:

1. Acute Verbal Consent for samples collection
2. Participant Consent
3. Paper Consent
4. Recruitment Context
5. Risk Factor
6. Patient-reported medical history
7. Samples Preliminary
8. Blood samples collection
9. Urine sample collection
10. End of patient contact
11. Notes-recorded medical history
12. Data submission
13. Conclusion

The mapping of each questionnaire is show in the sections below:

Acute Verbal Consent for samples collection

Export folder: VerbalConsentQuestionnaire

Visible fields on the form:

Label	Answer Type	Has comment
Was acute verbal consent given	Radio button: yes,no	n
Name of witness	Free text with radio button	y

Participant Consent

Export folder: Consent ?

Visible fields on the form:

Label	Answer Type	Has comment
Type of consent	Radio button: Electronic, Paper	n
Consent form language	Select: various languages	n
Consent Confirmation (paper only?)	Radio buttons: 'read and signed', 'refused to sign'	n

Paper Consent

Export folder: Consent?

Visible fields on the form:

Label	Answer Type	Has comment
Does the participant understand the request for consent?	Radio button: yes, no	y
Does the participant consent to donate blood and urine	Radio button: yes, no	y
Does the participant consent to entry in the BRICCS database?	Radio button: yes, no	y
Does the participant consent to further contact from BRU?	Radio button: yes, no	y
Does the participant understand the rules of withdrawal?	Radio button: yes, no	y

Recruitment Context

Export folder: RecruitmentContextQuestionnaire

Visible fields on the form:

Label	Answer Type	Has comment
Interview Language	Select: languages	y
Recruitment episode type	Radio button: inpatient, outpatient, healthy control, study specific, don't know	y
Inpatient admission type	Radio button: Actute, Elective, Don't know	y
Hospital	Radio button: Glenfield, LGH, LRI, Don't know	y
Admitting Ward	Select: list of wards, and radio button: don't know	y
Admitting Consultant	Select: list of consultants, and radio button: don't know	y
Outpatient clinic attended	select: list of clinics, and radio button: don't know	y
Consultant	Select: list of consultants, and radio button: don't know	y
Study Reference	Radio button: GeneFast AS Study, Study Reference2, Study Reference3, Don't know	y

Risk Factor

Export folder: RiskFactorQuestionnaire

Visible fields on the form:

Label	Answer Type	Has comment
Have you ever smoked or used any tobacco or nicotine product?	Radio button: no, yes, prefer not to answer, don't know	y
Which of the following have you ever smoked or used?	tick boxes: cigarettes, cigars, pipe tobacco, snuff or chewing tobacco, any other	y
Have you ever smoked cigarettes on most days?	Radio button: no, yes, prefer not to answer, Don't know	y
Do you currently smoke cigarettes	Radio button: y, n, pnta, dk	y
On average, how many cigarettes did you smoke per day when you were smoking the most	numeric box, pnta, dk	y
How old were you when you began smoking cigarettes on most days	numeric box, pnta, dk	y
How old were you when you stopped smoking cigarettes	numeric box, pnta, dk	y
On average, how many cigarettes do you currently smoke per day?	numeric box, pnta, dk	y
When was the last time you had a cigarette	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
Have you ever smoked cigars regularly	Radio buttons: y, n, pnta, dk	y
Do you currently smoke cigars	Radio buttons: y, n, pnta, dk	y
On average, how many cigars did you smoke per day when you were smoking the most	numeric box, pnta, dk	y
How old were you when you began smoking cigars on most days	numeric box, pnta, dk	y
How old were you when you stopped smoking cigars	numeric box, pnta, dk	y
On average, how many cigars do you currently smoke per day?	numeric box, pnta, dk	y
When was the last time you had a cigarette	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
Have you ever smoked a pipe regularly	Radio buttons: y, n, pnta, dk	y
Do you currently smoke a pipe	Radio buttons: y, n, pnta, dk	y
How much tobacco did you smoke per day when you were smoking the most	numeric box, pnta, dk	y
How old were you when you began smoking a pipe on most days	numeric box, pnta, dk	y
How old were you when you stopped smoking a pipe	numeric box, pnta, dk	y
How much tobacco do you currently smoke per day?	numeric box, pnta, dk	y
When was the last time you smoked a pipe	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
Have you ever used snuff or chewing tobacco regularly	Radio buttons: y, n, pnta, dk	y
Do you currently use snuff or chewing tobacco	Radio buttons: y, n, pnta, dk	y
How much snuff or chewing tobacco did you smoke per day when you were using the most	numeric box, pnta, dk	y
How old were you when you began using snuff or chewing tobacco	numeric box, pnta, dk	y
How old were you when you stopped using snuff or chewing tobacco	numeric box, pnta, dk	y
How much snuff or chewing tobacco do you use per week?	numeric box, pnta, dk	y
When was the last time you has snuff or chewing tobacco	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
Have you ever used any other tobacco or nicotine product for at least 6 months	y, n, pnta, dk	y
Do you currently use any other tobacco or nicotine product	y, n, pnta, dk	y
How much of the tobacco or nicotine product per week did you use when you were using the most?	numeric box, pnta, dk	y
How old were you when you began using the tobacco or nicotine product?	numeric box, pnta, dk	y
How old were you when you stopped using the tobacco or nicotine product?	numeroc box, pnta, dk	y
How much of the tobacco or nicotine product do you use per week?	numeric box, pnta, dk	y
When was the last time you had any tobacco or nicotine?	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
Have you ever drunk alcohol?	y, n, pnta, dk	y
Have you ever drunk alcohol at least once per week?	y, n, pnta, dk	y
Do you currently drink alcohol at least once per week?	y, n, pnta, dk	y
How many pints of beer do you drink in a typical week?	numeric box, pnta, dk	y
How many glasses of white wine do you drink in a typical week?	numeric box, pnta, dk	y
How many glasses of red wine do you drink in a typical week?	numeric box, pnta, dk	y
How many glasses of rose wine do you drink in a typical week?	numeric box, pnta, dk	y
How many measures of spirits do you drink in a typical week?	numeric box, pnta, dk	y
How old were you when you began drinking alcohol?	numeric box, pnta, dk	y
When was the last time you had a drink containing alcohol?	Complex radio buttons: (Select: today, yesterday; Select: hour; Select: minute) or (More than 24 hours)	y
How would you describe your diet?	Radio buttons: various diets	y
If you work, does your work involve any physical activity?	Radio buttons	y
Apart from work, do you undertake any regular physical exercise over and above that of daily living?	Radio buttons	y
Number of Family members	see below	y
How many brothers do you have?	numeric, pnta, dk	n
How many sisters do you have?	numeric, pnta, dk	n
How many children do you have?	numeric, pnta, dk	n
Have any of your relatives suffered angina or other Coronary Artery Disease?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives suffered a heart attack or Myocardial Infarction?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives ever been diagnosed with heart failure?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives ever suffered Atrial Fibrillation (AF)?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives ever suffered a stroke or CVA?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives been diagnosed with high blood pressure?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
Have any of your relatives been diagnosed with valvular heart disease?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
At what age did they first suffer from angina or Coronary Artery Disease?	see below	y
Father	numeric box, pnta, dk	n
Mother	numeric box, pnta, dk	n
Brother	numeric box, pnta, dk	n
Sister	numeric box, pnta, dk	n
Child	numeric box, pnta, dk	n
Have they received treatment for their angina or Coronary Artery Disease?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
At what age did they suffer their first heart attack or Myocardial Infarction?	see below	y
Father	numeric box, pnta, dk	n
Mother	numeric box, pnta, dk	n
Brother	numeric box, pnta, dk	n
Sister	numeric box, pnta, dk	n
Child	numeric box, pnta, dk	n
Have they received treatment for their angina or Coronary Artery Disease?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
At what age did they first suffer from heart failure?	see below	y
Father	numeric box, pnta, dk	n
Mother	numeric box, pnta, dk	n
Brother	numeric box, pnta, dk	n
Sister	numeric box, pnta, dk	n
Child	numeric box, pnta, dk	n
Have they received treatment for their heart failure?	see below	y
Father	Radio buttons: y, n, pnta, dk	n
Mother	Radio buttons: y, n, pnta, dk	n
Brother	Radio buttons: y, n, pnta, dk	n
Sister	Radio buttons: y, n, pnta, dk	n
Child	Radio buttons: y, n, pnta, dk	n
At what age did they first suffer from Atrial Fibrillation?	see below	y
Father	numeric box, pnta, dk	n
Mother	numeric box, pnta, dk	n
Brother	numeric box, pnta, dk	n
Sister	numeric box, pnta, dk	n
Child	numeric box, pnta, dk	n

Patient-reported medical history

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Samples Preliminary

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Blood samples collection

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Urine sample collection

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

End of patient contact

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Notes-recorded medical history

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Data submission

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Conclusion

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment