nacc uniform data set (uds), v2 · 1. the first 10 data elements are the same for each template,...

4311 11th Avenue NE #300 Seattle, WA 98105 phone: (206) 543-8637; fax: (206) 616-5927 e-mail: [email protected] website: https://www.alz.washington.edu

Department of Epidemiology, School of Public Health, University of Washington

NACC Uniform Data Set (UDS)

DATA TEMPLATE

for Initial Visit Packet (IVP)

(Version 2.0, February 2008)

Copyright© 2006, 2008 University of Washington

This publication was funded by the National Institute of Health through the National Institute on Aging (Cooperative Agreement U01 AG016976)

NOTE: Version 2 is NOT the most current version of the UDS forms andis no longer used for data submission. For the most current version, please visit

http://www.alz.washington.edu.

Data Template Uniform Data Set (UDS) – Initial Visit Packet (IVP)

This template is designed to assist the Centers’ data cores in developing software to submit UDS data to NACC. The template details the data element names, type of data element, columns for ASCII file submission, and item number.

This template is only needed for ASCII batch file submissions. Centers using web data entry will not need this template.

A more detailed description of each data element is found in the data element dictionary. Data elements are listed by form and within form by item number.

1. The first 10 data elements are the same for each template, for each form. They are required and are shaded on the template. They must have legal values or the form cannot be processed.

2. There is exactly one blank space required between the data fields of adjacent variables. Although a data field may in some cases contain one or more blanks, the required separator blank must still be included. Column assignments and column alignment must be maintained.

3. In some cases, the item number in the template does not appear on the form. This is true for most “Other (specify)” text items and dates.

4. Now that there will be more than one version of a form in current use, make sure you are using the appropriate template.

NACC UDS Data Template – IVP (version 2.0, February 2008) i

FORM HEADER CODING

(first 10 data elements) PACKET = I

(For the Initial Visit Packet.)

FORMID = Form ID (i.e., Z1, A1, B4, etc.)

FORMVER = 2 (For this second version of all forms.)

ADCID = Center ID (Same number used in the MDS and NP data for your Center; see the UDS Data Element Dictionary for a list of Center IDs.)

PTID = Patient ID (Follow your Center’s Patient ID scheme. Patient ID must be unique within the data set from your Center – no duplicates. PTID for each subject must be the same for each visit in the UDS and the same PTID used for that subject in the MDS and NP databases. PTID cannot change once it has been assigned by your Center. Since this is a character field, be sure to include/exclude leading zeroes to match ID numbers in all data sets.)

VISITMO VISITDAY = Actual date of the interview VISITYR (Cannot precede 09/01/2005.)

VISITNUM = Visit ID (Assigned by your Center, need not start with 1.)

INITIALS = Examiner initials (Initials of the person conducting the interview.)

NACC UDS Data Template – IVP (version 2.0, February 2008) ii

Packet I, Form Z1: FORM CHECKLIST (Version 2) Variable length Columns

Variable Name

Character or Numeric Item #

2 1-2 PACKET C 3 4-6 FORMID C 3 8-10 FORMVER N 2 12-13 ADCID N

10 15-24 PTID C 2 26-27 VISITMO N 2 29-30 VISITDAY N 4 32-35 VISITYR N 3 37-39 VISITNUM C 3 41-43 INITIALS C

1 45 A2SUB N 1

2 47-48 A2NOT N 1A

60 50-109 A2COMM C 1B

1 111 A3SUB N 2

2 113-114 A3NOT N 2A

60 116-175 A3COMM C 2B

1 177 A4SUB N 3

2 179-180 A4NOT N 3A

60 182-241 A4COMM C 3B

1 243 B1SUB N 4

2 245-246 B1NOT N 4A

60 248-307 B1COMM C 4B

1 309 B2SUB N 5

2 311-312 B2NOT N 5A

60 314-373 B2COMM C 5B

1 375 B3SUB N 6

2 377-378 B3NOT N 6A

60 380-439 B3COMM C 6B

1 441 B5SUB N 7

2 443-444 B5NOT N 7A

60 446-505 B5COMM C 7B

1 507 B6SUB N 8

2 509-510 B6NOT N 8A

60 512-571 B6COMM C 8B

1 573 B7SUB N 9

2 575-576 B7NOT N 9A

60 578-637 B7COMM C 9B

NACC UDS Data Template – IVP (version 2.0, February 2008) Form Z1: page 1

Packet I, Form Z1: FORM CHECKLIST (Version 2) Variable length Columns

Variable Name


1 639 B8SUB N 10

2 641-642 B8NOT N 10A

60 644-703 B8COMM C 10B

NACC UDS Data Template – IVP (version 2.0, February 2008) Form Z1: page 2

Packet I, Form A1: SUBJECT DEMOGRAPHICS (Version 2) Variable length Columns

Variable Name




1 45 INMDS N 1

1 47 REASON N 2

60 49-108 REASONX C 2A

1 110 REFER N 3

60 112-171 REFERX C 3A

1 173 PRESTAT N 4

1 175 PRESPART N 5

1 177 SOURCE N 6

2 179-180 BIRTHMO N 7A

4 182-185 BIRTHYR N 7B

1 187 SEX N 8

1 189 HISPANIC N 9

2 191-192 HISPOR N 9A

60 194-253 HISPORX C 9A1

2 255-256 RACE N 10

60 258-317 RACEX C 10A

2 319-320 RACESEC N 11

60 322-381 RACESECX C 11A

2 383-384 RACETER N 12

60 386-445 RACETERX C 12A

1 447 PRIMLANG N 13

60 449-508 PRIMLANX C 13A

2 510-511 EDUC N 14

1 513 LIVSIT N 15

60 515-574 LIVSITX C 15A

1 576 INDEPEND N 16

1 578 RESIDENC N 17

NACC UDS Data Template – IVP (version 2.0, February 2008) Form A1: page 3

Packet I, Form A1: SUBJECT DEMOGRAPHICS (Version 2) Variable length Columns

Variable Name


60 580-639 RESIDENX C 17A

3 641-643 ZIP C 18

1 645 MARISTAT N 19

60 647-706 MARISTAX C 19A

1 708 HANDED N 20


Packet I, Form A2: INFORMANT DEMOGRAPHICS (Version 2) Variable length Columns

Variable Name




2 45-46 INBIRMO N 1A

4 48-51 INBIRYR N 1B

1 53 INSEX N 2

1 55 INHISP N 3

2 57-58 INHISPOR N 3A

60 60-119 INHISPOX C 3A1

2 121-122 INRACE N 4

60 124-183 INRACEX C 4A

2 185-186 INRASEC N 5

60 188-247 INRASECX C 5A

2 249-250 INRATER N 6

60 252-311 INRATERX C 6A

2 313-314 INEDUC N 7

1 316 INRELTO N 8

60 318-377 INRELTOX C 8A

1 379 INLIVWTH N 9

1 381 INVISITS N 9A

1 383 INCALLS N 9B

1 385 INRELY N 10


Packet I, Form A3: SUBJECT FAMILY HISTORY (Version 2) Variable length Columns

Variable Name




4 45-48 MOMYOB N 1A

1 50 MOMLIV N 1B

4 52-55 MOMYOD N 1C

1 57 MOMDEM N 1D

3 59-61 MOMONSET N 1E

4 63-66 DADYOB N 2A

1 68 DADLIV N 2B

4 70-73 DADYOD N 2C

1 75 DADDEM N 2D

3 77-79 DADONSET N 2E

1 81 TWIN N 3

1 83 TWINTYPE N 3A

2 85-86 SIBS N 4

4 88-91 SIB1YOB N 5A1

1 93 SIB1LIV N 5B1

4 95-98 SIB1YOD N 5C1

1 100 SIB1DEM N 5D1

3 102-104 SIB1ONS N 5E1

4 106-109 SIB2YOB N 5A2

1 111 SIB2LIV N 5B2

4 113-116 SIB2YOD N 5C2

1 118 SIB2DEM N 5D2

3 120-122 SIB2ONS N 5E2

4 124-127 SIB3YOB N 5A3

1 129 SIB3LIV N 5B3

4 131-134 SIB3YOD N 5C3

1 136 SIB3DEM N 5D3



Variable Name


3 138-140 SIB3ONS N 5E3

4 142-145 SIB4YOB N 5A4

1 147 SIB4LIV N 5B4

4 149-152 SIB4YOD N 5C4

1 154 SIB4DEM N 5D4

3 156-158 SIB4ONS N 5E4

4 160-163 SIB5YOB N 5A5

1 165 SIB5LIV N 5B5

4 167-170 SIB5YOD N 5C5

1 172 SIB5DEM N 5D5

3 174-176 SIB5ONS N 5E5

4 178-181 SIB6YOB N 5A6

1 183 SIB6LIV N 5B6

4 185-188 SIB6YOD N 5C6

1 190 SIB6DEM N 5D6

3 192-194 SIB6ONS N 5E6

4 196-199 SIB7YOB N 5A7

1 201 SIB7LIV N 5B7

4 203-206 SIB7YOD N 5C7

1 208 SIB7DEM N 5D7

3 210-212 SIB7ONS N 5E7

4 214-217 SIB8YOB N 5A8

1 219 SIB8LIV N 5B8

4 221-224 SIB8YOD N 5C8

1 226 SIB8DEM N 5D8

3 228-230 SIB8ONS N 5E8

4 232-235 SIB9YOB N 5A9

1 237 SIB9LIV N 5B9

4 239-242 SIB9YOD N 5C9

1 244 SIB9DEM N 5D9

3 246-248 SIB9ONS N 5E9

4 250-253 SIB10YOB N 5A10

1 255 SIB10LIV N 5B10

4 257-260 SIB10YOD N 5C10

1 262 SIB10DEM N 5D10

3 264-266 SIB10ONS N 5E10



Variable Name


4 268-271 SIB11YOB N 5A11

1 273 SIB11LIV N 5B11

4 275-278 SIB11YOD N 5C11

1 280 SIB11DEM N 5D11

3 282-284 SIB11ONS N 5E11

4 286-289 SIB12YOB N 5A12

1 291 SIB12LIV N 5B12

4 293-296 SIB12YOD N 5C12

1 298 SIB12DEM N 5D12

3 300-302 SIB12ONS N 5E12

4 304-307 SIB13YOB N 5A13

1 309 SIB13LIV N 5B13

4 311-314 SIB13YOD N 5C13

1 316 SIB13DEM N 5D13

3 318-320 SIB13ONS N 5E13

4 322-325 SIB14YOB N 5A14

1 327 SIB14LIV N 5B14

4 329-332 SIB14YOD N 5C14

1 334 SIB14DEM N 5D14

3 336-338 SIB14ONS N 5E14

4 340-343 SIB15YOB N 5A15

1 345 SIB15LIV N 5B15

4 347-350 SIB15YOD N 5C15

1 352 SIB15DEM N 5D15

3 354-356 SIB15ONS N 5E15

4 358-361 SIB16YOB N 5A16

1 363 SIB16LIV N 5B16

4 365-368 SIB16YOD N 5C16

1 370 SIB16DEM N 5D16

3 372-374 SIB16ONS N 5E16

4 376-379 SIB17YOB N 5A17

1 381 SIB17LIV N 5B17

4 383-386 SIB17YOD N 5C17

1 388 SIB17DEM N 5D17

3 390-392 SIB17ONS N 5E17

4 394-397 SIB18YOB N 5A18



Variable Name


1 399 SIB18LIV N 5B18

4 401-404 SIB18YOD N 5C18

1 406 SIB18DEM N 5D18

3 408-410 SIB18ONS N 5E18

4 412-415 SIB19YOB N 5A19

1 417 SIB19LIV N 5B19

4 419-422 SIB19YOD N 5C19

1 424 SIB19DEM N 5D19

3 426-428 SIB19ONS N 5E19

4 430-433 SIB20YOB N 5A20

1 435 SIB20LIV N 5B20

4 437-440 SIB20YOD N 5C20

1 442 SIB20DEM N 5D20

3 444-446 SIB20ONS N 5E20

2 448-449 KIDS N 6

4 451-454 KID1YOB N 7A1

1 456 KID1LIV N 7B1

4 458-461 KID1YOD N 7C1

1 463 KID1DEM N 7D1

3 465-467 KID1ONS N 7E1

4 469-472 KID2YOB N 7A2

1 474 KID2LIV N 7B2

4 476-479 KID2YOD N 7C2

1 481 KID2DEM N 7D2

3 483-485 KID2ONS N 7E2

4 487-490 KID3YOB N 7A3

1 492 KID3LIV N 7B3

4 494-497 KID3YOD N 7C3

1 499 KID3DEM N 7D3

3 501-503 KID3ONS N 7E3

4 505-508 KID4YOB N 7A4

1 510 KID4LIV N 7B4

4 512-515 KID4YOD N 7C4

1 517 KID4DEM N 7D4

3 519-521 KID4ONS N 7E4

4 523-526 KID5YOB N 7A5



Variable Name


1 528 KID5LIV N 7B5

4 530-533 KID5YOD N 7C5

1 535 KID5DEM N 7D5

3 537-539 KID5ONS N 7E5

4 541-544 KID6YOB N 7A6

1 546 KID6LIV N 7B6

4 548-551 KID6YOD N 7C6

1 553 KID6DEM N 7D6

3 555-557 KID6ONS N 7E6

4 559-562 KID7YOB N 7A7

1 564 KID7LIV N 7B7

4 566-569 KID7YOD N 7C7

1 571 KID7DEM N 7D7

3 573-575 KID7ONS N 7E7

4 577-580 KID8YOB N 7A8

1 582 KID8LIV N 7B8

4 584-587 KID8YOD N 7C8

1 589 KID8DEM N 7D8

3 591-593 KID8ONS N 7E8

4 595-598 KID9YOB N 7A9

1 600 KID9LIV N 7B9

4 602-605 KID9YOD N 7C9

1 607 KID9DEM N 7D9

3 609-611 KID9ONS N 7E9

4 613-616 KID10YOB N 7A10

1 618 KID10LIV N 7B10

4 620-623 KID10YOD N 7C10

1 625 KID10DEM N 7D10

3 627-629 KID10ONS N 7E10

4 631-634 KID11YOB N 7A11

1 636 KID11LIV N 7B11

4 638-641 KID11YOD N 7C11

1 643 KID11DEM N 7D11

3 645-647 KID11ONS N 7E11

4 649-652 KID12YOB N 7A12

1 654 KID12LIV N 7B12



Variable Name


4 656-659 KID12YOD N 7C12

1 661 KID12DEM N 7D12

3 663-665 KID12ONS N 7E12

4 667-670 KID13YOB N 7A13

1 672 KID13LIV N 7B13

4 674-677 KID13YOD N 7C13

1 679 KID13DEM N 7D13

3 681-683 KID13ONS N 7E13

4 685-688 KID14YOB N 7A14

1 690 KID14LIV N 7B14

4 692-695 KID14YOD N 7C14

1 697 KID14DEM N 7D14

3 699-701 KID14ONS N 7E14

4 703-706 KID15YOB N 7A15

1 708 KID15LIV N 7B15

4 710-713 KID15YOD N 7C15

1 715 KID15DEM N 7D15

3 717-719 KID15ONS N 7E15

2 721-722 RELSDEM N 8

4 724-727 REL1YOB N 9A1

1 729 REL1LIV N 9B1

4 731-734 REL1YOD N 9C1

3 736-738 REL1ONS N 9D1

4 740-743 REL2YOB N 9A2

1 745 REL2LIV N 9B2

4 747-750 REL2YOD N 9C2

3 752-754 REL2ONS N 9D2

4 756-759 REL3YOB N 9A3

1 761 REL3LIV N 9B3

4 763-766 REL3YOD N 9C3

3 768-770 REL3ONS N 9D3

4 772-775 REL4YOB N 9A4

1 777 REL4LIV N 9B4

4 779-782 REL4YOD N 9C4

3 784-786 REL4ONS N 9D4

4 788-791 REL5YOB N 9A5



Variable Name


1 793 REL5LIV N 9B5

4 795-798 REL5YOD N 9C5

3 800-802 REL5ONS N 9D5

4 804-807 REL6YOB N 9A6

1 809 REL6LIV N 9B6

4 811-814 REL6YOD N 9C6

3 816-818 REL6ONS N 9D6

4 820-823 REL7YOB N 9A7

1 825 REL7LIV N 9B7

4 827-830 REL7YOD N 9C7

3 832-834 REL7ONS N 9D7

4 836-839 REL8YOB N 9A8

1 841 REL8LIV N 9B8

4 843-846 REL8YOD N 9C8

3 848-850 REL8ONS N 9D8

4 852-855 REL9YOB N 9A9

1 857 REL9LIV N 9B9

4 859-862 REL9YOD N 9C9

3 864-866 REL9ONS N 9D9

4 868-871 REL10YOB N 9A10

1 873 REL10LIV N 9B10

4 875-878 REL10YOD N 9C10

3 880-882 REL10ONS N 9D10

4 884-887 REL11YOB N 9A11

1 889 REL11LIV N 9B11

4 891-894 REL11YOD N 9C11

3 896-898 REL11ONS N 9D11

4 900-903 REL12YOB N 9A12

1 905 REL12LIV N 9B12

4 907-910 REL12YOD N 9C12

3 912-914 REL12ONS N 9D12

4 916-919 REL13YOB N 9A13

1 921 REL13LIV N 9B13

4 923-926 REL13YOD N 9C13

3 928-930 REL13ONS N 9D13

4 932-935 REL14YOB N 9A14



Variable Name


1 937 REL14LIV N 9B14

4 939-942 REL14YOD N 9C14

3 944-946 REL14ONS N 9D14

4 948-951 REL15YOB N 9A15

1 953 REL15LIV N 9B15

4 955-958 REL15YOD N 9C15

3 960-962 REL15ONS N 9D15


Packet I, Form A4G: SUBJECT MEDICATIONS (general) (Version 2) Variable length Columns

Variable Name




1 45 ANYMEDS N 1

NACC UDS Data Template – IVP (version 2.0, February 2008) Form A4G: page 14

Packet I, Form A4D: SUBJECT MEDICATIONS (details) (Version 2) Variable length Columns

Variable Name




6 45-50 DRUGID C 1

NACC UDS Data Template – IVP (version 2.0, February 2008) Form A4D: page 15

Packet I, Form A5: SUBJECT HEALTH HISTORY (Version 2) Variable length Columns

Variable Name




1 45 CVHATT N 1A

1 47 CVAFIB N 1B

1 49 CVANGIO N 1C

1 51 CVBYPASS N 1D

1 53 CVPACE N 1E

1 55 CVCHF N 1F

1 57 CVOTHR N 1G

60 59-118 CVOTHRX C 1G1

1 120 CBSTROKE N 2A

4 122-125 STROK1YR N 2A1

4 127-130 STROK2YR N 2A2

4 132-135 STROK3YR N 2A3

4 137-140 STROK4YR N 2A4

4 142-145 STROK5YR N 2A5

4 147-150 STROK6YR N 2A6

1 152 CBTIA N 2B

4 154-157 TIA1YR N 2B1

4 159-162 TIA2YR N 2B2

4 164-167 TIA3YR N 2B3

4 169-172 TIA4YR N 2B4

4 174-177 TIA5YR N 2B5

4 179-182 TIA6YR N 2B6

1 184 CBOTHR N 2C

60 186-245 CBOTHRX C 2C1

1 247 PD N 3A

4 249-252 PDYR N 3A1

1 254 PDOTHR N 3B


Packet I, Form A5: SUBJECT HEALTH HISTORY (Version 2) Variable length Columns

Variable Name


4 256-259 PDOTHRYR N 3B1

1 261 SEIZURES N 4A

1 263 TRAUMBRF N 4B1

1 265 TRAUMEXT N 4B2

1 267 TRAUMCHR N 4B3

1 269 NCOTHR N 4C

60 271-330 NCOTHRX C 4C1

1 332 HYPERTEN N 5A

1 334 HYPERCHO N 5B

1 336 DIABETES N 5C

1 338 B12DEF N 5D

1 340 THYROID N 5E

1 342 INCONTU N 5F

1 344 INCONTF N 5G

1 346 DEP2YRS N 6A

1 348 DEPOTHR N 6B

1 350 ALCOHOL N 7A1

1 352 TOBAC30 N 7B1

1 354 TOBAC100 N 7B2

2 356-357 SMOKYRS N 7B3

1 359 PACKSPER N 7B4

3 361-363 QUITSMOK N 7B5

1 365 ABUSOTHR N 7C1

60 367-426 ABUSX C 7C2

1 428 PSYCDIS N 7D

60 430-489 PSYCDISX C 7D1


Packet I, Form B1: EVALUATION FORM – PHYSICAL (Version 2) Variable length Columns

Variable Name




4 45-48 HEIGHT N 1

3 50-52 WEIGHT N 2

3 54-56 BPSYS N 3A

3 58-60 BPDIAS N 3B

3 62-64 HRATE N 4

1 66 VISION N 5

1 68 VISCORR N 6

1 70 VISWCORR N 6A

1 72 HEARING N 7

1 74 HEARAID N 8

1 76 HEARWAID N 8A

NACC UDS Data Template – IVP (version 2.0, February 2008) Form B1: page 18

Packet I, Form B2: EVALUATION FORM – HIS and CVD (Version 2) Variable length Columns

Variable Name




1 45 ABRUPT N 1

1 47 STEPWISE N 2

1 49 SOMATIC N 3

1 51 EMOT N 4

1 53 HXHYPER N 5

1 55 HXSTROKE N 6

1 57 FOCLSYM N 7

1 59 FOCLSIGN N 8

2 61-62 HACHIN N 9

1 64 CVDCOG N 10

1 66 STROKCOG N 11

1 68 CVDIMAG N 12

1 70 CVDIMAG1 N 12A1




60 78-137 CVDIMAGX C 12A5


Packet I, Form B3: EVALUATION FORM – UPDRS (Version 2) Variable length Columns

Variable Name




1 45 PDNORMAL N G1

1 47 SPEECH N 1

60 49-108 SPEECHX C 1A

1 110 FACEXP N 2

60 112-171 FACEXPX C 2A

1 173 TRESTFAC N 3A

60 175-234 TRESTFAX C 3A1

1 236 TRESTRHD N 3B

60 238-297 TRESTRHX C 3B1

1 299 TRESTLHD N 3C

60 301-360 TRESTLHX C 3C1

1 362 TRESTRFT N 3D

60 364-423 TRESTRFX C 3D1

1 425 TRESTLFT N 3E

60 427-486 TRESTLFX C 3E1

1 488 TRACTRHD N 4A

60 490-549 TRACTRHX C 4A1

1 551 TRACTLHD N 4B

60 553-612 TRACTLHX C 4B1

1 614 RIGDNECK N 5A

60 616-675 RIGDNEX C 5A1

1 677 RIGDUPRT N 5B

60 679-738 RIGDUPRX C 5B1

1 740 RIGDUPLF N 5C

60 742-801 RIGDUPLX C 5C1

1 803 RIGDLORT N 5D

60 805-864 RIGDLORX C 5D1


Packet I, Form B3: EVALUATION FORM – UPDRS (Version 2) Variable length Columns

Variable Name


1 866 RIGDLOLF N 5E

60 868-927 RIGDLOLX C 5E1

1 929 TAPSRT N 6A

60 931-990 TAPSRTX C 6A1

1 992 TAPSLF N 6B

60 994-1053 TAPSLFX C 6B1

1 1055 HANDMOVR N 7A

60 1057-1116 HANDMVRX C 7A1

1 1118 HANDMOVL N 7B

60 1120-1179 HANDMVLX C 7B1

1 1181 HANDALTR N 8A

60 1183-1242 HANDATRX C 8A1

1 1244 HANDALTL N 8B

60 1246-1305 HANDATLX C 8B1

1 1307 LEGRT N 9A

60 1309-1368 LEGRTX C 9A1

1 1370 LEGLF N 9B

60 1372-1431 LEGLFX C 9B1

1 1433 ARISING N 10

60 1435-1494 ARISINGX C 10A

1 1496 POSTURE N 11

60 1498-1557 POSTUREX C 11A

1 1559 GAIT N 12

60 1561-1620 GAITX C 12A

1 1622 POSSTAB N 13

60 1624-1683 POSSTABX C 13A

1 1685 BRADYKIN N 14

60 1687-1746 BRADYKIX C 14A


Packet I, Form B4: GLOBAL STAGING – CDR: STANDARD and SUPPLEMENTAL (Version 2)

Variable length Columns

Variable Name




3 45-47 MEMORY N 1

3 49-51 ORIENT N 2

3 53-55 JUDGMENT N 3

3 57-59 COMMUN N 4

3 61-63 HOMEHOBB N 5

3 65-67 PERSCARE N 6

4 69-72 CDRSUM N 7

3 74-76 CDRGLOB N 8

3 78-80 COMPORT N 9

3 82-84 CDRLANG N 10


Packet I, Form B5: BEHAVIORAL ASSESSMENT – NPI-Q (Version 2) Variable length Columns

Variable Name




1 45 NPIQINF N 1

60 47-106 NPIQINFX C 1A

1 108 DEL N 2A

1 110 DELSEV N 2B

1 112 HALL N 3A

1 114 HALLSEV N 3B

1 116 AGIT N 4A

1 118 AGITSEV N 4B

1 120 DEPD N 5A

1 122 DEPDSEV N 5B

1 124 ANX N 6A

1 126 ANXSEV N 6B

1 128 ELAT N 7A

1 130 ELATSEV N 7B

1 132 APA N 8A

1 134 APASEV N 8B

1 136 DISN N 9A

1 138 DISNSEV N 9B

1 140 IRR N 10A

1 142 IRRSEV N 10B

1 144 MOT N 11A

1 146 MOTSEV N 11B

1 148 NITE N 12A

1 150 NITESEV N 12B

1 152 APP N 13A

1 154 APPSEV N 13B


Packet I, Form B6: BEHAVIORAL ASSESSMENT – GDS (Version 2) Variable length Columns

Variable Name




1 45 NOGDS N G1

1 47 SATIS N 1

1 49 DROPACT N 2

1 51 EMPTY N 3

1 53 BORED N 4

1 55 SPIRITS N 5

1 57 AFRAID N 6

1 59 HAPPY N 7

1 61 HELPLESS N 8

1 63 STAYHOME N 9

1 65 MEMPROB N 10

1 67 WONDRFUL N 11

1 69 WRTHLESS N 12

1 71 ENERGY N 13

1 73 HOPELESS N 14

1 75 BETTER N 15

2 77-78 GDS N 16


Packet I, Form B7: FUNCTIONAL ASSESSMENT – FAQ (Version 2) Variable length Columns

Variable Name




1 45 BILLS N 1

1 47 TAXES N 2

1 49 SHOPPING N 3

1 51 GAMES N 4

1 53 STOVE N 5

1 55 MEALPREP N 6

1 57 EVENTS N 7

1 59 PAYATTN N 8

1 61 REMDATES N 9

1 63 TRAVEL N 10


Packet I, Form B8: EVALUATION – PHYSICAL/NEUROLOGICAL EXAM FINDINGS (Version 2)


Variable Name




1 45 NORMAL N 1

1 47 FOCLDEF N 2

1 49 GAITDIS N 3

1 51 EYEMOVE N 4


Packet I, Form B9: CLINICIAN JUDGMENT OF SYMPTOMS ONSET (Version 2) Variable length Columns

Variable Name




1 45 DECSUB N 1

1 47 DECIN N 2

1 49 DECCLIN N 3A

3 51-53 DECAGE N 3B

1 55 COGMEM N 4A

1 57 COGJUDG N 4B

1 59 COGLANG N 4C

1 61 COGVIS N 4D

1 63 COGATTN N 4E

1 65 COGFLUC N 4F

1 67 COGOTHR N 4G

60 69-128 COGOTHRX C 4G1

2 130-131 COGFRST N 5

60 133-192 COGFRSTX C 5A

2 194-195 COGMODE N 6

60 197-256 COGMODEX C 6A

1 258 BEAPATHY N 7A

1 260 BEDEP N 7B

1 262 BEVHALL N 7C1

1 264 BEVWELL N 7C1A

1 266 BEAHALL N 7C2

1 268 BEDEL N 7C3

1 270 BEDISIN N 7D

1 272 BEIRRIT N 7E

1 274 BEAGIT N 7F

1 276 BEPERCH N 7G

1 278 BEREM N 7H


Packet I, Form B9: CLINICIAN JUDGMENT OF SYMPTOMS ONSET (Version 2) Variable length Columns

Variable Name


1 280 BEOTHR N 7I

60 282-341 BEOTHRX C 7I1

2 343-344 BEFRST N 8

60 346-405 BEFRSTX C 8A

2 407-408 BEMODE N 9

60 410-469 BEMODEX C 9A

1 471 MOGAIT N 10A

1 473 MOFALLS N 10B

1 475 MOTREM N 10C

1 477 MOSLOW N 10D

2 479-480 MOFRST N 11

2 482-483 MOMODE N 12

60 485-544 MOMODEX C 12X

2 546-547 MOMOPARK N 12A

1 549 COURSE N 13

1 551 FRSTCHG N 14


Packet I, Form C1: MMSE AND NEUROPSYCHOLOGICAL BATTERY (Version 2) Variable length Columns

Variable Name




1 45 MMSELOC N 1A

1 47 MMSELAN N 1A1

60 49-108 MMSELANX C 1A2

2 110-111 MMSEORDA N 1B1

2 113-114 MMSEORLO N 1B2

2 116-117 PENTAGON N 1C

2 119-120 MMSE N 1D

1 122 NPSYCLOC N 2

1 124 NPSYLAN N 2A

60 126-185 NPSYLANX C 2A1

2 187-188 LOGIMO N 3AMO

2 190-191 LOGIDAY N 3ADY

4 193-196 LOGIYR N 3AYR

2 198-199 LOGIPREV N 3A1

2 201-202 LOGIMEM N 3B

2 204-205 DIGIF N 4A

2 207-208 DIGIFLEN N 4B

2 210-211 DIGIB N 5A

2 213-214 DIGIBLEN N 5B

2 216-217 ANIMALS N 6A

2 219-220 VEG N 6B

3 222-224 TRAILA N 7A

2 226-227 TRAILARR N 7A1

2 229-230 TRAILALI N 7A2

3 232-234 TRAILB N 7B

2 236-237 TRAILBRR N 7B1

2 239-240 TRAILBLI N 7B2

NACC UDS Data Template – IVP (version 2.0, February 2008) Form C1: page 29

Packet I, Form C1: MMSE AND NEUROPSYCHOLOGICAL BATTERY (Version 2) Variable length Columns

Variable Name


2 242-243 WAIS N 8A

2 245-246 MEMUNITS N 9A

2 248-249 MEMTIME N 9B

2 251-252 BOSTON N 10A

1 254 COGSTAT N 11A

NACC UDS Data Template – IVP (version 2.0, February 2008) Form C1: page 30

Packet I, Form D1: CLINICIAN DIAGNOSIS – COGNITIVE STATUS AND DEMENTIA (Version 2)


Variable Name




1 45 WHODIDDX N 1

1 47 NORMCOG N 2

1 49 DEMENTED N 3

1 51 MCIAMEM N 4A

1 53 MCIAPLUS N 4B

1 55 MCIAPLAN N 4B1

1 57 MCIAPATT N 4B2

1 59 MCIAPEX N 4B3

1 61 MCIAPVIS N 4B4

1 63 MCINON1 N 4C

1 65 MCIN1LAN N 4C1

1 67 MCIN1ATT N 4C2

1 69 MCIN1EX N 4C3

1 71 MCIN1VIS N 4C4

1 73 MCINON2 N 4D

1 75 MCIN2LAN N 4D1

1 77 MCIN2ATT N 4D2

1 79 MCIN2EX N 4D3

1 81 MCIN2VIS N 4D4

1 83 IMPNOMCI N 4E

1 85 PROBAD N 5

1 87 PROBADIF N 5A

1 89 POSSAD N 6

1 91 POSSADIF N 6A

1 93 DLB N 7

1 95 DLBIF N 7A

1 97 VASC N 8

NACC UDS Data Template – IVP (version 2.0, February 2008) Form D1: page 31



Variable Name


1 99 VASCIF N 8A

1 101 VASCPS N 9

1 103 VASCPSIF N 9A

1 105 ALCDEM N 10

1 107 ALCDEMIF N 10A

1 109 DEMUN N 11

1 111 DEMUNIF N 11A

1 113 FTD N 12

1 115 FTDIF N 12A

1 117 PPAPH N 13

1 119 PPAPHIF N 13A

1 121 PNAPH N 13A1

1 123 SEMDEMAN N 13A2

1 125 SEMDEMAG N 13A3

1 127 PPAOTHR N 13A4

1 129 PSP N 14

1 131 PSPIF N 14A

1 133 CORT N 15

1 135 CORTIF N 15A

1 137 HUNT N 16

1 139 HUNTIF N 16A

1 141 PRION N 17

1 143 PRIONIF N 17A

1 145 MEDS N 18

1 147 MEDSIF N 18A

1 149 DYSILL N 19

1 151 DYSILLIF N 19A

1 153 DEP N 20

1 155 DEPIF N 20A

1 157 OTHPSY N 21

1 159 OTHPSYIF N 21A

1 161 DOWNS N 22

1 163 DOWNSIF N 22A

1 165 PARK N 23

1 167 PARKIF N 23A




Variable Name


1 169 STROKE N 24

1 171 STROKIF N 24A

1 173 HYCEPH N 25

1 175 HYCEPHIF N 25A

1 177 BRNINJ N 26

1 179 BRNINJIF N 26A

1 181 NEOP N 27

1 183 NEOPIF N 27A

1 185 COGOTH N 28

1 187 COGOTHIF N 28A

60 189-248 COGOTHX C 28B

1 250 COGOTH2 N 29

1 252 COGOTH2F N 29A

60 254-313 COGOTH2X C 29B

1 315 COGOTH3 N 30

1 317 COGOTH3F N 30A

60 319-378 COGOTH3X C 30B


Packet I, Form E1: IMAGING/LABS (Version 2) Variable length Columns

Variable Name




1 45 CTFLM N 1A

1 47 CTDIG N 1B

1 49 MRI1FLM N 2A

1 51 MRI1DIG N 2B

1 53 MRI2FLM N 3A

1 55 MRI2DIG N 3B

1 57 MRI3FLM N 4A

1 59 MRI3DIG N 4B

1 61 MRISPFLM N 5A

1 63 MRISPDIG N 5B

1 65 SPECTFLM N 6A

1 67 SPECTDIG N 6B

1 69 PETFLM N 7A

1 71 PETDIG N 7B

1 73 DNA N 8

1 75 CSFANTEM N 9

1 77 SERUM N 10

1 79 APOE N 11

NACC UDS Data Template – IVP (version 2.0, February 2008) Form E1: page 34

nacc uniform data set (uds), v2 · 1. the first 10 data elements are the same for each template,...

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