King saud university

National Diabetes Registry
Data Dictionary

Form Number 1: Demographic Data Form

Field Name
Description
Valid Codes
Missing Value
Default value
1000000 to in the data collection forms 9000000 varchar(10)
PReg
Gregorian Date when the patient was first First_Name
varchar(20)
Father_Name
varchar(20)
Grandfather_Name Patient's Grandfather's first name
varchar(20)
Family_Name
varchar(20)
Sex
smallint
DOB_H
char(12)
DOB_G
Residence_Region Residence region of the patient
Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary

Form Number 1: Demographic Data Form (….Continued)
Field Name
Description
Valid Codes
Missing Value
Default value
Blood_Group
Marital_Status
varchar(5)
City
Postal_Code
numeric
Tel
char(10)
E-mail Address
char(20)
Initial_Dtype
2=Type II, 3= IGT, 4= GDM, 5=Secondary DM Initial_Diabetes_Duration
Age_Onset
char(10)
Pending
Transferred
Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary

Form Number 2: Diabetes Status & Family History Data Form
Field Name
Description
Valid Codes
Missing Value
Default value
Followup_No
Visit_Date_H
Visit_Date_G
2=Type II, 3= IGT, 4= GDM, 5=Secondary DM CDiabetes_Duration_RegDate
CDiabetes_Duration_ToDate
real
RBS
Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary

Form Number 2: Diabetes Status & Family History Data Form (…continued)
Field Name
Description
Valid Codes
Default value
FNaffected
int
MNaffected
int
BNumber
BNaffected
SNaffected
SoNumber
SoNaffected
DNaffected
SpNumber
Spaffected
Death_Type
If Status = Dead then, Is death 1= Diabetes Related Transferred
updated once the patient is transferred to another hospital. Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary
Form Number 3: Treatment Data Form
Field Name
Description
Valid Codes
Default value
Followup_No
Visit_Date_H
Patient's Hijri date of visit or revisit to Visit_Date_G
Patient's Gregorian date of visit or revisit int
Rinsulin
int
Total_Rinsulin
real
Ninsulin
int
Total_Ninsulin
real
Minsulin

int
Total_Minsulin
real
Lantus

int
Total_Lantus
real
Novarapid

int
Total_ Novarapid
real
Lispro

int
Total_ Lispro
real
OHA_1

int
Total_OHA1
real
OHA_2

Code of second oral hypoglycemic agent Choose from codebook int
Total_OHA2
Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary
Total_OHA3
real
OHA_4

int
Total_OHA4
real
OHA_5

int
Total_OHA5
real
Transferred
updated once the patient is transferred to another hospital. Form Number 4: Complications and Associated Diseases Data Form
Field Name
Description
Valid Codes
Default value
Followup_No
Visit_Date_H
Patient's Hijri date of visit or revisit to Visit_Date_G
Patient's Gregorian date of visit or revisit Neurop_Types
Retinop_Types
varchar(10)
Nephrop

Nephrop_Types
varchar(10)
Vascp

Vascp_Types
varchar(10)
Others1
Others1_Detail
Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0 National Diabetes Registry
Data Dictionary
int
Others2
Others2_Detail
Transferred
updated once the patient is transferred to another hospital. Last updated on: June, 2006 National Diabetes Registry Data Dictionary version 4.0

Source: http://www.diabetes.org.sa/diabetes/help/Coding_Manual.pdf

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PATIENT PERSONAL INFORMATION: (PLEASE PRINT) NAME:_________________________________________________________________________________________ ADDRESS:_______________________________________________________________________________________ CITY:__________________________________________________ STATE:_________________ ZIP:______________ HOME PHONE:________ - _________ - ________ CELL PH

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