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ADI-R Regression Supplemental Questionnaire

86 Shared Subjects

N/A
Clinical Assessments
Questionnaire
12/22/2016
adir_rsq01
12/22/2016
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0 :: 1260 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
Query skills_loss Integer Recommended Was your child's loss of skills gradual or sudden? 1;2;9 1 = Gradual; 2 = Sudden; 9 = Don't know/NA losssuddenorgradual
Query noskilldelay Integer Recommended If no skills seem to have been delayed ask In your judgment was your child typically developing prior to hisher loss of skills 0;1; 9 0=No;1=Yes; 9=NA/NK
Query numoflosses Integer Recommended If yes ask How many separate regressions
Query severallosses Integer Recommended If losses appeared within several timeframes ask Do you feel like your child had number of separate regressions 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p1beginningage Integer Recommended Skill 1. Beginning at what age
Query p1extentskilllost Integer Recommended Skill 1. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p1present3mths Integer Recommended Skill 1. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p1skilllost Integer Recommended Skill 1. When was this skill lost months
Query p1skillregained Integer Recommended Skill 1. When was it regained months
Query p2beginningage Integer Recommended Skill 2. Beginning at what age
Query p2extentskilllost Integer Recommended Skill 2. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p2present3mths Integer Recommended Skill 2. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p2skilllost Integer Recommended Skill 2. When was this skill lost months
Query p2skillregained Integer Recommended Skill 2. When was it regained months
Query p3beginningage Integer Recommended Skill 3. Beginning at what age
Query p3extentskilllost Integer Recommended Skill 3. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p3present3mths Integer Recommended Skill 3. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p3skilllost Integer Recommended Skill 3. When was this skill lost months
Query p3skillregained Integer Recommended Skill 3. When was it regained months
Query p4beginningage Integer Recommended Skill 4. Beginning at what age
Query p4extentskilllost Integer Recommended Skill 4. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p4present3mths Integer Recommended Skill 4. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p4skilllost Integer Recommended Skill 4. When was this skill lost months
Query p4skillregained Integer Recommended Skill 4. When was it regained months
Query p5beginningage Integer Recommended Skill 5. Beginning at what age
Query p5extentskilllost Integer Recommended Skill 5. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p5present3mths Integer Recommended Skill 5. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p5skilllost Integer Recommended Skill 5. When was this skill lost months
Query p5skillregained Integer Recommended Skill 5. When was it regained months
Query p6beginningage Integer Recommended Skill 6. Beginning at what age
Query p6extentskilllost Integer Recommended Skill 6. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p6present3mths Integer Recommended Skill 6. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p6skilllost Integer Recommended Skill 6. When was this skill lost months
Query p6skillregained Integer Recommended Skill 6. When was it regained months
Query p7beginningage Integer Recommended Skill 7. Beginning at what age
Query p7extentskilllost Integer Recommended Skill 7. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p7present3mths Integer Recommended Skill 7. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p7skilllost Integer Recommended Skill 7. When was this skill lost months
Query p7skillregained Integer Recommended Skill 7. When was it regained months
Query p8beginningage Integer Recommended Skill 8. Beginning at what age
Query p8extentskilllost Integer Recommended Skill 8. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p8present3mths Integer Recommended Skill 8. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p8skilllost Integer Recommended Skill 8. When was this skill lost months
Query p8skillregained Integer Recommended Skill 8. When was it regained months
Query p9beginningage Integer Recommended Skill 9. Beginning at what age
Query p9extentskilllost Integer Recommended Skill 9. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p9present3mths Integer Recommended Skill 9. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p9skilllost Integer Recommended Skill 9. When was this skill lost months
Query p9skillregained Integer Recommended Skill 9. When was it regained months
Query p10beginningage Integer Recommended Skill 10. Beginning at what age
Query p10extentskilllost Integer Recommended Skill 10. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p10present3mths Integer Recommended Skill 10. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p10skilllost Integer Recommended Skill 10. When was this skill lost months
Query p10skillregained Integer Recommended Skill 10. When was it regained months
Query p11beginningage Integer Recommended Skill 11. Beginning at what age
Query p11extentskilllost Integer Recommended Skill 11. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p11present3mths Integer Recommended Skill 11. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p11skilllost Integer Recommended Skill 11. When was this skill lost months
Query p11skillregained Integer Recommended Skill 11. When was it regained months
Query p12beginningage Integer Recommended Skill 12. Beginning at what age
Query p12extentskilllost Integer Recommended Skill 12. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p12present3mths Integer Recommended Skill 12. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p12skilllost Integer Recommended Skill 12. When was this skill lost months
Query p12skillregained Integer Recommended Skill 12. When was it regained months
Query p13beginningage Integer Recommended Skill 13. Beginning at what age
Query p13extentskilllost Integer Recommended Skill 13. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p13present3mths Integer Recommended Skill 13. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p13skilllost Integer Recommended Skill 13. When was this skill lost months
Query p13skillregained Integer Recommended Skill 13. When was it regained months
Query p14beginningage Integer Recommended Skill 14. Beginning at what age
Query p14extentskilllost Integer Recommended Skill 14. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p14present3mths Integer Recommended Skill 14. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p14skilllost Integer Recommended Skill 14. When was this skill lost months
Query p14skillregained Integer Recommended Skill 14. When was it regained months
Query p15beginningage Integer Recommended Skill 15. Beginning at what age
Query p15extentskilllost Integer Recommended Skill 15. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p15present3mths Integer Recommended Skill 15. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p15skilllost Integer Recommended Skill 15. When was this skill lost months
Query p15skillregained Integer Recommended Skill 15. When was it regained months
Query p16beginningage Integer Recommended Skill 16. Beginning at what age
Query p16extentskilllost Integer Recommended Skill 16. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p16present3mths Integer Recommended Skill 16. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p16skilllost Integer Recommended Skill 16. When was this skill lost months
Query p16skillregained Integer Recommended Skill 16. When was it regained months
Query p17beginningage Integer Recommended Skill 17. Beginning at what age
Query p17extentskilllost Integer Recommended Skill 17. To what extent was the skill lost 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p17present3mths Integer Recommended Skill 17. Was it present for at least months 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p17skilllost Integer Recommended Skill 17. When was this skill lost months
Query p17skillregained Integer Recommended Skill 17. When was it regained months
p18additionalskillorbehavior String 100 Recommended Skill 18. What skill or behavior
Query p18beginningage Integer Recommended Skill 18. If so beginning at what age
Query p18extent Integer Recommended Skill 18. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p18present1mth Integer Recommended Skill 18. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p18skilllost Integer Recommended Skill 18. At what age was this skill first lost
Query p18skillregained Integer Recommended Skill 18. When was it regained
Query p19additionalskillorbehavior String 100 Recommended Skill 19. What skill or behavior
Query p19beginningage Integer Recommended Skill 19. If so beginning at what age
Query p19extent Integer Recommended Skill 19. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p19present1mth Integer Recommended Skill 19. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p19skilllost Integer Recommended Skill 19. At what age was this skill first lost
Query p19skillregained Integer Recommended Skill 19. When was it regained
Query p20additionalskillorbehavior String 100 Recommended Skill 20. What skill or behavior
Query p20beginningage Integer Recommended Skill 20. If so beginning at what age
Query p20extent Integer Recommended Skill 20. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p20present1mth Integer Recommended Skill 20. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p20skilllost Integer Recommended Skill 20. At what age was this skill first lost
Query p20skillregained Integer Recommended Skill 20. When was it regained
Query p21additionalskillorbehavior String 100 Recommended Skill 21. What skill or behavior
Query p21beginningage Integer Recommended Skill 21. If so beginning at what age
Query p21extent Integer Recommended Skill 21. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p21present1mth Integer Recommended Skill 21. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p21skilllost Integer Recommended Skill 21. At what age was this skill first lost
Query p21skillregained Integer Recommended Skill 21. When was it regained
Query p22additionalskillorbehavior String 100 Recommended Skill 22. What skill or behavior
Query p22beginningage Integer Recommended Skill 22. If so beginning at what age
Query p22extent Integer Recommended Skill 22. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p22present1mth Integer Recommended Skill 22. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p22skilllost Integer Recommended Skill 22. At what age was this skill first lost
Query p22skillregained Integer Recommended Skill 22. When was it regained
Query p23additionalskillorbehavior String 100 Recommended Skill 23. What skill or behavior
Query p23beginningage Integer Recommended Skill 23. If so beginning at what age
Query p23extent Integer Recommended Skill 23. To what extent 1;2;9 1=possible loss;2=definite loss; 9=NK/NA
Query p23present1mth Integer Recommended Skill 23. Was it present for at least one month 0;1; 9 0=No;1=Yes; 9=NA/NK
Query p23skilllost Integer Recommended Skill 23. At what age was this skill first lost
Query p23skillregained Integer Recommended Skill 23. When was it regained
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
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