|
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 |
|
|
pid, userid |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
date_of_form_completion, datecomp |
|
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
|
gender, tcgender |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
|
|
respondent |
String |
20
|
Recommended |
Respondent |
Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
|
|
informant |
|
race |
String |
30
|
Recommended |
Race of study subject |
|
|
child_race |
|
otherrace |
String |
100
|
Recommended |
specify other race |
|
The following questions are about you or the child's family.
|
|
|
ethnicity |
String |
30
|
Recommended |
Ethnicity of participant |
|
|
child_hispanic |
|
informant_gender |
String |
5
|
Recommended |
Sex of the respondent |
M; F
|
M = Male; F = Female
|
caregiver_sex, pcgender |
|
resp_race |
String |
150
|
Recommended |
Respondent's race |
|
|
caregiver_race, informant_race, pcrace |
|
fs_v1_q49a_resp_ethnicity |
String |
30
|
Recommended |
Full Screener (Visit 1): Q49a respondent ethnicity (choices are Hispanic/Latino or Not Hispanic/Latino) |
|
|
caregiver_hispanic, informant_ethnicity, pchispan |
Query
|
briefscreen_respondent_age_yrs |
Integer |
|
Recommended |
age of Respondent in years |
|
|
informant_age, pcage |
Query
|
mother_age |
Integer |
|
Recommended |
Mother's age |
0 :: 1200
|
|
age_of_mother |
Query
|
father_age |
Integer |
|
Recommended |
Father's age |
0 :: 1200
|
|
age_of_father |
Query
|
educational_placement |
Integer |
|
Recommended |
Type of educational placement |
|
1= General Education; 2= Special Education; 3= General and Special Education; 4= Home Schooling; 5= None; 6= Other; 999=Missing
|
tceduplace, type_of_educational_placement |
|
child_school |
String |
20
|
Recommended |
If child is currently in school, what grade is your child in? |
|
|
school_grade |
Query
|
informant_education_level |
Integer |
|
Recommended |
Highest education level of the respondent |
1::6;999
|
1=Advanced graduate or professional degree; 2=College graduate; 3=Some college or post high school; 4=High school graduate; 5=Some high school; 6=Eighth grade or less
|
pceduc |
Query
|
mother_education_level |
Integer |
|
Recommended |
Highest education level of mother |
1::6;999
|
1=Advanced graduate or professional degree; 2=College graduate; 3=Some college or post high school; 4=High school graduate; 5=Some high school; 6=Eighth grade or less
|
|
Query
|
father_education_level |
Integer |
|
Recommended |
Highest education level of father |
1::6;999
|
1=Advanced graduate or professional degree; 2=College graduate; 3=Some college or post high school; 4=High school graduate; 5=Some high school; 6=Eighth grade or less
|
|
Query
|
household_income |
Integer |
|
Recommended |
Household income |
1 ::5; 999
|
1= >$90,000; 2=$60,001-$90,000; 3=$40,001-$60,000; 4=$20,000-$40,000; 5=Less than $20,000
|
hhincome |
Query
|
other_children_asd_diag |
Integer |
|
Recommended |
Parent has other children with ASD diagnosis |
|
0= No; 1= Yes; 2= Not Applicable
|
other_children_with_asd_diagnosis, pcothasdkids |
Query
|
autism_spectrum_disorder |
Integer |
|
Recommended |
Subject has autism spectrum disorder diagnosis |
|
0= No; 1= Yes
|
tcasd |
Query
|
verbal_ability |
Integer |
|
Recommended |
Subject level of verbal ability |
1 :: 4; 999
|
1=My child has no meaningful words; 2=My child has at least 10 single words but does not often use 2-3 word phrases; 3=My child consistently uses 2-3 word phrases; 4=My child uses complete sentences most of the time; 999=Missing
|
tcverbabil |
Query
|
iq_level |
Integer |
|
Recommended |
Subject IQ level |
1 :: 4; 999
|
1=Below average IQ; 2=Average IQ; 3=Above average IQ; 4=Unknown; 999=Missing
|
tciqlevel |
Query
|
diag_adhd |
Integer |
|
Recommended |
Subject diagnosed with Attention Deficit/Hyperactivity Disorder |
|
0= No; 1= Yes; 999= Missing
|
tcadhd |
Query
|
diag_opp_defiant |
Integer |
|
Recommended |
Subject diagnosed with Oppositional Defiant Disorder/Conduct Disorder |
|
0= No; 1= Yes; 999= Missing
|
tcoddcd |
Query
|
diag_anxiety |
Integer |
|
Recommended |
Subject diagnosed with Any Anxiety Disorder (separation anxiety, social phobia, generalized anxiety, etc) |
|
0= No; 1= Yes; 999= Missing
|
tcanxiety |
Query
|
diag_depression |
Integer |
|
Recommended |
Subject diagnosed with Depression |
|
0= No; 1= Yes; 999= Missing
|
tcdepress |
Query
|
diag_bipolar |
Integer |
|
Recommended |
Subject diagnosed with Bipolar Disorder/Manic Depression |
|
0= No; 1= Yes; 999= Missing
|
tcbipolar |
Query
|
diag_mental_ret |
Integer |
|
Recommended |
Subject diagnosed with Mental Retardation/Intellectual Disability |
|
0= No; 1= Yes; 999= Missing
|
tcmentalret |
Query
|
diag_none_of_the_above |
Integer |
|
Recommended |
Subject diagnosed with non of the above disorders |
|
0= No; 1= Yes; 999= Missing
|
tcdiagnone |
|
diag_other_specify |
String |
60
|
Recommended |
Subject diagnosed with Other specify |
|
|
diagoths |
|
demo_resp_status |
Integer |
|
Recommended |
respondent's marital status |
1::13
|
1 = Married; 2 = Remarried; 3 = Live with partner (not married); 4 = Separated; 5 = Divorced; 6 = Single (never married); 7 = Widowed; 8=Married or Living Together;9 = Missing/Not Applicable; 10 = Other; 11=Refused to answer; 12= Engaged; 13=Civil union
|
resp_marital, rmarital |
|
change_edu_placement |
Integer |
|
Recommended |
Change to educational placement |
0;1
|
0= No; 1= Yes
|
chgeduplc |
|
medhx_abpain_other |
String |
255
|
Recommended |
If diagnosed/suspected by other, specify: |
|
|
|
|
health_probs_gi |
Integer |
|
Recommended |
Health problems - Gastrointestinal |
0;1
|
0= No; 1= Yes
|
hlthprobgi |
|
health_probs_epi |
Integer |
|
Recommended |
Health problems - Epilepsy/Seizures |
0;1
|
0= No; 1= Yes
|
hlthprobes |
|
health_probs_sleep |
Integer |
|
Recommended |
Health problems - Sleep disturbance |
0;1
|
0= No; 1= Yes
|
hlthprobsd |
|
ph_14d |
String |
100
|
Recommended |
Please describe your child's other health problem(s): Additional problems |
|
|
hlthprobss |
|
change_health_probs |
Integer |
|
Recommended |
Change to health problems |
0;1
|
0= No; 1= Yes
|
chghealth |
|
recent_injury_illness |
Integer |
|
Recommended |
Recent injury or illness |
0;1
|
0= No; 1= Yes
|
recentinj |
|
injury_illness_describe |
String |
200
|
Recommended |
Recent injury or illness -describe |
|
|
injlist |
|
behavior_meds |
Integer |
|
Recommended |
Is your child taking any prescribed medication for issues related to behavior |
0;1
|
0= No; 1= Yes
|
takemeds |
|
med_list |
String |
200
|
Recommended |
List of prescribed medications for issues related to behavior |
|
|
medlist |
|
change_meds |
Integer |
|
Recommended |
Change to behavioral medication |
0;1
|
0= No; 1= Yes
|
chgmeds |
|
speech_therapy |
Integer |
|
Recommended |
Speech/language therapy outside of school |
0;1
|
0= No; 1= Yes
|
spchlang |
|
speech_therapy_hours |
Float |
|
Recommended |
Speech/language therapy outside of school hours/month |
0.5 :: 60
|
|
spchlanghrs |
|
occup_therapy |
Integer |
|
Recommended |
Occupational therapy outside of school |
0;1
|
0= No; 1= Yes
|
occther |
|
occup_therapy_hours |
Float |
|
Recommended |
Occupational therapy outside of school hours/month |
0.5 :: 60
|
|
occtherhrs |
|
physical_therapy |
Integer |
|
Recommended |
Physical therapy outside of school |
0;1
|
0= No; 1= Yes
|
physther |
|
physical_therapy_hours |
Float |
|
Recommended |
Physical therapy outside of school hours/month |
0.5 :: 60
|
|
phystherhrs |
|
pdd_autism |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Autism |
0;1
|
0= No; 1= Yes
|
autism |
|
counseling |
Integer |
|
Recommended |
Counseling outside of school |
0;1
|
0= No; 1= Yes
|
counsel |
|
counseling_hours |
Float |
|
Recommended |
Counseling outside of school hours/month |
0.5 :: 60
|
|
counselhrs |
|
social_skills_group |
Integer |
|
Recommended |
Social skills group outside of school |
0;1
|
0= No; 1= Yes
|
socskill |
|
social_skills_group_hours |
Float |
|
Recommended |
Social skills group outside of school hours/month |
0.5 :: 60
|
|
socskillhrs |
|
vocational_rehab |
Integer |
|
Recommended |
Vocational rehabilitation outside of school |
0;1
|
0= No; 1= Yes
|
vocrehab |
|
vocational_rehab_hours |
Float |
|
Recommended |
Vocational rehabilitation outside of school hours/month |
0.5 :: 60
|
|
vocrehabhrs |
|
other_services |
Integer |
|
Recommended |
Other services outside of school |
0;1
|
0= No; 1= Yes
|
othsrvc |
|
asap10jd |
String |
300
|
Recommended |
outside clinicians/services: Other - specify |
|
|
other_services_specify, othsrvcot |
|
other_services_hours |
Float |
|
Recommended |
Other services outside of school hours/month |
0.5 :: 60
|
|
othsrvchrs |
|
pdd_asperger |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Asperger |
0;1
|
0= No; 1= Yes
|
asperger |
|
pdd_nos |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Not Otherwise Specified |
0;1
|
0= No; 1= Yes
|
pddnos |
|
pdd_autism_age |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Autism diagnosis age |
|
|
autismage |
|
pdd_asperger_age |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Asperger diagnosis age |
|
|
aspergerage |
|
pdd_nos_age |
Integer |
|
Recommended |
Pervasive Developmental Disorder -Not Otherwise Specified diagnosis age |
|
|
pddnosage |
|
diag_other |
Integer |
|
Recommended |
Subject diagnosed with Other |
0;1;999
|
0= No; 1= Yes; 999= Missing
|
diagoth |
|
pdd_life |
Integer |
|
Recommended |
Lifetime diagnosis of Pervasive Developmental Disorder |
1;0
|
1 = present;0 = absent
|
pdd_asd |
|
hup2cyr |
Float |
|
Recommended |
Pervasive developmental disorder - age when noticed or diagnosed |
|
|
pdd_asd_age |
|
diag_praderwilli_how |
Integer |
|
Recommended |
How subject diagnosed with Prader Willi Syndrome |
1::3
|
1= As a newborn; 2= Before 3 years of age (but after newborn period); 3= After 3 years of age
|
|
|
w1_m_cu_healthpx |
Integer |
|
Recommended |
health at interview - has a history of other health problems |
0;1; -888; -999
|
0 = No; 1 = Yes; -999 = missing; -888 = not applicable
|
health_probs_other |
|
health_probs_nota |
Integer |
|
Recommended |
Health problems - None of the above |
0;1
|
0= No; 1= Yes
|
|
|
demo_pri_employment |
Integer |
|
Recommended |
Is the Primary Reporter employed? |
0;1
|
0= No; 1= Yes
|
informant_employed |
|
child_fxs |
String |
25
|
Recommended |
Has child been diagnosed with or experiencing symptoms of fragile x syndrome? |
|
Parent report
|
diag_fragilex |
|
child_ds |
String |
25
|
Recommended |
Has child been diagnosed with or experiencing symptoms of Down syndrome? |
|
Parent report
|
diag_down |
|
medprob_genprader |
String |
50
|
Recommended |
Child have Prader Willi Syndrome? |
|
999=NA/missing
|
diag_praderwilli |
|
diag_down_how |
Integer |
|
Recommended |
How subject diagnosed with Down Syndrome |
1::8
|
1= Prenatal screening test - Blood test in 1st trimester; 2= Prenatal screening test - Ultrasound in 1st trimester; 3= Prenatal screening test - Blood test in 2nd trimester; 4= Prenatal screening test - Combined test (blood test and ultrasound in 1st trimester and blood test in 2nd trimester; 5= Prenatal diagnostic test - Amniocentesis; 6= Prenatal diagnostic test - Chorionic villus sampling (CVS); 7= Prenatal diagnostic test - Percutaneous umbilical blood sampling (PUBS); 8= After birth
|
|
|
type_down |
Integer |
|
Recommended |
Type of Down Syndrome |
1::4
|
1= Trisomy 21; 2= Mosaicism; 3= Translocation; 4= Unknown
|
|
|
diag_fragilex_how |
Integer |
|
Recommended |
How subject diagnosed with Fragile X Syndrome |
1::4
|
1= Prenatal testing - Amniocentesis; 2= Prenatal testing - Chorionic Villus Sampling (CVS); 3= After birth - Before 24 months of age; 4= After birth - After 24 months of age
|
|
|
session |
Integer |
|
Recommended |
Session |
|
|
|