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Child and Adolescent Health Screening Report

162 Shared Subjects

This screener is for child and adolescent health.
Clinical Assessments
Health
02/07/2022
cahsr01
07/21/2023
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::1440 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
timepoint Integer Recommended Timepoint 0::8 0=Screening; 1=Intake; 2=3 months; 3=6 months; 4=9 months; 5=12 months; 6=24 months; 7 = pre-intervention; 8 = post-intervention
relationship Integer Recommended Relationship of respondent to individual 1::94;-999 1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker
height Float Recommended Medical history and physical development - Height (inches) inches
weight String 50 Recommended weight -5=item seen but not answered; -999=data not submitted (incomplete)
cmedhx11a Date Recommended Date of last medical exam:
cmedhx12a Date Recommended Date of last dental exam:
cmedhx13 Integer Recommended Has your child had allergic reations to any medications? 1;2 1 = No; 2 = Yes
cmedhx13a Integer Recommended Allergic reactions to foods? 1;2 1 = No; 2 = Yes
cmedhx13b Integer Recommended Allergic reaction to insect bites? 1;2 1 = No; 2 = Yes
cmedhx13c String 100 Recommended If yes to cmedhx13, please specify:
cmedhx13d String 100 Recommended If yes to cmedhx13a, please specify:
cmedhx13e String 100 Recommended If yes to cmedhx13b, please specify:
cmedhx14 Integer Recommended Has your child had all immunizations? 1;2 1 = No; 2 = Yes
cmedhx14a Integer Recommended Any bad reactions to immunizations? 0;1 0 = No;1 = Yes
cmedhx14b String 100 Recommended Specify bad reaction to immunizations:
cmedhx15 Integer Recommended Any hospitalizations? 1;2 1 = No; 2 = Yes
cmedhx15a String 100 Recommended If yes, specify: 1
cmedhx15b String 100 Recommended If yes, specify: 2
cmedhx15c String 100 Recommended If yes, specify: 3
cmedhx15d String 100 Recommended If yes, specify: 4
cmedhx16 Integer Recommended Any serious injuries? 1;2 1 = No; 2 = Yes
cmedhx16a String 100 Recommended If yes, specify: 1
cmedhx16b String 100 Recommended If yes, specify: 2
cmedhx16c String 100 Recommended If yes, specify: 3
cmedhx16d String 100 Recommended If yes, specify: 4
cmedhx17 Integer Recommended Any head injuries? 1;2 1 = No; 2 = Yes
cmedhx17a String 100 Recommended If yes, indicate if your child lost consciousness
lifetime_psychmeds Integer Recommended Are any current medications taken regularly? 1;2 1 = No; 2 = Yes
cmedhx18 Integer Recommended Are any current medications taken regularly? 0;1 0 = No;1 = Yes
cmedhx18a String 100 Recommended If yes, which ones: 2
cmedhx18b String 100 Recommended If yes, which ones: 3
cmedhx18c String 100 Recommended If yes, which ones: 4
cmedhx18d String 100 Recommended If yes, which ones: 5
cmedhx18e String 100 Recommended If yes, which ones: 6
cmedhx18f String 100 Recommended If yes, which ones: 7
cmedhx18g String 100 Recommended If yes, which ones: 8
cmedhx19 Integer Recommended Are there any past medications which were taken regularly? 0;1 0 = No;1 = Yes
cmedhx19a String 100 Recommended If yesl which ones: 1
cmedhx19b String 100 Recommended If yesl which ones: 2
cmedhx19c String 100 Recommended If yesl which ones: 3
cmedhx19d String 100 Recommended If yesl which ones: 4
cmedhx19e String 100 Recommended If yesl which ones: 5
cmedhx19f String 100 Recommended If yesl which ones: 6
cmedhx19g String 100 Recommended If yesl which ones: 7
cmedhx19h String 100 Recommended If yesl which ones: 8
cmedhx19i String 100 Recommended If yesl which ones: 9
cmedhx20 Integer Recommended Any operations? 0;1 0 = No;1 = Yes
cmedhx20a String 100 Recommended If yes, please specify: 1
cmedhx20b String 100 Recommended If yes, please specify: 2
cmedhx20c String 100 Recommended If yes, please specify: 3
cmedhx20d String 100 Recommended If yes, please specify: 4
cmedhx21 Integer Recommended Has your child had frequent ear infections? 0;1 0 = No;1 = Yes
cmedhx21a String 100 Recommended Specify if needed:
cmedhx22 Integer Recommended Any eye problems? 1;2 1 = No; 2 = Yes
cmedhx22a String 100 Recommended Specify if needed:
cmedhx23 Integer Recommended Has he/she had any problems with teeth? 1;2 1 = No; 2 = Yes
cmedhx23a String 100 Recommended Specify problems with teeth
cmedhx24 Integer Recommended Does he/she have frequent cold/sore throats? 0;1 0 = No; 1 = Yes
cmedhx24a String 100 Recommended Details about frequent cold/sore throats
cmedhx25 Integer Recommended Is there asthma, recurrent cough or any lung problems? 0;1 0 = No;1 = Yes
cmedhx25a String 100 Recommended Specify if needed:
cmedhx26 Integer Recommended Does he/she have a heart murmur or any heart problems? 1;2 1 = No; 2 = Yes
cmedhx26a String 100 Recommended Specify if needed:
cmedhx27 Integer Recommended Any problems with urination? 0;1 0 = No;1 = Yes
cmedhx27a String 100 Recommended Specify if needed:
cmedhx28 Integer Recommended Any problems with diarrhea or constipation? 0;1 0 = No;1 = Yes
cmedhx28a String 100 Recommended Specify if needed:
cmedhx29 Integer Recommended Have there been any convulsions or other problems with the nervous system? 0;1 0 = No;1 = Yes
cmedhx29a String 100 Recommended Specify if needed:
cmedhx30 Integer Recommended Any eczema, hives, or other skin conditions? 0;1 0 = No;1 = Yes
cmedhx30a String 100 Recommended Specify if needed:
cmedhx31 Integer Recommended Has your child ever been anemic? 0;1 0 = No;1 = Yes
cmedhx31a String 100 Recommended Details about anemia
cmedhx32 Integer Recommended Any kidney problems? 1;2 1 = No; 2 = Yes
cmedhx32a String 100 Recommended Specify if needed:
cmedhx33 Integer Recommended Any liver disease? 1;2 1 = No; 2 = Yes
cmedhx33a String 100 Recommended Specify if needed:
cmedhx34 Integer Recommended Any hormonal problems? 0;1 0 = No;1 = Yes
cmedhx34a String 100 Recommended Specify if needed:
cmedhx35 Integer Recommended Any headaches? 1;2 1 = No; 2 = Yes
cmedhx35a String 100 Recommended Specify if needed:
cmedhx36 Integer Recommended Any sleep problems? 1;2 1 = No; 2 = Yes
cmedhx36a String 100 Recommended Specify if needed:
cmedhx37 Integer Recommended Any history of physical and/or sexual abuse? 0;1 0 = No;1 = Yes
cmedhx37a String 100 Recommended Details about physical and/or sexual abuse
pabuse Integer Recommended Traumatic Event: Physical abuse 0;1 0 = No; 1 = Yes
sabuse Integer Recommended Traumatic Event: Sexual abuse 0;1 0 = No; 1 = Yes
cmedhx38 Integer Recommended Any other medical problems? 0;1;-9 0=No; 1=Yes; -9 = missing/not reported
ecigs_c Integer Recommended Uses nicotine containing e-cigarettes 1;2 1 = No; 2 = Yes
an_13_c Float Recommended Weight: Childs weight (kg)
an_14_c Float Recommended (Age under 2 years: measure lengthy lying down) Childs length (in cm)
an_15_c Float Recommended (Age 2 years or more: measure height of child standing) Childs height (in cm)
an_16_c Float Recommended Enter childs Mid-Upper Arm Circumference (MUAC) (cm)
an_1_c Integer Recommended What is the childs age? Age in Years
an_4_c String 50 Recommended Document used to verify child date of birth.
an_5_c Integer Recommended Does (child) have a birth certificate? 1;2 1= No; 2= Yes
an_9_c Integer Recommended Was the child undressed to the minimum? 1;2 1= No; 2= Yes
an_10_c String 50 Recommended How will the childs weight be assessed?
an_11_c Float Recommended Weight: Caregiver and the child together (kg)
an_12_c Float Recommended Weight: Caregiver alone (kg)
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)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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