|
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 |
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|
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
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|
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.
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|
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
se_a1 |
Integer |
|
Recommended |
1. Current health complaints |
|
1 = Yes; 2 = No; -9 =unknown
|
a_complaints |
|
b_injuries |
Integer |
|
Recommended |
Has your child had any recent injuries or illnesses |
0;1
|
0= No; 1= Yes
|
|
|
aer003 |
Integer |
|
Recommended |
Recently seen a doctor or medical professional for any reason? |
0;1; -9
|
0=No; 1=Yes; -9=unknown
|
c_doctor |
|
d_new_tx |
Integer |
|
Recommended |
Has your child started any new treatments |
0;1
|
0= No; 1= Yes
|
|
|
e_new_meds |
Integer |
|
Recommended |
Is your child taking any new medications (over the counter or prescription) |
0;1
|
0= No; 1= Yes
|
|
|
aesa11 |
Integer |
|
Recommended |
Insomnia: Have you had any problems with falling asleep, staying asleep, or waking up too early? (Severe = sleep time disrupted more than 3 hours most nights). |
0;1;2;3
|
Absent=0; Mild=1; Moderate=2; Severe=3
|
q1_diff_sleep |
|
q2_tired |
Integer |
|
Recommended |
Tired during the day, wants to nap, sleepy |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
se_q03 |
Integer |
|
Recommended |
Increased difficulty waking up |
0::3
|
0=Absent; 1=Mild; 2=Moderate; 3=Severe;
|
q3_diff_wake |
|
caei8 |
Integer |
|
Recommended |
Constipation |
0::3
|
0=None; 1=Low level; 2=Medium level; 3=High level
|
q4_constipation |
|
q5_diarrhea |
Integer |
|
Recommended |
Diarrhea/loose stools |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q6_nausea |
Integer |
|
Recommended |
Nausea or vomiting |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q7_no_appetite |
Integer |
|
Recommended |
Deficient appetite |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q8_excess_appetite |
Integer |
|
Recommended |
Excessive appetite |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
se_q24 |
Integer |
|
Recommended |
Coughing |
0::3
|
0=Absent; 1=Mild; 2=Moderate; 3=Severe;
|
q9_coughing |
|
se_q27 |
Integer |
|
Recommended |
Skin rash |
0::3; -9
|
0=Absent, 1=Mild, 2=Moderate, 3=Severe; -9=unknown
|
q10_rash |
|
aesa16 |
Integer |
|
Recommended |
Weight Gain: Have you had any problems with weight gain? (Severe = new clothes required) |
0;1;2;3
|
0=Absent; 1=Mild; 2=Moderate; 3=Severe
|
q11_weight_gain |
|
q12_weight_loss |
Integer |
|
Recommended |
Weight loss |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q13_dull_appear |
Integer |
|
Recommended |
Dull "drugged" appearance |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q14_headache |
Integer |
|
Recommended |
Headache |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q15_tics |
Integer |
|
Recommended |
Muscular Twitches (tics) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q16_hallucinate |
Integer |
|
Recommended |
Seeing or hearing things that are not there |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q17_bellyache |
Integer |
|
Recommended |
Bellyache |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q18_irritability |
Integer |
|
Recommended |
Irritability |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q19_oppositionality |
Integer |
|
Recommended |
Oppositionality (refusing to do what is asked) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q20_defiance |
Integer |
|
Recommended |
Defiance |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q21_impulsivity |
Integer |
|
Recommended |
Impulsivity |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q22_hyperactivity |
Integer |
|
Recommended |
Hyperactivity |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
cwm5c |
Integer |
|
Recommended |
Aggression. Verbal threats or physical aggression directed towards others. |
0::3
|
0 = NOT PRESENT; 1 = MILD (no interference with functioning; 2 = MODERATE (interference in at least one area of functioning); 3 = SEVERE (prevents functioning in at least one area, or is a major threat to health)
|
q23_aggression |
|
q24_anger |
Integer |
|
Recommended |
Anger |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
teasap7 |
Integer |
|
Recommended |
Loses temper easily, short fuse, Impatient |
0::3
|
0=None; 1= Mild; 2= Moderate; 3= Severe
|
q25_short_temper |
|
q26_self_injurious |
Integer |
|
Recommended |
Self Injurious Behavior |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q27_sadness |
Integer |
|
Recommended |
Sadness |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q28_anxiety |
Integer |
|
Recommended |
Anxiety |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q29_oth_illness |
Integer |
|
Recommended |
Other illness (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
fammedhx_other_specify |
String |
255
|
Recommended |
If any other disorder/illness: specify |
|
|
q29_oth_illness_desc |
|
q30_oth_injury |
Integer |
|
Recommended |
Other injury (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
mvra59 |
String |
100
|
Recommended |
Summary Chart: Injury (most serious) - specify other injury |
|
|
q30_other_injury_desc |
|
q31_oth_health_pblm |
Integer |
|
Recommended |
Other health problem (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
pl_hea_other |
String |
300
|
Recommended |
Problems in Health - Other: specify |
|
|
q31_oth_health_pblm_desc |
|
q33_change_eating |
Integer |
|
Recommended |
Have there been any changes in eating habits since the last session? (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q33_change_eating_desc |
String |
500
|
Recommended |
Specify Change in eating habits |
|
|
|
|
q34_change_routine |
Integer |
|
Recommended |
Have there been any significant changes in routine since the last session? (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q34_routine_change_desc |
String |
100
|
Recommended |
Specify change in routine |
|
|
|
|
q35_events_family |
Integer |
|
Recommended |
Have there been any significant family events since the last session? (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q35_events_family_desc |
String |
500
|
Recommended |
Specify change in significant family events |
|
|
|
|
q36_events_school_ |
Integer |
|
Recommended |
Have there been any significant school/social events since the last session? (specify) |
0::3
|
0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe
|
|
|
q36_events_school_desc |
String |
500
|
Recommended |
Specify significant school/social events |
|
|
|
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
|
|
session |
Integer |
|
Recommended |
Session |
|
|
|
|
validity |
String |
13
|
Recommended |
Validity rating |
Yes;No;Questionnable
|
|
|
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
|
|
resp_source |
Integer |
|
Recommended |
Respondent Source |
1::6
|
1= subject; 2= parent; 3= clinician; 4= teacher; 5= trainer; 6= fidelity reviewer
|
source |