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Implemnetation E-Connect Screening

1,048 Shared Subjects

N/A
Clinical Assessments
Entry Form; Questionnaire
07/02/2020
imp_econnect_screen01
11/25/2020
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 gender
race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
idscr1 Integer Recommended When was the last time you had significant problems with: feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscr2 Integer Recommended When was the last time you had significant problems with: sleep trouble, such as bad dreams, sleeping restlessly, or falling asleep during the day? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscr3 Integer Recommended When was the last time you had significant problems with: feeling very anxious, nervous, tense, scared, panicked, or like something bad was going to happen? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscr4 Integer Recommended When was the last time you had significant problems with: becoming very distressed and upset when something reminded you of the past? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscr5 Integer Recommended When was the last time you had significant problems with: thinking about ending your life or committing suicide? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscr6 Integer Recommended When was the last time you had significant problems with: seeing or hearing things that no one else could see or hear or feeling that someone else could read or control your thoughts? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
idscrtot Integer Recommended Total score for internalizing subscale using GAIN-SS
sdscr1 Integer Recommended When was the last time that: you used alcohol or other drugs weekly or more often? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sdscr2 Integer Recommended When was the last time that: you spent a lot of time either getting alcohol or other drugs, using alcohol or other drugs, or recovering from the effects of alcohol or other drugs (e.g., feeling sick)? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sdscr3 Integer Recommended When was the last time that: you kept using alcohol or other drugs even though it was causing social problems, leading to fights, or getting you into trouble with other people? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sdscr4 Integer Recommended When was the last time that: your use of alcohol or other drugs caused you to give up or reduce your involvement in activities at work, school, home, or social events? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sdscr5 Integer Recommended When was the last time that: you had withdrawal problems from alcohol or other drugs like shaky hands, throwing up, having trouble sitting still or sleeping, or you used any alcohol or other drugs to stop being sick or avoid withdrawal problems? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sdscrtot Integer Recommended Total score for substance use subscale using GAIN-SS
sui1 Integer Recommended When was the last time that you: thought about ending your life or committing suicide? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sui2 Integer Recommended When was the last time that you: had a plan to commit suicide? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sui3 Integer Recommended When was the last time that you: gotten a gun, pills or other things to carry out your plan? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sui4 Integer Recommended When was the last time that you: attempted to commit suicide? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
sui5 Integer Recommended During the past week, have you thought about ending your life or committing suicide? 0;1 0= No; 1= Yes
nssi1 Integer Recommended During the past 12 months, have you: cut, burned or hurt yourself on purpose? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
nssi2 Integer Recommended During the past 12 months, have you: needed medical treatment after you cut, burned or hurt yourself on purpose? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
nssi3 Integer Recommended During the past 12 months, have you: felt like you could not stop yourself from cutting, burning or hurting yourself? 0::4 0= Never; 1= More than 1 year ago; 2= 4 to 12 months ago; 3= 2-3 months ago; 4= Past month
nssi4 Integer Recommended During the past 90 days, on how many days have you cut, burned or hurt yourself on purpose? 0::90 0 = No days; 90 = 90 days
screen_status Integer Recommended Screening Status: Determines if a given youth received an e-connect screen 0;1 0= Not screened or missed screen; 1= Screened
referr_status Integer Recommended Referral Status: Determines if a youth was given a referral to a behavioral-health provider. 0::2;97;98;99 0= Did not receive behavioral health referral, and should have; 1= Received behavioral health referral; 2=Youth is already in treatment; 99= Missing/incomplete; 98= Unknown; 97= Did not receive referral because no behavioral need identified
initi_status Integer Recommended Initiation Status: Determines if a given youth initiated treatment with a behavioral health provider 0;1;97;98;99 0= No initiated information; 1= Initiated; 99= Missing; 98= Unknown; 97= Did not receive referral because no behavioral need identified
needref Integer Required Determines if youth has need for behavioral health services based on behavioral health screen 0::3; 98 0= No behavioral health need identified; 1= Mental health need identified; 2= Substance use need identified; 3= Both mental health and substance use need identified; 98=Unknown
otherrace String 100 Recommended specify other race The following questions are about you or the child's family.
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

Please email the The NDA Help Desk with any questions.