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Developmental Disabilities (DD): Service Utilization

0 Shared Subjects

The Service Utilization form measures how often anyone living in the household has used a particular service / agency within their community in the last 6 months. This measure also includes specific services relevant to families of children with developmental disabilities (DD).
Clinical Assessments
Autism Spectrum Disorders
03/14/2022
su01
11/14/2022
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
service_pcp_01 Integer Recommended In the last 6 months: Has anyone been to the doctor or primary care physician? 0;1 0= No; 1= Yes
service_pcp_02 Integer Recommended In the last 6 months: Who has anyone been to the doctor or primary care physician? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_pcp_03 Integer Recommended In the last 6 months: How often has (who) been to the doctor or primary care physician? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_pcp_04 String 4,000 Recommended Doctor or Primary Care Physician: Notes
service_er_01 Integer Recommended In the last 6 months: Has anyone been to the emergency room? 0;1 0= No; 1= Yes
service_er_02 Integer Recommended In the last 6 months: Who has anyone been to the emergency room? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_er_03 Integer Recommended In the last 6 months: How often has (who) been to the emergency room? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_er_04 String 4,000 Recommended Emergency Room: Notes
service_med_01 Integer Recommended In the last 6 months: Has anyone in the home seen a medical specialist for a medical reason? 0;1 0= No; 1= Yes
service_med_02 Integer Recommended In the last 6 months: Who in the home has seen a medical specialist for a medical reason? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_med_03 Integer Recommended In the last 6 months: How often has (who) been to the medical specialist for medical reason? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_med_04 String 4,000 Recommended Medical Specialist: Notes (Such as: neurologists, developmental pediatricians, optometrist, occupational therapists, physical therapist)
service_mental_01 Integer Recommended In the last 6 months: Has anyone in the home received mental health services or counseling?
service_mental_02 Integer Recommended In the last 6 months: Who in the home has received mental health services or counseling? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_mental_03 Integer Recommended In the last 6 months: How often has (who) received mental health services or counseling? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_mental_04 Integer Recommended Mental Health: What types of service? 1 :: 5 1= Marriage/Couples; 2= Family; 3= Individual; 4= Drug/Alcohol; 5= Multiple Services
service_iep_01 Integer Recommended In the last 6 months: Has anyone in the home, other than TC, had an eligibility screening or meeting for education services? 0;1 0= No; 1= Yes
service_iep_02 Integer Recommended In the last 6 months: Who, other than TC, had an eligibility screening or meeting for education services? 1 :: 3 1= The Child (TC); 2= Sibling; 3= Other Family Member
service_iep_03 String 500 Recommended If so, by whom and when:
service_region_01 Integer Recommended In the last 6 months: Has anyone in your family received services contracted by the Regional Center? 0;1 0= No; 1= Yes
service_region_02 Integer Recommended In the last 6 months: Who in your family received services contracted by the Regional Center? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_region_03 Integer Recommended In the last 6 months: How often has (who) received services contracted by the Regional Center? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_region_04 String 4,000 Recommended Regional Center: Notes
service_parent_01 Integer Recommended In the last 6 months: Besides this project, has anyone in the home been to parenting classes or parenting programs? 0;1 0= No; 1= Yes
service_parent_02 Integer Recommended In the last 6 months: Who in the home has been to parenting classes or parenting programs? 1 :: 4 1= Primary Caregiver (PC); 2= Sibling; 3= Partner; 4= Other Family Member
service_parent_03 Integer Recommended In the last 6 months: How often has (who) been to parenting classes or parenting programs? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_parent_04 String 4,000 Recommended Parenting: Notes
service_sport_01 Integer Recommended In the last 6 months: Has anyone in the home participated in a sports program? 0;1 0= No; 1= Yes
service_sport_02 Integer Recommended In the last 6 months: Who in the home participated in a sports program? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_sport_03 Integer Recommended In the last 6 months: How often has (who) participated in a sports program? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_sport_04 String 4,000 Recommended Sports Programs: Notes
service_aftsc_01 Integer Recommended In the last 6 months: Has any child in the home participated in afterschool programs or activities? 0;1 0= No; 1= Yes
service_aftsc_02 Integer Recommended In the last 6 months: Who in the home has participated in afterschool programs or activities? 1 :: 4 1= Primary Caregiver (PC); 2= Sibling; 3= Partner; 4= Other Family Member
service_aftsc_03 Integer Recommended In the last 6 months: How often has (who) participated in afterschool programs or activities? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_aftsc_04 String 4,000 Recommended Afterschool Programs: Notes
service_presch_01 Integer Recommended In the last 6 months: Has any child in the home attended a preschool program, daycare, or headstart? 0;1 0= No; 1= Yes
service_presch_02 Integer Recommended In the last 6 months: Who in the home has attended a preschool program, daycare, or headstart? 1 :: 4 1= Primary Caregiver (PC); 2= Sibling; 3= Partner; 4= Other Family Member
service_presch_03 Integer Recommended In the last 6 months: How often has (who) attended a preschool program, daycare, or headstart? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_presch_04 String 4,000 Recommended Preschool Program: Notes
healthsurvey Integer Recommended On a scale from poor to excellent, how would you rate your physical and mental health? 1 :: 4 1= Poor; 2= Fair; 3= Good; 4= Excellent
service_dev_01 Integer Recommended In the last 6 months: Has anyone in the home, other than TC, received any other type of developmental services? 0;1 0= No; 1= Yes
service_dev_02 Integer Recommended In the last 6 months: Who in the home has received any other type of developmental services? 1 :: 4 1= Primary Caregiver (PC); 2= Sibling; 3= Partner; 4= Other Family Member
service_dev_03 Integer Recommended In the last 6 months: How often has (who) received any other type of developmental services? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_dev_04 String 4,000 Recommended Developmental Services: Notes
religioussurvey01 Integer Recommended Are you involved with a church, religion, or spiritual practice? 0;1 0= No; 1= Yes
religioussurvey02 Integer Recommended How would you rate your involvement or connection to church or religion on a scale of 1-10? 1 :: 10 (1 being not at all, 10 would be very much.)
religioussurvey03 String 50 Recommended What religion?
service_oth_01 Integer Recommended Are there any other programs or services you have received in the last 6 months I haven't already asked you about? 0;1 0= No; 1= Yes
service_oth_02 String 4,000 Recommended What are there other programs or services you have received in the last 6 months I haven't already asked you about?
service_oth_03 Integer Recommended Who in your family has received the other programs or services you have received in the last 6 months I haven't already asked you about? 1 :: 5 1= Primary Caregiver (PC); 2= The Child (TC); 3= Sibling; 4= Partner; 5= Other Family Member
service_oth_04 Integer Recommended How often has (who) received the other programs or services you have received in the last 6 months I haven't already asked you about? 1 :: 6 1= 1 to 2 times; 2= 3 to 4 times; 3= Monthly; 4= BiWeekly; 5= Weekly; 6= Multiple times a week
service_oth_05 String 4,000 Recommended Other Services: Notes
timepoint_label String 50 Recommended Timepoint/visit label
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:

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