|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
guid |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
con_id, record_id |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
auth_date, con_date, con_date_en, demo_date, pp_date |
|
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.
|
age_a, demo_age_a |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
|
M = Male; F = Female; O=Other; NR = Not reported
|
demo_sex_a, gender, sex_a |
|
version_form |
String |
121
|
Required |
Form used/assessment name |
|
|
|
Query
|
visnum |
Float |
|
Recommended |
Numeric Visit Number |
|
-1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits
|
|
Query
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
999= Missing Data
|
pi_staff |
Query
|
dayscons |
Integer |
|
Recommended |
days since consent |
|
|
con_date_en |
Query
|
consent |
Integer |
|
Required |
Consent at screening |
0;1
|
0=No; 1=Yes;
|
con_name_print_en |
|
grade |
String |
50
|
Recommended |
Current Grade |
|
|
demo_grade_a |
|
ethnicity |
String |
30
|
Recommended |
Ethnicity of participant |
|
|
demo_ethn_a |
|
race |
String |
30
|
Recommended |
Race of study subject |
|
|
demo_race_a |
|
otherrace |
String |
100
|
Recommended |
specify other race |
|
The following questions are about you or the child's family.
|
demo_race_oth_a |
Query
|
cg1_age |
Integer |
|
Recommended |
Parent/Caregiver 1 Age, months |
0::1200
|
|
demo_age_p1 |
|
cg1_relationship |
String |
100
|
Recommended |
Caregiver/Parent 1's Relationship to Participant |
|
Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother
|
demo_rela_p1 |
|
cg1_relationship_specify |
String |
100
|
Recommended |
Caregiver/Parent 1's Relationship to Participant Other Specify |
|
|
demo_rela_oth_p1 |
|
cg1_ethnicity |
String |
30
|
Recommended |
Caregiver/Parent 1's ethnicity |
|
|
demo_ethn_p1 |
|
cg1_race |
String |
100
|
Recommended |
Race of the Caregiver/Parent 1 |
|
|
demo_race_p1 |
|
cg1_race_specify |
String |
100
|
Recommended |
Race of the Caregiver/Parent 1 Other Specify |
|
|
demo_race_oth_p1 |
|
edfirst_scid |
String |
100
|
Recommended |
Education first person (intervewee/first parent) |
|
|
demo_edu_p1 |
|
cg1_occupation |
String |
100
|
Recommended |
Caregiver/Parent 1's Occupation |
|
|
demo_occu_p1 |
|
cg1_guardian |
String |
10
|
Recommended |
Caregiver/Parent 1. Is this the Participant's Custodian/Legal Guardian? |
|
|
demo_custody_p1 |
|
cg1_relation_status |
String |
100
|
Recommended |
Caregiver/Parent 1's Relationship Status |
|
|
demo_mar_p1 |
|
cg1_cohabitate |
String |
10
|
Recommended |
Caregiver/Parent 1. Does the participant live with this custodian? |
|
|
demo_live_p1 |
|
cg1_visit |
String |
50
|
Recommended |
If Caregiver1 and Adolescent do not live together, how often do they see each other?: |
|
|
demo_often_p1 |
Query
|
cg2_age |
Integer |
|
Recommended |
Parent/Caregiver 2 Age, months |
0::1200
|
|
demo_age_p2 |
|
cg2_relationship |
String |
100
|
Recommended |
Caregiver/Parent 2's Relationship to Participant |
|
Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother
|
demo_rela_p2 |
|
cg2_relationship_specify |
String |
100
|
Recommended |
Caregiver/Parent 2's Relationship to Participant Other Specify |
|
|
demo_rela_oth_p2 |
|
cg2_ethnicity |
String |
30
|
Recommended |
Caregiver/Parent 2's ethnicity |
|
|
demo_ethn_p2 |
|
cg2_race |
String |
100
|
Recommended |
Race of the Caregiver/Parent 2 |
|
|
demo_race_p2 |
|
cg2_race_specify |
String |
50
|
Recommended |
Caregiver2: Specify Other Race |
|
|
demo_race_oth_p2 |
|
educsecondpers_scid |
String |
50
|
Recommended |
Education second person (other parent) |
|
|
demo_edu_p2 |
|
cg2_occupation |
String |
100
|
Recommended |
Caregiver/Parent 2's Occupation |
|
|
demo_occu_p2 |
|
cg2_guardian |
String |
10
|
Recommended |
Caregiver/Parent 2. Is this the Participant's Custodian/Legal Guardian? |
|
|
demo_custody_p2 |
|
cg2_relation_status |
String |
100
|
Recommended |
Caregiver/Parent 2's Relationship Status |
|
|
demo_mar_p2 |
|
cg2_cohabitate |
String |
10
|
Recommended |
Caregiver/Parent 2: Does the adolescent live with this custodian? |
|
|
demo_live_p2 |
|
cg2_visit |
String |
50
|
Recommended |
If Caregiver2 and Adolescent do not live together, how often do they see each other?: |
|
|
demo_often_p2 |
Query
|
demo_siblingscount |
Integer |
|
Recommended |
Number of siblings |
|
888 = not applicable; 999 = missing
|
demo_sib_no |
|
rid_sa |
String |
20
|
Recommended |
If sibling, what age was he/she |
|
|
demo_sib_age |
|
hs_classroom |
String |
250
|
Recommended |
High School Type of classroom |
|
Inclusion Classroom; Special Ed Classroom; Mixed Inclusion and Special Ed Classroom
|
demo_sch |
Query
|
cbfrepeatheldback |
Integer |
|
Recommended |
Has the child/subject ever repeated a grade or been held back? |
0;1; 888; 999
|
0 = no; 1 = yes; 888 = not applicable; 999 = missing
|
demo_held |
|
wn60a |
String |
20
|
Recommended |
Which grades were 'Repeated'? |
|
|
demo_held_grade |
|
asisped |
String |
200
|
Recommended |
Specify special education services |
|
|
demo_iep |
|
schoolotr_classroom |
String |
500
|
Recommended |
Other specify Type of classroom |
|
|
demo_class |
|
schoolotr_school_otr |
String |
100
|
Recommended |
Other specify Type of school or day program Other specify |
|
|
demo_class_oth |
Query
|
cdiag_adhd |
Integer |
|
Recommended |
Child current diagnosis: ADHD |
0;1
|
0=No; 1=Yes
|
demo_adhd |
Query
|
cdiag_ld |
Integer |
|
Recommended |
Child current diagnosis: Learning Disorder |
0;1
|
0=No; 1=Yes
|
demo_ld |
Query
|
cdiag_asd |
Integer |
|
Recommended |
Child current diagnosis: Autism Spectrum Disorder |
0;1
|
0=No; 1=Yes
|
demo_autism |
Query
|
anypdd |
Integer |
|
Recommended |
Any Pervasive Developmental Disorder |
0;1
|
(1 = present;0 = absent);By Parent (PDX): 1-Pervasive Developmental D/O if PDD_PDX = 1 then ANYPDD = 1;else ANYPDD = 0;
|
demo_pdd |
Query
|
cfmh_chd_aspergers |
Integer |
|
Recommended |
Does the Child have Asperger's Syndrome? |
1;0;999
|
0 = No; 1 = Yes
|
demo_as |
Query
|
se14 |
Integer |
|
Recommended |
Does the adolescent take meds for ADHD? And/or for attention, behavior, mood, and emotions |
0;1
|
0=No; 1=Yes
|
demo_rx |
|
medication_name |
String |
255
|
Recommended |
Name of medication |
|
|
demo_rx_note |
Query
|
child_services4 |
Integer |
|
Recommended |
Has your child ever participated in Therapy |
0;1
|
0=No; 1=Yes
|
demo_tx |
|
child_services4sp |
String |
100
|
Recommended |
Has your child ever participated in Therapy: specify |
|
|
demo_tx_note |
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
con_ccf_name_en |
|
org_address |
String |
4,000
|
Recommended |
Lines of the adddress are separated by a semi-colon, for example: Street Address; City, State; Zip Code |
|
|
con_ccf_add_en |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
con_tdesc_en |
|
auth_besttime |
String |
8
|
Recommended |
Best Time to Reach Parent |
|
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|