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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Peds - Full Telephone Screening Interview - Version 2

554 Shared Subjects

Full Telephone Screening Interview - Version 2 as defined by the NIH Pediatric MRI Project
Clinical Assessments
Questionnaire
04/14/2010
peds_full_phone_screen_v202
12/16/2022
View Change History
02
Definition
Submission Template
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 Subject_ID
Query timepoint_label String 50 Recommended Timepoint/visit label
Query admin_status String 20 Recommended Instrument administration status Complete;Partial;Not Administered;Not Applicable FullScreen_V2_Administration_Status
Query fs_v2_respondent String 10 Recommended Full Screener (Visit 2): Respondent completing interview MOM;DAD;FB1;FS1;HB1;HS1;CID1;CIS1;MA1;MU1;PA1;PU1;MGM;MGF;PGM;PGF;Other FB1 = Full brother 1; FS1 = Full sister 1; HB1 = Half brother 1; HS1 = Half sister 1; CID1 = Child of interest's daughter 1; CIS1 = Child of interest's son 1; MA1 = Maternal aunt 1; MU1 = Maternal uncle 1; PA1 = Paternal aunt 1; PU1 = Paternal uncle 1; MGM = Maternal grandmother; MGF = Maternal grandfather; PGM = Paternal grandmother; PGF = Paternal grandfather FullScreen_V2_Respondent
Query fs_v2_resp_no_adopted_children Integer Recommended Full Screener (Visit 2): How many adopted children do you have? FullScreen_V2_Respondent_No_of_Adopted_Children
Query fs_v2_resp_no_biol_children Integer Recommended Full Screener (Visit 2): How many biological children do you have? FullScreen_V2_Respondent_No_of_Biological_Children
Query fs_v2_resp_no_of_step_children Integer Recommended Full Screener (Visit 2): How many step children do you have? FullScreen_V2_Respondent_No_of_Step_Children
Query fs_v2_mother_education_level String 30 Recommended Full Screener (Visit 2): Verification of the biological mother's current education level (Response options - Less Than 6th Grade, Less Than High School, High School, Some College, College, Some Graduate Level, Graduate Level, NA) Less Than 6th Grade;Less Than High School;High School;Some College;College;Some Graduate Level;Graduate Level; Master's-level degree; Doctoral degree;NA NA = Not available FullScreen_V2_Mother_Education_Level
Query fs_v2_mother_ethnicity String 30 Recommended Full Screener (Visit 2): Verification of the biological mother's ethnicity (Response options - Hispanic or Latino, Not Hispanic or Latino, NA) Hispanic or Latino;Not Hispanic or Latino;NA NA = Not available FullScreen_V2_Mother_Ethnicity
Query fs_v2_mother_father_curr_rel String 20 Recommended Full Screener (Visit 2): To update our records, how is the subject's biological mother currently related to the subject's biological father? (Response options ? Married, Separated, Divorced, Other, NA) Married;Separated;Divorced;Other;NA NA = Not available FullScreen_V2_Mother_to_Father_Current_Relationship
Query fs_v2_mother_race String 80 Recommended Full Screener (Visit 2): Verification of the biological mother's race FullScreen_V2_Mother_Race
Query fs_v2_questions_father_hx String 2 Recommended Full Screener (Visit 2): Can the respondent answer questions about the biological father? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Questions_about_Father_History
Query fs_v2_father_contact_with_fam String 2 Recommended Full Screener (Visit 2): Is there contact with the subject's biological father (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Father_in_Contact_with_Family
Query fs_v2_father_education_level String 30 Recommended Full Screener (Visit 2): Verification of the biological father's current education level (Response options - Less Than 6th Grade, Less Than High School, High School, Some College, College, Some Graduate Level, Graduate Level, NA) Less Than 6th Grade;Less Than High School;High School;Some College;College;Some Graduate Level;Graduate Level; Master's-level degree; Doctoral degree;NA NA = Not available FullScreen_V2_Father_Education_Level
Query fs_v2_father_ethnicity String 30 Recommended Full Screener (Visit 2): Verification of the biological father's ethnicity (Response options ? Hispanic or Latino, Not Hispanic or Latino, NA) Hispanic or Latino;Not Hispanic or Latino;NA NA = Not available FullScreen_V2_Father_Ethnicity
Query fs_v2_father_living_at_home String 2 Recommended Full Screener (Visit 2): Verification if the biological father lives at home (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Father_Living_at_Home
Query fs_v2_father_race String 80 Recommended Full Screener (Visit 2): Verification of the biological father's race FullScreen_V2_Father_Race
Query fs_v2_num_household_dependants Integer Recommended Full Screener (Visit 2): What is the total number of dependants (as per tax return) in your family? FullScreen_V2_Number_of_Household_Dependants
Query fs_v2_family_income String 20 Recommended Full Screener (Visit 2): Household income for all adults in home (1=$0-$5,000; 2=$5,001-$10,000; 3=$10,001-$15,000; 4=$15,001-$25,000; 5=$25,001-$35,000; 6=$35,001-$50,000; 7=$50,001-$75,000; 8=$75,001-$100,000; 9=$100,001-$150,000; 10=over $150,000) Zero to 5000;5001 to 10000;10001 to 15000;15001 to 25000;25001 to 35000;35001 to 50000;50001 to 75000;75001 to 100000;100001 to 150000;over 150000;No Answer In dollars FullScreen_V2_Family_Income
Query fs_v2_body_piercings String 2 Recommended Full Screener (Visit 2): Q29 Does the subject have any non-removable body piercings? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Body_Piercings
Query fs_v2_brain_infection String 2 Recommended Full Screener (Visit 2): Q10 Has the subject had a brain infection, such as meningitis? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Brain_Infection
Query fs_v2_cancer String 2 Recommended Full Screener (Visit 2): Q11 Since the last visit has the subject been treated for any cancer? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Cancer
Query fs_v2_chemotherapy String 2 Recommended Full Screener (Visit 2): Q12 Has the subject been treated with chemotherapy or radiation therapy? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Chemotherapy
Query fs_v2_chronic_illness String 2 Recommended Full Screener (Visit 2): Since the last visit, has the subject had any chronic illness? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Chronic_Illness
Query fs_v2_current_weight Float Recommended Full Screener (Visit 2): How much does the subject weigh (lb) now? FullScreen_V2_Current_Weight
Query fs_v2_dental_braces String 2 Recommended Full Screener (Visit 2): Does the subject have dental braces or a permanent retainer? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Dental_Braces
Query fs_v2_diabetes String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject developed diabetes? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Diabetes
Query fs_v2_eye_problem String 2 Recommended Full Screener (Visit 2): Significant problem with eyes (crossed eyes or other than conventional glasses)? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Eye_Problem
Query fs_v2_face_head_abnormality String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject developed any abnormalities of the face or head? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Face_Head_Abnormality
Query fs_v2_hearing_impairment_diag String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject been diagnosed with a hearing impairment? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Hearing_Impairment_Diagnosis
Query fs_v2_hearing_impairment_treat String 2 Recommended Full Screener (Visit 2): Has the subject had any treatment for hearing impairment? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Hearing_Impairment_Treatment
Query fs_v2_heart_disease String 2 Recommended Full Screener (Visit 2): Since [date of last visit to site] has [name] been diagnosed with heart disease? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Heart_Disease
Query fs_v2_heart_surgery String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject required heart surgery? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Heart_Surgery
Query fs_v2_height_and_weight String 2 Recommended Full Screener (Visit 2): Q1 Did the respondent have a chance to check the subject's height and weight before call? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Height_and_Weight
Query fs_v2_height_feet Integer Recommended How tall is the subject now (feet)? FullScreen_V2_Height_Feet
Query fs_v2_height_inches Float Recommended How tall is the subject now (inches)? FullScreen_V2_Height_Inches
Query fs_v2_lead_level_age_years Integer Recommended Full Screener (Visit 2): At what age was the subject's level checked? FullScreen_V2_Lead_Level_Age_Years
Query fs_v2_lead_level_checked String 10 Recommended Full Screener (Visit 2): In his/her entire life, has the subject ever had his/her lead level checked? (Response options ? Yes, No, Unsure, NA)
Y;N;Unsure;NA
Y = Yes; N = No; NA = Not available FullScreen_V2_Lead_Level_Checked
Query fs_v2_lead_poisoning_treatment String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject been treated for lead poisoning? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Lead_Poisoning_Treatment
Query fs_v2_learning_dis_age_years Integer Recommended Full Screener (Visit 2): At what age (years) did the subject start to experience learning difficulties? FullScreen_V2_Learning_Disorder_Age_Years
Query fs_v2_learning_dis_last_visit String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject been as having a learning or language disorder? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Learning_Disorder_Since_Last_Visit
Query fs_v2_learning_disorder_curr String 2 Recommended Full Screener (Visit 2): Is the learning disorder still present? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Learning_Disorder_Current
Query fs_v2_learning_disorder_eval String 2 Recommended Full Screener (Visit 2): Did the subject have any tests or evaluations for a learning disorder? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Learning_Disorder_Evaluation
Query fs_v2_loss_of_consc_over_30min String 2 Recommended Full Screener (Visit 2): Was the subject unconscious or knocked out for more than 30 minutes? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Loss_of_Consciousness_Over_30Minutes
Query fs_v2_loss_of_consciousness String 2 Recommended Full Screener (Visit 2): Loss of consciousness? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Loss_of_Consciousness
Query fs_v2_metal_plates String 2 Recommended Full Screener (Visit 2): Does the subject have any metal plates or pins in his/her body? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Metal_Plates
Query fs_v2_monthly_period String 2 Recommended Full Screener (Visit 2): Has the subject begun to have her monthly periods? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Monthly_Period
Query fs_v2_neurologist_visit String 2 Recommended Full Screener (Visit 2): Has the subject seen a neurologist? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Neurologist_Visit
Query fs_v2_pacemaker String 2 Recommended Full Screener (Visit 2): Did the subject have a pacemaker placed? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Pacemaker
Query fs_v2_physical_therapy String 2 Recommended Full Screener (Visit 2): Physical, occupational, or language therapy, or early intervention program? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Physical_Therapy
Query fs_v2_psychiatric_dis_age_yrs Integer Recommended Full Screener (Visit 2): At what age (years) was that? FullScreen_V2_Psychiatric_Disorder_Age_Years
Query fs_v2_psychiatric_dis_diag String 2 Recommended Full Screener (Visit 2): Has the subject been diagnosed with a psychiatric disorder? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Psychiatric_Disorder_Diagnosis
Query fs_v2_psychiatric_dis_treat String 2 Recommended Full Screener (Visit 2): Was there any treatment provided? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Psychiatric_Disorder_Treatment
Query fs_v2_repeated_grade_in_school String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject repeated a grade in school? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Repeated_Grade_in_School
Query fs_v2_seizures String 2 Recommended Full Screener (Visit 2): Since the last visit has the subject had any seizures? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Seizures
Query fs_v2_sickle_cell_family_test String 2 Recommended Full Screener (Visit 2): Have the family members been tested for sickle cell trait? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Sickle_Cell_Trait_Family_Tested
Query fs_v2_sickle_cell_trait_family String 2 Recommended Full Screener (Visit 2): Do either you or the subject mother/father have sickle cell trait or disease? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Sickle_Cell_Trait_Family
Query fs_v2_sickle_cell_trait_subj String 2 Recommended Full Screener (Visit 2): Does the subject have sickle cell trait? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Sickle_Cell_Trait_Subject
Query fs_v2_skin_joint_problems String 2 Recommended Full Screener (Visit 2): Has the subject developed any problems with skin or joints? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Skin_Joint_Problems
Query fs_v2_special_ed_age_years Integer Recommended Full Screener (Visit 2): At what age (years) did this begin? FullScreen_V2_Special_Education_Age_Years
Query fs_v2_special_ed_evaluation String 2 Recommended Full Screener (Visit 2): Did the subject have any tests or evaluations? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Special_Education_Evaluation
Query fs_v2_special_education String 2 Recommended Full Screener (Visit 2): Special education program? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Special_Education
Query fs_v2_subject_curr_pregnant String 2 Recommended Full Screener (Visit 2): Is the subject currently pregnant? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Subject_Currently_Pregnant
Query fs_v2_surgery String 2 Recommended Full Screener (Visit 2): Has the subject had surgery? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Surgery
Query fs_v2_surgery_pins_or_implants String 2 Recommended Full Screener (Visit 2): Were any pins or implants used for the surgery? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided FullScreen_V2_Surgery_Pins_or_Implants
Query height_met Float Recommended Height - Metric Unit 999 = Missing; -999 = No Data
Data Structure

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