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Treatment History Questionnaire

943 Shared Subjects

Treatment History Questionnaire
Clinical Assessments
Treatment
07/08/2013
txhx01
09/06/2013
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 TxHx1Date
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
Query txhx_1 Integer Recommended Has your child received any therapy or other intervention services?
0;1
0 = No; 1 = Yes
Query txhx1earlyint1 Integer Recommended Did child participate in early intervention
0;1
0 = No; 1 = Yes
txhxearlyint1start Date Recommended early intervention 1 start date
txhxearlyint1end Date Recommended early intervention 1 end date
Query txhxearlyint1type String 10 Recommended early intervention 1 type Individual; Group
Query txhxearlyint1minutes Integer Recommended early intervention 1 number of minutes per session
Query txhxearlyint1ong Integer Recommended early intervention 1 ongoing?
0;1
0 = No; 1 = Yes
Query txhxearlyint1sess Integer Recommended early intervention 1 number of sessions per week
Query txhx1earlyint2 Integer Recommended Did child participate in 2nd early intervention
0;1
0 = No; 1 = Yes
txhxearlyint2start Date Recommended 2nd early intervention start date
txhxearlyint2end Date Recommended 2nd early intervention end date
Query txhxearlyint2type String 10 Recommended 2nd early intervention type Individual; Group
Query txhxearlyint2minutes Integer Recommended 2nd early intervention number of minutes per session
Query txhxearlyint2ong Integer Recommended 2nd early intervention ongoing?
0;1
0 = No; 1 = Yes
Query txhxearlyint2sess Integer Recommended 2nd early intervention number of sessions per week
Query txhx1behtx1 Integer Recommended Did child participate in behavior therapy
0;1
0 = No; 1 = Yes
txhxbextex1start Date Recommended behavior therapy start date
txhxbextex1end Date Recommended behavior therapy end date
Query txhxbextex1type String 10 Recommended behavior therapy type Individual; Group
Query txhxbextex1minutes Integer Recommended behavior therapy number of minutes per session
Query txhxbextex1ong Integer Recommended behavior therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxbextex1sess Integer Recommended behavior therapy number of sessions per week
Query txhx1behtx2 Integer Recommended Did child participate in 2nd behavior therapy
0;1
0 = No; 1 = Yes
txhxbextex2start Date Recommended 2nd behavior therapy start date
txhxbextex2end Date Recommended 2nd behavior therapy end date
Query txhxbextex2type String 10 Recommended 2nd behavior therapy type Individual; Group
Query txhxbextex2minutes Integer Recommended 2nd behavior therapy number of minutes per session
Query txhxbextex2ong Integer Recommended 2nd behavior therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxbextex2sess Integer Recommended 2nd behavior therapy number of sessions per week
Query txhx1behtx3 Integer Recommended Did child participate in 3rd behavior therapy
0;1
0 = No; 1 = Yes
txhxbextex3start Date Recommended 3rd behavior therapy start date
txhxbextex3end Date Recommended 3rd behavior therapy end date
Query txhxbextex3type String 10 Recommended 3rd behavior therapy type Individual; Group
Query txhxbextex3minutes Integer Recommended 3rd behavior therapy number of minutes per session
Query txhxbextex3ong Integer Recommended 3rd behavior therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxbextex3sess Integer Recommended 3rd behavior therapy number of sessions per week
Query txhx1occtx1 Integer Recommended Did child participate in occupational therapy
0;1
0 = No; 1 = Yes
txhxocctx1start Date Recommended occupational therapy start date
txhxocctx1end Date Recommended occupational therapy end date
Query txhxocctx1type String 10 Recommended occupational therapy type Individual; Group
Query txhxocctx1minutes Integer Recommended occupational therapy number of minutes per session
Query txhxocctx1ong Integer Recommended occupational therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxocctx1sess Integer Recommended occupational therapy number of sessions per week
Query txhx1occtx2 Integer Recommended Did child participate in 2nd occupational therapy
0;1
0 = No; 1 = Yes
txhxocctx2start Date Recommended 2nd occupational therapy start date
txhxocctx2end Date Recommended 2nd occupational therapy end date
Query txhxocctx2type String 10 Recommended 2nd occupational therapy type Individual; Group
Query txhxocctx2minutes Integer Recommended 2nd occupational therapy number of minutes per session
Query txhxocctx2ong Integer Recommended 2nd occupational therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxocctx2sess Integer Recommended 2nd occupational therapy number of sessions per week
Query txhx1speechtx1 Integer Recommended Did child participate in speech therapy
0;1
0 = No; 1 = Yes
txhxspeechtx1start Date Recommended speech therapy start date
txhxspeechtx1end Date Recommended speech therapy end date
Query txhxspeechtx1type String 10 Recommended speech therapy type Individual; Group
Query txhxspeechtx1minutes Integer Recommended speech therapy number of minutes per session
Query txhxspeechtx1ong Integer Recommended speech therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxspeechtx1sess Integer Recommended speech therapy number of sessions per week
Query txhx1speechtx2 Integer Recommended Did child participate in 2nd speech therapy
0;1
0 = No; 1 = Yes
txhxspeechtx2start Date Recommended 2nd speech therapy start date
txhxspeechtx2end Date Recommended 2nd speech therapy end date
Query txhxspeechtx2type String 10 Recommended 2nd speech therapy type Individual; Group
Query txhxspeechtx2minutes Integer Recommended 2nd speech therapy number of minutes per session
Query txhxspeechtx2ong Integer Recommended 2nd speech therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxspeechtx2sess Integer Recommended 2nd speech therapy number of sessions per week
Query txhx1speechtx3 Integer Recommended Did child participate in 3rd speech therapy
0;1
0 = No; 1 = Yes
txhxspeechtx3start Date Recommended 3rd speech therapy start date
txhxspeechtx3end Date Recommended 3rd speech therapy end date
Query txhxspeechtx3type String 10 Recommended 3rd speech therapy type Individual; Group
Query txhxspeechtx3minutes Integer Recommended 3rd speech therapy number of minutes per session
Query txhxspeechtx3ong Integer Recommended 3rd speech therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxspeechtx3sess Integer Recommended 3rd speech therapy number of sessions per week
Query txhx1speechtx4 Integer Recommended Did child participate in 4th speech therapy
0;1
0 = No; 1 = Yes
txhxspeechtx4start Date Recommended 4th speech therapy start date
txhxspeechtx4end Date Recommended 4th speech therapy end date
Query txhxspeechtx4type String 10 Recommended 4th speech therapy type Individual; Group
Query txhxspeechtx4minutes Integer Recommended 4th speech therapy number of minutes per session
Query txhxspeechtx4ong Integer Recommended 4th speech therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxspeechtx4sess Integer Recommended 4th speech therapy number of sessions per week
Query txhx1playtx Integer Recommended Did child participate in play therapy
0;1
0 = No; 1 = Yes
txhxplaytxstart Date Recommended play therapy start date
txhxplaytxend Date Recommended play therapy end date
Query txhxplaytxtype String 10 Recommended play therapy type Individual; Group
Query txhxplaytxminutes Integer Recommended play therapy number of minutes per session
Query txhxplaytxong Integer Recommended play therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxplaytxsess Integer Recommended play therapy number of sessions per week
Query txhx1socialskills1 Integer Recommended Did child participate in Social Skills group
0;1
0 = No; 1 = Yes
txhxsocskills1start Date Recommended social skill group start date
txhxsocskills1end Date Recommended social skill group end date
Query txhxsocskills1minutes Integer Recommended social skill group number of minutes per session
Query txhxsocskills1ong Integer Recommended social skill group ongoing?
0;1
0 = No; 1 = Yes
Query txhxsocskills1sess Integer Recommended social skill group number of sessions per week
Query txhx1socialskills2 Integer Recommended Did child participate in 2nd Social Skills group
0;1
0 = No; 1 = Yes
txhxsocskills2start Date Recommended 2nd social skill group start date
txhxsocskills2end Date Recommended 2nd social skill group end date
Query txhxsocskills2minutes Integer Recommended 2nd social skill group number of minutes per session
Query txhxsocskills2ong Integer Recommended 2nd social skill group ongoing?
0;1
0 = No; 1 = Yes
Query txhxsocskills2sess Integer Recommended 2nd social skill group number of sessions per week
Query txhx1socialskills3 Integer Recommended Did child participate in 3rd Social Skills group
0;1
0 = No; 1 = Yes
txhxsocskills3start Date Recommended 3rd social skill group start date
txhxsocskills3end Date Recommended 3rd social skill group end date
Query txhxsocskills3minutes Integer Recommended 3rd social skill group number of minutes per session
Query txhxsocskills3ong Integer Recommended 3rd social skill group ongoing?
0;1
0 = No; 1 = Yes
Query txhxsocskills3sess Integer Recommended 3rd social skill group number of sessions per week
Query txhx1individual1 Integer Recommended Did child participate in Individual therapy
0;1
0 = No; 1 = Yes
txhxindiv1start Date Recommended individual therapy start date
txhxindiv1end Date Recommended individual therapy end date
Query txhxindiv1type String 10 Recommended individual therapy type Individual; Group
Query txhxindiv1minutes Integer Recommended individual therapy number of minutes per session
Query txhxindiv1ong Integer Recommended individual therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxindiv1sess Integer Recommended individual therapy number of sessions per week
Query txhx1individual2 Integer Recommended Did child participate in 2nd Individual therapy
0;1
0 = No; 1 = Yes
txhxindiv2start Date Recommended 2nd individual therapy start date
txhxindiv2end Date Recommended 2nd individual therapy end date
Query txhxindiv2type String 10 Recommended 2nd individual therapy type Individual; Group
Query txhxindiv2minutes Integer Recommended 2nd individual therapy number of minutes per session
Query txhxindiv2ong Integer Recommended 2nd individual therapy ongoing?
0;1
0 = No; 1 = Yes
Query txhxindiv2sess Integer Recommended 2nd individual therapy number of sessions per week
Query txhx1parenttrain1 Integer Recommended Did parent participate in parent coaching
0;1
0 = No; 1 = Yes
Query txhx1parenttrain2 Integer Recommended Did parent participate in 2nd parent coaching
0;1
0 = No; 1 = Yes
Query txhx1sped Integer Recommended What percent of child's time is spent in special ed
Query txhx1reged Integer Recommended What percentage of school day is child in regular ed
Query txhxservices Integer Recommended Is your child receiving any other health, recreational or related services (e.g. special diet, chelation, chiropractor, swimming)?
0;1
0 = No; 1 = Yes
txhxservices_desc String 100 Recommended Describe other services
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

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