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Autism Diagnostic Observation Schedule (ADOS)- Module 1

ados1_2001

02

Autism Diagnostic Observation Schedule (ADOS) - General Module 1 - Pre-Verbal/Single Words (2001 or later)

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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*GUID
src_subject_idString20RequiredSubject ID how it's defined in lab/projectAdos1_2001_SRC_Subject_ID, ID, IndividualID, NDAR_SUBJECT_NUMBER, ind_id, individual, measure_individual
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldAdos1_2001_interview_date, Date, ados_date, measure_date_of_evaluation, visit_date
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age 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.Ados1_2001_interview_age, CA, INTERVIEW_AGE_MONTHS, ados_age, measure_eval_age_months
comments_miscString4,000RecommendedMiscellaneous comments on study, interview, methodology relevant to this form dataAdos1_2001_comments_misc, Comm, version
genderString20RequiredSex of the subjectM;FM = Male; F = FemaleAdos1_2001_gender, SEX
observation_a_1String255RecommendedFree PlayAdos1_2001_Observation_1
observation_a_1_1String255RecommendedFree Play Communication SampleAdos1_2001_Observation_1_1
observation_a_2String255RecommendedResponse to NameAdos1_2001_Observation_2, rname
observation_a_3String255RecommendedResponse to Joint AttentionAdos1_2001_Observation_3
observation_a_4String255RecommendedBubble PlayAdos1_2001_Observation_4
observation_a_5String255RecommendedAnticipation of a Routine With ObjectsAdos1_2001_Observation_5
observation_a_6String255RecommendedResponsive Social SmileAdos1_2001_Observation_6, ssmle
observation_a_7String255RecommendedAnticipation of a Social RoutineAdos1_2001_Observation_7
observation_a_8String255RecommendedFunctional and Symbolic ImitationAdos1_2001_Observation_8
observation_a_8_1String255Recommendedpointing with index finger
Yes;No
Ados1_2001_Observation_8_1
observation_a_8_2String255Recommendedopen-handed reach
Yes;No
Ados1_2001_Observation_8_2
observation_a_8_3String255Recommendedother gesture
Yes;No
Ados1_2001_Observation_8_3, sa8
observation_a_8_3_cmtString255Recommendedspecify:Ados1_2001_Observation_8_3_CMT
observation_a_8_4String255Recommendedvocalization:
Yes;No
Ados1_2001_Observation_8_4
observation_a_8_4_1String255Recommendedwords
Yes;No
Ados1_2001_Observation_8_4_1
observation_a_8_4_2String255Recommendednonverbal
Yes;No
Ados1_2001_Observation_8_4_2
observation_a_8_5String255Recommendedeye contact:
Yes;No
Ados1_2001_Observation_8_5
observation_a_8_5_1String255Recommendedalone
Yes;No
Ados1_2001_Observation_8_5_1
observation_a_8_5_2String255Recommendedwith vocalization
Yes;No
Ados1_2001_Observation_8_5_2
observation_a_8_6String255Recommendedmechanical animal
Yes;No
Ados1_2001_Observation_8_6
observation_a_8_7String255Recommendedballoon
Yes;No
Ados1_2001_Observation_8_7
observation_a_8_8String255Recommendedbubbles
Yes;No
Ados1_2001_Observation_8_8
observation_a_8_9String255Recommendedother
Yes;No
Ados1_2001_Observation_8_9
observation_a_8_9_cmtString255Recommendedspecify:Ados1_2001_Observation_8_9_CMT
observation_a_9String255RecommendedBirthday PartyAdos1_2001_Observation_9
observation_a_10String255RecommendedSnackAdos1_2001_Observation_10
observation_a_10_1String255Recommendedpoints with index fingerAdos1_2001_Observation_10_1
observation_a_10_2String255Recommendedopen-handed reachAdos1_2001_Observation_10_2
observation_a_10_3String255Recommendedpulls another person's hand toward objectAdos1_2001_Observation_10_3
observation_a_10_4String255Recommendedeye contactAdos1_2001_Observation_10_4
observation_a_10_5String255Recommendeduses another person's hand as a toolAdos1_2001_Observation_10_5
observation_a_10_6String255Recommendedhands item to another personAdos1_2001_Observation_10_6
observation_a_10_7String255Recommendedother gestureAdos1_2001_Observation_10_7, csa8_2010
observation_a_10_7_cmtString255Recommendedspecify:Ados1_2001_Observation_10_7_CMT
observation_a_10_8String255Recommendedvocalization:Ados1_2001_Observation_10_8
observation_a_10_8_1String255RecommendedwordsAdos1_2001_Observation_10_8_1
observation_a_10_8_2String255RecommendednonverbalAdos1_2001_Observation_10_8_2
observation_a_10_9String255RecommendedanimalAdos1_2001_Observation_10_9
observation_a_10_10String255RecommendedballoonAdos1_2001_Observation_10_10
observation_a_10_11String255RecommendedbubblesAdos1_2001_Observation_10_11
observation_a_10_12String255Recommendedsocial routineAdos1_2001_Observation_10_12
observation_a_10_12_cmtString255Recommendedsocial routine commentAdos1_2001_Observation_10_12_CMT
observation_a_10_13String255RecommendedotherAdos1_2001_Observation_10_13
observation_a_10_13_cmtString255Recommendedspecify:Ados1_2001_Observation_10_13_CMT
observation_commentsString255RecommendedObservation CommentsAdos1_2001_Observation_Comments
codinga_olang_aIntegerRequiredOverall Level of Non-echoed Language0::5;7;8;9;999ADOS-1 (2001): 0 = Regular use of utterances with two or more words. 1 = Occasional phrases only; mostly single words. 2 = Recognizable single words only; must use at least five different words during session. 3 = At least one word or word approximation, but fewer than five words used during session. 8 = No words or word approximations.; ADOS-2 (2012): 0 = Non-echoed phrase speech of three or more words per utterance; some grammatical markings, such as plural or tense. 1 = Speech is primarily two- or three-word utterances, with minimal or no grammatical markings. 2 = Occasional phrases only; mostly single words. 3 = Recognizable single words or word approximations only; must use at least five different words during session. 4 = At least one word or word approximation, but fewer than five words used during session. 5 = No spontaneous or echoed use of spoken words or word approximations. 7 = All speech is echoed (immediate or delayed), with or without communicative intent. 8 = No words or word approximations. 9 = N/A.; ADAPTED ADOS: Same as 0 to 7 for ADOS-2 above.A1, Ados1_2001_codinga_olang, C_Q1, NON_ECHO_LANG_LEVEL, OLANG, OLoNEL, a1_non_echoed, ados_mod1_a1, olang
codinga_fvoc_aIntegerRequiredFrequency of Vocalization Directed to Others0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Directs vocalizations to parent/caregiver or examiner in a variety of pragmatic contexts. Must include chatting or vocalizing to be friendly or to express interest, as well as to make needs known. 1 = Directs vocalizations to parent/caregiver or examiner consistently in one pragmatic context, OR directs a limited number of vocalizations to parent/caregiver or examiner across a variety of pragmatic contexts. 2 = Directs an occasional vocalization to parent/caregiver or examiner inconsistently in a limited number of pragmatic contexts. May include whining or crying due to frustration. 3 = Vocalizations never or almost never appear to be directed to parent/caregiver or examiner, OR rarely or never vocalizes. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity; ADAPTED ADOS: 0 = Frequent direction of vocalizations to examiner in at least two pragmatic contexts (e.g., to request, to chat, to label). Must include chatting or vocalizing to be friendly OR to express interest/share enjoyment, as well as to make needs known. 1 = Directs vocalization to examiner frequently in one pragmatic context (e.g., only to request). 2 = Infrequently directs vocalization to examiner. A participant who is very quiet throughout most of the assessment, though s/he may sometimes direct vocalizations should be scored here, even if the vocalizations occur across more than one pragmatic context. 3 = Directs an occasional vocalization to examiner OR vocalizations almost never appear to be directed to examiner. Also code if rare or no vocalizations at all.A2, Ados1_2001_codinga_fvoc, FoVDtO, VOC, Voc, a2_frequency_vocalization, ados_mod1_a2, sa2
codinga_inton_aIntegerRequiredIntonation of Vocalizations or Verbalizations0;1;2;8;90 = Normal, appropriately varying intonation, with no peculiar or odd intonation. 1 = Little variation in pitch and tone; rather flat or exaggerated, or occasional peculiar intonation. 2 = Odd intonation or inappropriate pitch and stress, AND/OR markedly flat and toneless mechanical vocalizations, OR an odd cry and few other vocalizations. 8 = N/A (insufficient vocalizations for assessment of intonation; includes presence of normal cry and few other vocalizations). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityA3, Ados1_2001_codinga_inton, INTONATION, INTONE, I_of_V_or_V, M1_C_Q3, a3_intonation_vocalization, ados_mod1_a3, inton
codinga_iecho_aIntegerRequiredImmediate Echolalia0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Does not repeat others' speech. (Note: Requires at least five words to code 0 rather than 8.) 1 = Occasional echoing. 2 = Echoing words and phrases regularly, but some spontaneous language, which can be stereotyped. 3 = Speech largely consists of immediate echolalia. 8 = No echolalia noted, but language too limited to judge. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity; ADAPTED ADOS: 0 = Rarely or never repeats others' speech. 1 = Occasional echoing. 2 = Echoing words and phrases regularly but some spontaneous language (it can be stereotyped). 3 = Speech largely consists of immediate echolalia. 8 = N/A or not enough language to judge.A4, Ados1_2001_codinga_iecho, ECHOLALIA, IECHO, Imed_Echo, a4_immediate_echololia, ados_mod1_a4, iecho
codinga_stereo_aIntegerRequiredStereotyped/Idiosyncratic Use of Words or Phrases0;1;2;3;8;90 = Rarely or never uses stereotyped or idiosyncratic words or phrases. (Note: Requires at least five words to code 0 rather than 8.) 1 = Use of words or phrases tends to be more repetitive than that of most individuals at the same level of expressive language, but not obviously odd, OR occasional stereotyped utterances or use of odd words, OR use of phrases in an unusual way, with other flexible spontaneous language as well. 2 = Often uses stereotyped utterances or odd words or phrases, with some other language. 3 = Frequently uses odd or stereotyped speech, and rarely uses non-stereotyped spontaneous speech. 8 = Language too limited to judge. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityA5, Ados1_2001_codinga_stereo, SIUoWoP, STER, a5_stereotyped_words, ados_mod1_a5, stereo
codinga_uothr_aIntegerRequiredUse of Other's Body to Communicate0::3;8;90 = No use of another person's body for a specific goal (e.g., to manipulate an object), except in situations where other strategies have not worked (e.g., when others are conversing and the participant cannot get their attention) and in conjunction with coordinated gaze. 1 = Takes another person's hand and leads him/her places without coordinated gaze, but no placement of hand on objects and no use of another person's body as a tool, to point, or for a specific goal. 2 = Movement of another person's hand when it is holding an object OR pushing examiner's hand away from object without eye contact. 3 = Placement of another person's hand or other body part on object (including placing the balloon or food to the examiner's mouth without coordinated gaze), OR use of his/her hand or other body part as a tool or to gesture "for" the participant (such as pointing). 8 = Little or no spontaneous communication.A6, Ados1_2001_codinga_uothr, UOTH, UoOBtC, a6_body_communicate, ados_mod1_a6, uothr
codinga_point_aIntegerRequiredPointing0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Points with index finger to show visually directed referencing (coordinated gaze to object and person) of distal objects in at least two activities (e.g., points to bubbles and to balloon). 1 = Uses pointing to reference objects, but without sufficient flexibility or frequency to meet criteria for a rating of 0 (e.g., only one instance of pointing that fits the preceding description for a rating of 0, or absence of coordinated gaze with distal pointing, though the child may vocalize); AND/OR produces an approximation of pointing (coordinated with gaze or vocalization) rather than an index finger point; AND/OR coordinates only pointing that includes touching a picture or other nearby objects with gaze or vocalization; AND/OR points with coordination (gaze or vocalization) only to a person or to himself or herself. 2 = Points only when close to or actually touching an object, without coordinated gaze or vocalization. Does not have to be well-formed index finger point. 3 = Does not point as described above. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity; ADAPTED ADOS: 0 = Points with index finger to reference an object in at least two activities (e.g., points to picture on the wall and out the window). Points can be to distal objects OR when close to or actually touching an object, but must be for the purpose of shared attention AND involved coordinated gaze OR vocalization. 1 = Coordinates pointing with gaze or vocalization for the purpose of shared attention on only one occasion OR only uses pointing with coordinated gaze or vocalization to request objects. 2 = Points to reference or request, without coordinated gaze or vocalization. Points to distal or nearby objects that do not include coordinated gaze or vocalization should be coded here. Also code here if participant uses something besides a well-formed index finger point. 3 = Does not point to objects as described above.A7, Ados1_2001_codinga_point, PNT, Pointing, a7_pointing, ados_mod1_a7, point
codinga_gest_aIntegerRequiredGestures0::3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Spontaneous use of at least two different gestures of any type (descriptive, conventional, emotional, or instrumental, excluding pointing); at least one used more than once. 1 = Spontaneous use of descriptive, conventional, instrumental, or emotional gestures, but exaggerated or limited in range and/or contexts (e.g., only one or used only once each). Communicative reaching can be coded here, but not as pa rt of a code of 0. 2 = No spontaneous use of descriptive, conventional, instrumental, or emotional gestures, OR inappropriate use only (e.g., a child who signs "more" when he wants something to stop). 8 = N/A (e.g., limited by severe motor difficulties). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity; ADAPTED ADOS: 0 = Spontaneous use of a least three different gestures of any type other than communicative reaching (descriptive, conventional, emotional, or instrumental); at least one used in more than one activity (e.g., picnic, balloon, snack, book). 1 = Spontaneous use of at least two descriptive, conventional, instrumental, or emotional gestures; OR three or more gestures, but each gesture used in only one activity. Communicative reaching may be counted as a gesture in this code. 2 = Spontaneous use of only one gesture or communicative reaching as described above, or use of only prompted/imitated gestures. 3 = No spontaneous, prompted, or imitated use of descriptive, conventional, instrumental, or emotional gestures, OR only odd or unclear gestures, OR inappropriate use only. 8 = N/A (e.g., limited by severe motor difficulties).A8, Ados1_2001_codinga_gest, GES, Gestures, a8_gestures, ados_mod1_a8, gest
codingb_ueye_aIntegerRequiredUnusual Eye Contact0;2;3;8;9ADOS-1 (2001) and ADAPTED ADOS: 0 = Appropriate gaze with subtle changes meshed with other communication. 2 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction. 3 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction AND frequently actively avoids eye contact (e.g., by turning away, pushing away, closing eyes).; ADOS-2 (2012): 0 = Appropriate gaze with subtle changes meshed with other communication. 2 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_ueye, B1, EYE, Un_Eye_Con, ados_mod1_b1, b01_eye_contact, ueye
codingb_ssmle_aIntegerRequiredResponsive Social Smile0;1;2;3;8;90 = Smiles immediately in response to one of the first two smiles of the examiner and/or parent/caregiver. This must be a clear change from nonsmiling to a fully responsive smile that is not prompted by a specific request (e.g., "Give me a smile"). 1 = Delayed or partial smile in response to one of the first two smiles of the examiner and/or parent/caregiver, OR smiles fully or partially only after more than two smiles by the parent/caregiver, OR smiles only in response to a specific request. 2 = Smiles fully or partially at the parent/caregiver only after being tickled or touched in some way OR in response to a repeated action with a physical component (even if the child is not actually touched). 3 = Does not smile in response to another person. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_ssmle, B2, M1_S_Q2, RSSMILE, RespSS, SMILE_SOCIAL, ados_mod1_b2, b02_responsive_social
codingb_faceo_aIntegerRequiredFacial Expressions Directed to Others0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Directs a range of appropriate facial expressions to the examiner and/or parent/caregiver in order to communicate affective or cognitive states. 1 = Some direction of facial expressions to the examiner and/or parent/caregiver (e.g., directs only expressions indicating emotional extreme(s) to others, or occasionally directs wider range of expressions). A child who has a limited range of facial expressions, but who directs most of his or her facial expressions to another person, may be rated here. 2 = Does not direct appropriate facial expressions to others. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity. ADAPTED ADOS: 0 = Directs at least three different facial expressions toward examiner in order to communicate affect (e.g., amused, confused, concerned, irritated, skeptical, proud). 1 = Some direction of facial expressions to the examiner. A participant who has a limited range of directed facial expressions (but as least TWO) should be scored here. Participants who direct at least one of the facial expressions across several different activities but use the other only once OR whose facial expressions are slightly unusual, but are directed to the examiner on several occasions may also be scored here. 2 = Some range of facial expression but little directing (e.g., participant has 2 facial expressions each directed only once) OR direction of only ONE facial expression. 3 = Limited range of facial expression AND little or not directing. Also score here if the participant only ever directs very odd facial expressions.Ados1_2001_codingb_faceo, B3, EXP, FEDtO, ados_mod1_b3, b03_facial_others, faceo
codingb_gzsov_aIntegerRequiredIntegration of Gaze and Other Behaviors During Social Overtures0;1;2;3;8;90 = Uses eye contact effectively with words or vocalizations or gestures to communicate social intention. 1 = Uses eye contact and other strategies independently of each other to communicate social intention (i.e., uses both eye contact and vocalization at different times, but does not coordinate them with each other). 2 = Uses either eye contact or other strategies (e.g., vocalization, gestures) to communicate social intention. 3 = Uses neither eye contact nor other strategies to communicate social intention, OR no social overtures. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_gzsov, B4, GAZE, INTEGRATE_GAZE, IoGaOBDSO, ados_mod1_b4, b04_integration_gaze, gzsov
codingb_shrnj_aIntegerRequiredShared Enjoyment in Interaction0;1;2;3;8;9ADOS-1 (2001): 0 = Shows definite and appropriate pleasure with the examiner during more than one activity. Must include pleasure in at least one activity that is not purely physical in nature (e.g., tickling). 1 = Shows some appropriate pleasure in the examiner's actions during more than one activity, OR shows definite pleasure directed to the examiner during one interaction (may be physical in nature). 2 = Shows little or no expressed pleasure in interaction with the examiner. May show pleasure in his/her own actions, in interaction with a parent/caregiver, or in the available toys.; ADOS-2 (2012): 0 = Shows definite pleasure with the examiner that is appropriate to the context and occurs during more than one activity. Must include pleasure in at least one activity that is not purely physical in nature (e.g., not tickling). 1 = Shows some pleasure appropriate to the context during interactions with the examiner, OR shows definite pleasure directed to the examiner during one interaction (may be physical in nature). 2 = Shows little or no expressed pleasure during interaction with the examiner, but shows pleasure in his or her own actions, in interaction with a parent/caregiver, or in noninteractive components of the ADOS-2 materials or activities. 3 = Little or no expressed pleasure during the ADOS-2 evaluation and little interest in toys. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity; ADAPTED ADOS: 0 = Shows definite and appropriate pleasure with the examiner during more than one activity. 1 = Shows definite, clear pleasure directed to the examiner during one interaction. 2 = Shows some appropriate pleasure during interaction(s) with the examiner. The participant's attempt to share enjoyment may be unclear or brief, but appears to be directed to the examiner. 3 = Shows little or no expressed pleasure during the interaction with the examiner, but shows pleaure in his/her actions or in non-interactive coimponents of the ADOS materials or activities.Ados1_2001_codingb_shrnj, B5, ENJ, ShEnj_in_Int, ados_mod1_b5, b05_shared_enjoyment, shrnj
codingb_rname_aIntegerRequiredResponse to Name0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Looks toward the examiner and makes eye contact immediately on at least one of the first two presses made by the examiner. 1 = Looks toward the parent/caregiver and makes eye contact after first or second press of name only, OR makes eye contact with the examiner after the examiner's third or fourth press of name only. 2 = Does not immediately make eye contact with either the examiner or the parent/caregiver after his or her name is called in six attempts, but shifts gaze briefly (no eye contact), shifts gaze after a delay, OR looks at least once when an interesting or familiar vocalization or verbalization is made (e.g., tongue clucking, "I'm gonna get you"). 3 = Does not look toward either the examiner or the parent/caregiver after any purely verbal or vocal attempt to get attention. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity. ADAPTED ADOS: 0 = Looks toward examiner and makes eye contact immeidately on at least one of the first two clear presses made by the examiner (i.e., name only is called) OR responds vocally to one of the first two presses AND makes eye contact on one of the next two presses after the vocal response. 1 = Looks toward the examiner and makes eye contact immediately after the third or fourth press of name only OR responds vocally to the first two presses but does not make eye contact on any of the following four presses in which is/her name is called. 2 = Does not make eye contact with the examiner on any press, but looks toward the examiner without making eye contact OR responds vocally without eye contact to the 3rd, 4th, or 5th press OR only makes eye contact with the examiner after the examiner says something interesting. 3 = Does not look toward or respond vocally to the examiner after any vocal attempt to get attention.Ados1_2001_codingb_rname, B6, NAME, RESPOND_NAME, Resp_t_Name, ados_mod1_b6, b06_response_name_b
codingb_req_aIntegerRequiredRequesting0;1;2;3;8;90 = Exhibits appropriate integration of eye contact and at least one behavior (e.g., vocalization, gesture, or handing an object to the examiner or the parent/caregiver) to request bubbles, the remote-controlled toy animal, object routine, or social routine. Must include eye contact and a definite indication of wanting the other person to do or give something (e.g., by persisting in the request if the other person pauses before responding). This does not include physically pulling or placing the examiner's hand on an object or to the child himself or herself. 1 = Uses one or more behavior(s) listed above to request the remote-controlled toy animal, bubbles, and/or a routine, without integrating eye contact and other behavior(s), such as vocalization or gesture. This includes handing an object to the examiner or parent/caregiver without looking at him or her, looking at the other person without another behavior, and brief requests without persistence. It does not include physically pulling the examiner's hand to an object or to himself or herself. 2 = Does not directly request, as specified above for ratings of 0 or 1, but uses some physical means to request at least one action as part of a routine (e.g., pulls the examiner's hand to an object or to himself or herself). 3 = May participate in routine(s) or try to activate an object by vocalizing, banging, or other actions (e.g., bouncing) without looking at another person or vocalizing for help, but does not request, as specified above. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_req, B7, M1_S_Q7, REQUEST_INDICATION, RESQ, Requesting, ados_mod1_b7, b07_requesting, req
codingb_give_aIntegerRequiredGiving0;1;2;8;9ADOS-1 (2001): 0 = Spontaneously gives toys or objects to other people in a variety of contexts throughout the ADOS evaluation, including giving toys, food, or pretend food for the purpose of sharing. 1 = Gives objects to other people for the purpose of getting help (e.g., in operating toys or opening food containers) or as part of a routine. 2 = Rarely or never gives anything to another person.; ADOS-2 (2012): 0 = Spontaneously gives toys or objects to other people in a variety of contexts throughout the ADOS-2 evaluation, including giving toys, food, or pretend food for the purpose of sharing. 1 = More than one example of giving objects to other people for the purpose of getting help (e.g., in operating toys or opening food containers) or as part of a routine. May occur in just one context, but must be repeated without a specific prompt. 2 = Rarely or never gives objects to another person. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_give, B8, GIVE, GIVING_INDICATION, Giving, M1_S_Q8, ados_mod1_b8, b08_giving, give
codingb_show_aIntegerRequiredShowing0;1;2;8;90 = Spontaneously shows toys or objects throughout the ADOS evaluation by holding them up or placing them in front of others and using eye contact with or without vocalization. 1 = Shows toys or objects in a partial or inconsistent manner (e.g., holds them up and/or places them in front of others without coordinated eye contact, looks from an object in his/her hands to another person without clearly orienting it toward that person, or shows objects as described above for a rating of 0 on one occasion only). 2 = Does not show objects to another person. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_show, B9, SHO, Showing, ados_mod1_b9, b09_showing, show
codingb_sijnt_aIntegerRequiredSpontaneous Initiation of Joint Attention0;1;2;8;9ADOS-1 (2001): 0 = Uses clearly integrated eye contact to reference an object that is out of reach by looking at the object, then at the examiner or the parent/caregiver, and then back to the object. Eye contact may be coordinated with pointing and/or vocalization. One clear example of an attempt to draw another person's attention to an object (i.e., more than just referencing) is sufficient for this rating. 1 = Partially references an object that is clearly out of reach. May spontaneously look and point to the object and/or vocalize, but does not coordinate either of these with looking at another person, OR may look at an object and then look at or point to the examiner or the parent/caregiver, but not look back at the object. 2 = No approximation of spontaneous initiation of joint attention in order to reference an object that is out of reach.; ADOS-2 (2012): 0 = Uses clearly integrated eye contact to direct another person's attention to an object that is out of reach by looking at the object, then at the examiner or the parent/caregiver, and then back at the object OR by using a threepoint gaze shift starting with the examiner or parent/caregiver. Eye contact may be coordinated with pointing and/or vocalization. One clear example is sufficient for this rating. 1 = Partially references an object that is clearly out of reach in order to direct another person's attention. May spontaneously look at and point to the object and/or vocalize, but does not coordinate either of these with looking at another person, OR may look at an object and then look at or point to the examiner or the parent/caregiver, but not look back at the object. 2 = No approximation of spontaneous initiation of joint attention in order to direct another person's attention to an object that is out of reach. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity. ADAPTED ADOS: 0 = Uses clearly integrated eye contact to reference an object that is out of reach by looking at the object, then at the examiner, and then back to the object OR by using a three-point gaze shift starting with the examiner. A participant who uses only a two-point gaze shift AND points or vocalizes should also be coded here. Note that eye gaze coordinated with pointing and/or vocalization are only required for a score of 0 if the participant does not complete the full three-pont gaze shift (i.e., looks at the examiner to the object but does not look back at the examiner OR looks from the object to the examiner, but does not look back at the object). 1 = Looks at the object and then looks at the examiner, but does not look back at the object, vocalize or point OR may spontaneously look at the object, point or vocalize, but does not coordinate either of these with looking at another person. 2 = No approximation of spontaneous joint atention in order to reference an object that is out of reach. A participant who looks at the examiner and then at an object, without combining it with other forms of communication (i.e. vocalization or gestures) is coded here.Ados1_2001_codingb_sijnt, B10, IJA, Spon_In_of_JA, ados_mod1_b10, b10_spontaneous_joint, sijnt
codingb_rjnt_aIntegerRequiredResponse to Joint Attention0;1;2;3;8;9ADOS-1 (2001) and ADAPTED ADOS: 0 = Uses the orientation of the examiner's eyes and face alone as a cue to look toward the target, without the need for pointing. The child must follow the examiner's gaze and turn his/her face or eyes in the direction of the target after watching the examiner do so; he/she does not actually have to catch sight of the target. 1 = Responds to the examiner's pointing by looking at or toward the target. 2 = Looks at the target when it is activated or placed directly in front of himlher, but does not make use of the examiner's gaze or pointing in order to locate the target from a distance. 3 = No interest or awareness of the target. If it is not possible to get the child's attention in order to direct it in five attempts, assign this rating.; ADOS-2 (2012): 0 = Uses the orientation of the examiner's eyes and face alone as a cue to look toward the target, without the need for pointing. The child must follow the examiner's gaze and turn his or her face or eyes in the direction of the target after watching the examiner do so; he or she does not actually have to catch sight of the target. 1 = Follows the examiner's pointing by looking at or toward the target. 2 = Does not follow the examiner's gaze or pointing to orient toward the object, but looks at the target when activated. 3 = Does not orient to the object even when the object is activated. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_rjnt, B11, RJA, Resp_to_JA, ados_mod1_b11, b11_response_joint, rjnt
codingb_qsov_aIntegerRequiredQuality of Social Overtures0;1;2;3;8;90 = Effectively uses nonverbal and verbal means to make clear social overtures to the examiner or the parent/caregiver. The overtures must be appropriate to immediate contexts. 1 = Slightly unusual quality of social overtures. Assign this rating if overtures are restricted to personal demands or related to strong interests, but with some attempt to involve the examiner or the parent/caregiver in those interests. 2 = Overtures often lack integration into context AND/OR social quality. Assign this rating if there are some clearly inappropriate overtures, even if there are other overtures. 3 = No social overtures of any kind. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingb_qsov, B12, QSOV, Qual_of_SO, ados_mod1_b12, b12_social_overture, qsov
codingc_fplay_aIntegerRequiredFunctional Play With Objects0;1;2;3;8;90 = Spontaneously plays with a variety of toys in a conventional manner, including appropriate play with several different miniatures/representational toys (e.g., telephone, truck, dishes, materials in the "Birthday Party" activity). Do not include imitations, prompted actions, or pushing the car. 1 = Some spontaneous functional play with at least one miniature/representational toy. Do not include imitations, responses to the examiner's or a parent/caregiver's direct requests (e.g., "Answer the phone"), pushing the car, or use of construction toys. 2 = Plays appropriately with cause-and-effect toys and/or construction toys only, AND/OR pushing the car. This may include imitating a demonstration or imitating more representational play with other toys. 3 =No play with toys or only stereotyped play. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingc_fplay, C1, Fxl_Play_w_Ob, PLAY, ados_mod1_c1, c1_functional_play, fplay
codingc_imgcr_aIntegerRequiredImagination/Creativity0;1;2;3;8;90 = Spontaneous use of a doll or other object as an independent agent, OR spontaneous use of objects to represent other objects (e.g., pretends to eat the string like spaghetti). 1 = Spontaneous pretend play with a doll (e.g., feeding, hugging, or giving a drink) or other objects, but no use of a doll or other toy as an independent agent or to represent something else. 2 = Imitates pretend play as described above for a rating of 1, OR imitation with a placeholder; no spontaneous pretend play. 3 = No imitated or spontaneous pretend play. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingc_imgcr, C2, IMAG, Imag_Creat, ados_mod1_c2, c2_imagination, imgcr
codingd_usens_aIntegerRequiredUnusual Sensory Interest in Play Material/Person0;1;2;3;8;9ADOS-1 (2001): 0 = No sniffing, repetitive touching, feeling of texture, licking or biting (not mouthing), interest in the repetition of or unusually strong reactions to certain sounds, or unusual or prolonged visual examination. 1 = Occasional unusual sensory interests or responses, OR not as clear as specified below for a rating of 2. 2 = Definite interest in nonfunctional elements of play materials, OR sensory examination of himself/herself or others on more than one occasion, OR persistent unusual sensory response to several materials or events.; ADOS-2 (2012): 0 = No unusual sensory interests or sensory-seeking behaviors. 1 = Several possible sensory interests not as clear as specified below for a rating of 2, AND/OR only one clear occurrence of an unusual sensory interest or a sensory-seeking behavior. One "possible" sensory interest should be coded 0. 2 = Definite interest in sensory elements of objects or of play materials OR sensory examination of himself or herself or others; two or more clear occurrences must be observed. May be observed during the same activity. 3 = Definite unusual sensory-seeking behaviors occur during at least two different tasks or activities and may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingd_usens, D1, SINT, USIiPMP, ados_mod1_d1, d1_sensory_interest, usens
codingd_usens_a_cmtString255RecommendedSpecifyAdos1_2001_codingd_usens_cmt
codingd_oman_aIntegerRequiredHand and Finger and Other Complex Mannerisms0;1;2;3;8;9ADOS-1 (2001): 0 = None. 1 = Very brief or rare hand and finger mannerisms or complex mannerisms, OR mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, ANP/OR, hand or other mannerisms or stereotypes.; ADOS-2 (2012): 0 = None. 1 = Unusual and/or repetitive hand and finger mannerisms or complex mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, AND/OR hand or finger or complex mannerisms, stereotypies, or posturing. May be brief and/or rare if clear. 3 = Mannerisms, as described above, occur frequently, during at least two different tasks or activities, and/or may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingd_oman, D2, HaFMP, MAN, ados_mod1_d2, d2_complex_mannerisms, oman
codingd_oman_a_cmtString255RecommendedSpecifyAdos1_2001_codingd_oman_cmt
codingd_selfinj_aIntegerRequiredSelf-Injurious Behavior0;1;2;8;90 = No attempts to harm self. 1 = Dubious or possible self-injury, and/or rare but clear self-injury (e.g., one clear example of biting at own hand or arm, pulling own hair, slapping own face, or banging own head). 2 = More than one clear example of self-injury, such as head banging, face slapping, hair pulling, or self-biting. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingd_selfinj, BEHAVIOR_SELF_INJURY, D3, SIB, SefInjBeh, ados_mod1_d3, d3_self_injurious, selfinj
codingd_urbeh_aIntegerRecommendedUnusually Repetitive Interests or Stereotyped Behaviors0;1;2;3;8;90 = No repetitive or stereotyped behaviors during the ADOS evaluation. 1 = An interest or behavior that is repetitive or stereotyped to an unusual degree, including an intense interest in a particular toy or object, a definite interest in an unusual object or activity (odd for the child's level of motor skill), an unusually routinized activity, or a clear interest in a part of an object. This interest or behavior occurs in conjunction with several other activities and does not prevent the child from completing any ADOS activities. 2 = Clearly repetitive or stereotyped interests and/or behaviors, as described above. These behaviors may form a substantial minority of the child's interests and spontaneous behaviors and may interfere with the child's ability to complete ADOS activities, but it is possible for his or her attention to be directed to other objects or activities, at least momentarily. 3 = Repetitive or stereotyped interests and/or behaviors, as described above, form the majority of the child's interests, AND/OR attempts to direct his or her attention to other objects or activities are met with significant resistance and/or distress. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codingd_urbeh, D4, RINT, URIoSB, ados_mod1_d4, d4_unusually_repetitive, urbeh
codingd_urbeh_a_cmtString255RecommendedSpecify unusual preoccupations, rituals, repetitive behaviors:Ados1_2001_codingd_urbeh_cmt
codinge_actve_aIntegerRequiredOveractivity0;1;2;3;7;8;9ADOS-1 (2001): 0 = Sits or stands still appropriately when expected to do so during the assessment. 1 = Sits briefly or stands still when expected to do so (e.g., during the symbolic imitation task, the birthday party) for activities besides the snack. Often fidgets, moves about, or gets up out of his/her seat, but is not obviously restless or unusually fidgety. Difficulties in the assessment are not principally due to overactivity. 2 = Hardly remains still at all (not counting the snack). May move around the room in a way that is difficult to interrupt; the level of activity disrupts the assessment. 7 = Underactive.; ADOS-2 (2012) and ADAPTED ADOS: 0 = Sits or stands still appropriately when expected to do so during the ADOS-2 assessment. May explore the room as expected for developmental level but is not obviously overactive. 1 = Sits or stands still when clearly expected to do so (e.g., during the symbolic imitation task, the birthday party) for activities besides the snack, but often fidgets, moves about, or gets up out of his or her seat. 2 = Fidgety; more active than other children of same developmental level. 3 = Incessantly and energetically moves around the room in a way that is difficult to interrupt; the level of activity disrupts the ADOS-2 assessment. 7 = Underactive. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codinge_actve, E1, OVER, OVERACTIVITY, Overactivity, actve, ados_mod1_e1, e1_overactivity
codinge_agg_aIntegerRequiredTantrums, Aggression, Negative or Disruptive Behavior0;1;2;3;8;9ADOS-1 (2001): 0 = Not upset, disruptive, negative, destructive, or aggressive during ADOS. 1 = Occasional display of mild upset, anger, aggression, negativism, or disruptive behavior to the parent/caregiver or the examiner. 2 = Shows marked or repeated negativism, temper tantrums, or more significant aggression (e.g., hitting, biting others). Loud screaming is included here.; ADOS-2 (2012): 0 = Not upset, disruptive, negative, destructive, or aggressive during the ADOS-2 assessment. 1 = Displays an example of mild upset, anger, aggression, negativism, or intentionally disruptive behavior to the parent/caregiver or the examiner. 2 = More than one intentionally disruptive (e.g., swiping toys off the table) or mildly aggressive act. Loud screaming can be coded here. 3 = Shows marked or repeated negativism, temper tantrums, or more significant aggression (e.g., hitting or biting others). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activityAdos1_2001_codinge_agg, BEHAVIOR_AGGRESSIVE, E2, TANT, TANoDB, ados_mod1_e2, agg, e2_tantrums
codinge_anxty_aIntegerRequiredAnxiety0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = No obvious anxiety (e.g., trembling or jumpiness). 1 = Mild signs of anxiety, especially at the beginning of the ADOS session, OR marked anxiety only in response to a specific request or to one particular toy or task. 2 = Marked anxiety in response to more than one toy or task or several times during the ADOS evaluation. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = No obvious anxiety (e.g., trembling or jumpiness), OR displays brief initial apprehension only. 1 = Mild signs of anxiety on one occasion. 2 = Marked anxiety only in response to a specific request or to one particular object or task, or persistent apprehension or anxiety (doesn't warm up to examiner thoughout ADOS). 3 = Marked anxiety in response to more than one task or specific material or several times during the evaluation.ANX, ANXIETY, Ados1_2001_codinge_anxty, Anxiety, E3, ados_mod1_e3, anxty, e3_anxiety
scoresumm_a_a2IntegerRecommendedFrequency of Vocalization Directed to OthersAdos1_2001_scoresumm_a2, CSA2, VOCAL_DIRECT_FREQ, VOC_recode, csa2
scoresumm_a_a5IntegerRecommendedStereotyped/Idiosyncratic Use of Words or PhrasesAdos1_2001_scoresumm_a5, CSA5, STER_recode, USE_WORD_PHRASE, csa5
scoresumm_a_a6IntegerRecommendedUse of Other's Body to CommunicateAdos1_2001_scoresumm_a6, COMMUNICATE_OTHR_BOD, CSA6, UOTH_recode, csa6
scoresumm_a_a7IntegerRecommendedPointingAdos1_2001_scoresumm_a7, CSA7, PNT_recode, POINT_OBJECT, csa7
scoresumm_a_a8IntegerRecommendedGesturesAdos1_2001_scoresumm_a8, CSA8, GES_recode, USE_GESTURE, csa8
scoresumm_atotalIntegerRequiredCommunication Total999 = NA/NK/missingAdos1_2001_scoresumm_atotal, COMMUNICATION_TOTAL, CSSATotal, M1_Com, ados_comm, ados_mod1_comm_total, satotal
scoresumm_a_b1IntegerRecommendedUnusual Eye ContactAdos1_2001_scoresumm_b1, CSB1, EYE_CONTACT, EYE_recode, sb1
scoresumm_a_b3IntegerRecommendedFacial Expressions Directed to OthersAdos1_2001_scoresumm_b3, CSB3, EXP_recode, FACIAL_EXPRESS_DIREC, sb3
scoresumm_a_b5IntegerRecommendedShared Enjoyment in InteractionAdos1_2001_scoresumm_b5, CSB5, ENJ_recode, SHARE_ENJOY_INTERACT, sb5
scoresumm_a_b9IntegerRecommendedShowingAdos1_2001_scoresumm_b9, CSB9, SHOWING, SHO_recode, sb9
scoresumm_a_b10IntegerRecommendedSpontaneous Initiation of Joint AttentionAdos1_2001_scoresumm_b10, CSB10, IJA_recode, INITIATE_JOINT_ATTN, sb10
scoresumm_a_b11IntegerRecommendedResponse to Joint AttentionAdos1_2001_scoresumm_b11, CSB11, RESPONSE_JOINT_ATTN, RJA_recode, sb11
scoresumm_a_b12IntegerRecommendedQuality of Social OverturesAdos1_2001_scoresumm_b12, CSB12, QSOV_recode, SOCIAL_OVRTURE_QUALITY, sb12
scoresumm_btotalIntegerRequiredSocial Interaction Total999=NA/NK/missingAdos1_2001_scoresumm_btotal, CSSBTotal, M1_Soc, SOCIAL_INTERACT_TOTAL, ados_mod1_soc_int_total, ados_soc, sbtotal
scoresumm_abtotalIntegerRequiredCommunication + Social Interaction TotalAdos1_2001_scoresumm_abtotal, COMMUNIC_SOC_INTERACT_TOTAL, CSSABTotal, M1_ComSoc_ttl, ados_mod1_comm_soc_int_tot, ados_soc_comm, communication_social, sa_css, sabtotal
scoresumm_a_c1IntegerRecommendedFunctional Play with ObjectsAdos1_2001_scoresumm_c1, CSC1, FUNCTION_PLAY_TOY, PLAY_recode
scoresumm_a_c2IntegerRecommendedImagination/CreativityAdos1_2001_scoresumm_c2, CSC2, IMAGIN_PLAY, IMAG_recode, sc2
scoresumm_ctotalIntegerRequiredPlay TotalAdos1_2001_scoresumm_ctotal, CSSCTotal, M1_Play, PLAY_TOTAL, ados_mod1_play_total, ados_play, sctotal
scoresumm_a_d1IntegerRecommendedUnusual Sensory Interest in Play Material/PersonAdos1_2001_scoresumm_d1, CSD1, SINT_recode, UNUSUAL_SENSE_INTERST, sd1
scoresumm_a_d2IntegerRecommendedHand and Finger and Other Complex MannerismsAdos1_2001_scoresumm_d2, CSD2, MAN_recode, sd2
scoresumm_a_d4IntegerRecommendedUnusually Repetitive Interests or Stereotyped BehaviorsAdos1_2001_scoresumm_d4, CSD4, RINT_recode, sd4
scoresumm_dtotalIntegerRequiredStereotyped Behaviors and Restricted Interests Total999=NA/NK/missingAdos1_2001_scoresumm_dtotal, CSSDTotal, M1_RR, STEROTYPED_BEHAV_RESTRICT_INTERESTS_TOTAL, ados_mod1_ster_behav_total, ados_rb, rrb_css, sdtotal
scoresumm_adosdiagString255RequiredADOS Diagnosis ClassificationMODULE 1: Autism = Few to no words overall total is 16 or higher, OR Some words overall total is 12 or higher; Autism spectrum = Few to no words overall total is 11 to 15, OR Some words total is 8 to 11; Non-spectrum = Few to no words overall total is 10 or lower, OR Some words overall total is 7 or lower; MODULE 2: Autism = Younger than 5 years overal total is 10 or higher, OR Aged 5 years or older overall total is 9 or higher; Autism spectrum = Younger than 5 years overall total is 7 to 9, OR Aged 5 years or older overall total is 8; Non-spectrum = Younger than 5 years overall total is 6 or lower, OR Aged 5 years or older overall total is 7 or lower 9; MODULE 3: Autism = Overall total is 9 or higher; Autism spectrum = Overall total is 7 or 8; Non-spectrum = Overall total is 6 or lower; MODULE 4: Autism = Communication total is 3 or higher, AND Social interaction total is 6 or higher, AND Communication + Social interaction total is 10 or higher; Autism spectrum = Communication total is 2 or higher, AND Social interaction total is 4 or higher, AND Communication + Social interaction total is 7 or higher, AND at least one of the following is true: Communication total is 2, Social interaction total is 4 or 5, Communication + Social interaction total is 7 to 9; Non-spectrum = At least one of the following is true: Communication total is 1 or lower, Social interaction total is 3 or lower, Communication + Social interaction total is 6 or lower 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ADOS_Class, ADOS_OLD_ALG_CLASS, Ados1_2001_scoresumm_adosdiag, CSadosgdiag, Orig_Algo_DX, ados_classif2, ados_diagnosis, adosgdiag, diagnosis_ados, diagnosis_ados
scoresumm_overalldiagString255RequiredOverall ADOS DiagnosisAdos1_2001_scoresumm_overalldiag, CLINJUDG_DIAG, Dx, diagnosis_overall, overalldiag
algorithmString50Recommendedalgorithm used for scoring
calc_statusString20RecommendedCalculation Statuscomplete;missing-valuesstatus
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