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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

NICU Network Neurobehavioral Scale

160 Shared Subjects

N/A
Clinical Assessments
Cognitive
07/12/2017
nnns01
07/18/2017
View Change History
01
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 id
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::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
version_form String 121 Recommended Form used/assessment name
Query visitnum Integer Recommended Visit number visit
Query initial_obs Integer Recommended Initial state observation 1::6 1 = quiet sleep; 2 = active sleep; 3 = drowsy; 4 = quiet awake; 5 = active awake; 6 = crying
Query nnhalit Integer Recommended Response decrement to light 1::9 1 = No decrement in response over 10 stimuli; 2 = No response decrement, but there is some delay in the responses over the 10 trials; 3 = Some response decrement over the 10 trials, but shut down is not complete; 4 = Some response decrement and delay in the responses over 10 trials, but shut down is not complete; 5 = Shut down of responses after 9 stimuli; 6 = Shut down of responses after 7-8 stimuli; 7 = Shut down of responses after 5-6 stimuli; 8 = Shut down of responses after 3-4 stimuli; 9 = Shut down of responses after 1-2 stimuli
Query nnharat Integer Recommended Response decrement to rattle 1::9 1 = No decrement in response over 10 stimuli; 2 = No response decrement, but there is some delay in the responses over the 10 trials; 3 = Some response decrement over the 10 trials, but shut down is not complete; 4 = Some response decrement and delay in the responses over 10 trials, but shut down is not complete; 5 = Shut down of responses after 9 stimuli; 6 = Shut down of responses after 7-8 stimuli; 7 = Shut down of responses after 5-6 stimuli; 8 = Shut down of responses after 3-4 stimuli; 9 = Shut down of responses after 1-2 stimuli
Query nnhabel Integer Recommended Response decrement to bell 1::9 1 = No decrement in response over 10 stimuli; 2 = No response decrement, but there is some delay in the responses over the 10 trials; 3 = Some response decrement over the 10 trials, but shut down is not complete; 4 = Some response decrement and delay in the responses over 10 trials, but shut down is not complete; 5 = Shut down of responses after 9 stimuli; 6 = Shut down of responses after 7-8 stimuli; 7 = Shut down of responses after 5-6 stimuli; 8 = Shut down of responses after 3-4 stimuli; 9 = Shut down of responses after 1-2 stimuli
Query nnuspos Integer Recommended Infant's posture 1::5 1 = Total extension- both arms and legs are extended; 2 = Partial flexion- arms are extended and legs are flexed; 3 = Partial flexion- arms are flexed and legs are extended; 4 = Total flexion- both arms and legs are flexed; 5 = Abnormal posture- opisthotonos tonic extension, obligatory asymmetrical tonic neck reflex, other abnormal posture
Query nnusskn Integer Recommended Skin color 1::4 1 = normal; 2 = pallid; 3 = cyanotic; 4 = mottled
Query nnustxs Integer Recommended Is infant in State 1, 2, 3, 4, or 5? 0;1 0 = No; 1 = Yes
Query nnustxd Integer Recommended Desquamation (shedding or peeling) 0;1 0 = No; 1 = Yes
Query nnustxe Integer Recommended Excoriations (abrasions) 0;1 0 = No; 1 = Yes
Query nnustxl Integer Recommended Loose skin 0;1 0 = No; 1 = Yes
Query nnustxc Integer Recommended Deep creases around the eyes and nose 0;1 0 = No; 1 = Yes
Query nnusmov Integer Recommended Movement 0::2 0 = Very little or none; 1 = Normal; 2 = Excessive
Query nnustac Integer Recommended Response decrement to tactile stimulation of the foot 1::9 Number of trials necessary for the infant to stop responding to press of the heel: 1 = Reponse generalized to whole body and increases over trials; 2 = Both feet withdraw together; no decrement of response; 3 = Variable response to stimulus; response decrement but not localized to stimulated leg; 4 = Response decrement after 5 trials; localized to stimulated leg; no change to alert state; 5 = Response decrement after 5 trials; localized to stimulated foot; no change to alert state; 6 = Response limited to stimulated foot after 3-4 trials; no change to alert state; 7 = Response limited to stimulated foot or complete decrement of response after 1-2 trials; no change to alert state; 8 = Response localized and minimal after two trials; change to alert state (State 4); 9 = Complete response decrement; change to alert state (State 4)
Query nnlerpg Integer Recommended Plantar grasp 0::3 0 = no response; 1 = weak; 2 = normal; 3 = exaggerated
Query nnleapg Integer Recommended Plantar grasp asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnlerba Integer Recommended Babinski 0::3 0 = no response; 1 = weak; 2 = normal; 3 = exaggerated
Query nnleaba Integer Recommended Babinski asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnlerac Integer Recommended Ankle clonus 0::3 0 = no clonus; 1 = one beat; 2 = Two or more beats - up to four or five if gradual decrease in intensity; 3 = sustained beats
Query nnleaac Integer Recommended Ankle clonus asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nlerlr Integer Recommended Leg resistance 0::4 0 = none; 1 = little; 2 = moderate; 3 = strong; 4 = Extremely strong resistance; legs remain flexed, whole body slides in direction of pull
Query nnlealr Integer Recommended Leg resistance asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnlerlc Integer Recommended Leg recoil 1::5; 98; 99 1 = No recoil; 2 = Some recoil but slow (after 1/2 second); 3 = Some recoil but fast (within 1/2 second); 4 = Complete recoil; slow; 5 = Complete recoil; fast; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnlealc Integer Recommended Leg recoil asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnleral Integer Recommended Power of active leg movements 0::4 0 = none; 1 = minimal; 2 = moderate; 3 = strong; 4 = Extremely strong- active movements overcome strong resistance
Query nnleaal Integer Recommended Power of active leg movements asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnlerpa Integer Recommended Popliteal angle 1::6 Angle formed at the knee by upper and lower leg: 1 = 180-160 degrees; 2 = 150-140 degrees; 3 = 130-120 degrees; 4 = 110-90 degrees; 5 = 80-60 degrees; 6 = Less than 60 degrees
Query nnleapa Integer Recommended Popliteal angle asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnuefss Integer Recommended Scarf sign 1::4; 98; 99 1 = Elbow reaches opposite axilliary line or beyond; 2 = Elbow reaches any point between opposite axillary line and chest midline; 3 = Elbow reaches nipple or midline; 4 = Elbow does not reach nipple; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnueass Integer Recommended Scarf sign asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnueffr Integer Recommended Forearm resistance 1::5; 98; 99 1 = No resistance; 2 = Little resistance; 3 = Moderate resistance; 4 = Strong resistance; 5 = Extremely strong resistance; arms remain flexed, whole body slides in direction of pull; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnueafr Integer Recommended Forearm resistance asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnueffc Integer Recommended Forearm recoil 1::5; 98; 99 1 = No recoil; 2 = Some recoil; elbox flexed 120 degrees or less, but slow (after 1/2 second); 3 = Some recoil; elbow flexed 120 degrees or less, but fast (within 1/2 second); 4 = Complete recoil, but slow; 5 = Complete recoil, but fast; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnueafc Integer Recommended Forearm recoil asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnuefaa Integer Recommended Power of active arm movements 0::4 0 = none; 1 = minimal; 2 = moderate; 3 = strong; 4 = Extremely strong- active movements overcome strong resistance
Query nnueaaa Integer Recommended Power of active arm movements asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnuefrt Integer Recommended Rooting 0::4 0 = none; 1 = turn away from; 2 = weak; 3 = full; 4 = exaggerated
Query nnueart Integer Recommended Rooting asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnuefsu Integer Recommended Sucking response 0::6 0 = none; 1 = minimal; 2 = moderate; 3 = strong; 4 = Disorganized sucking pattern in which there are excessive bouts (15-30 per 10 seconds) and no burst-pause pattern; 5 = Exaggerated and disorganized; 6 = Dysfunctional sucking in which the infant may bite or clench jaw, retract the tongue, or show tongue thrusting
Query nnuefgh Integer Recommended Grasp of hands 0::3 0 = none; 1 = weak; 2 = strong; 3 = prolonged
Query nnueagh Integer Recommended Grasp of hands asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnueftt Integer Recommended Truncal tone 0::4 0 = no tone; 1 = some tone; 2 = good tone; 3 = exaggerated tone; 4 = Hypertonic response; may not be able to flex infant
Query nnuefps Integer Recommended Pull to sit: does infant attempt to right head? 1::11 1 = Head lags or flops completely in Pull to Sit, no attempts to right it in sitting; 2 = Futile attempts to right head but shoulder tone increase is felt; 3 = Slight increase in shoulder tone; seating brings head up once but not maintained, no further efforts. Head may pivot briefly through midline; 4 = Should and arm tone increase; seating brings up head, not maintained at midline but there are further efforts to right it; 5 = Head and shoulder tone increase as pulled to sit; brings head up once to midline by self as well; maintains if for at least 1-2 seconds; 6 = Head brought up twice after seated, then can keep it in position 2 seconds or more; 7 = Should tone increase but head not maintained until seated, then can keep it in position 10 seconds. When it falls, repeatedly rights it; 8 = Excellent shoulder tone; head up for 10 seconds after seated, no head lag as trunk comes up; 9 = Head up during lift and maintained for 1 minute after seated; shoulder tone and whole body tone increases as pulled to sit; 10 = Hypertonic response, upper trunk and neck rigid, head comes up in vertical plane with back, or legs stiffen and infant pulls to standing position; 11 = Infant resists flexion and head righting by arching backward, and item cannot be administered
Query nnuprpl Integer Recommended Placing: is foot lifted and extended to "place? 1::3 1 = No response; 2 = Minimal flexion and extension of foot; 3 = Foot is lifted and then extends to "place
Query nnupapl Integer Recommended Placing asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnuprst Integer Recommended Stepping 1::7 1 = No stepping movements, infant is too weak to support his or her weight and the legs collapse; 2 = No stepping movements although infant is able to support his or her weight; 3 = Some indication of stepping; infant takes one or two steps; 4 = Clear stepping response with legs alternating; infant takes three or more steps; 5 = Exaggerated (hyperactive) response; stepping is excessive, infant may appear to run; 6 = Legs stiffen, infant becomes hypertonic, knees may lock, toe standing may occur, and stepping may or may not be elicited; 7 = Infant's feet cross in a scissoring pattern and stepping cannot be elicited
Query nnupast Integer Recommended Stepping asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
stepping_note String 100 Recommended If stepping not elicited: note if infant can support weight, legs stiffen, or if feet cross in a scissoring pattern
Query nnuprvs Integer Recommended Ventral suspension 1::6; 98; 99 1 = Infant is hypotonic; there is little tone as infant flacidly hangs down; 2 = Head hangs down, but there is some flexion of the extremities; 3 = Head lifting with some flexion of the limbs; 4 = Sustained head lifting and extension of the lower limbs; 5 = Infant is hypertonic, stiff, and remains in horizontal plane with extension of legs and arms; may show arching or opisthotonic response; 6 = Consistent tone is not observed; infant shows variability in tone, changing from hypotonic to hypertonic and vice versa; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnuprin Integer Recommended Incurvation 0::3 0 = none; 1 = weak; 2 = fully developed; 3 = exaggerated
Query nnupain Integer Recommended Incurvation asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nninpcr Integer Recommended Crawling 0::3 0 = none; 1 = weak; 2 = coordinated; 3 = prolonged crawling
Query nninpsn Integer Recommended Stimulation needed for Crawling? 0;1 0 = No; 1 = Yes
Query nninphr Integer Recommended Head raise in prone 0::5 0 = none; 1 = head turning; 2 = brief lift; 3 = sustained lift; 4 = exaggerated response; 5 = Lifts head several centimeters for at least 10 seconds
Query nnpuica Integer Recommended Cuddle in arm 1::9; 97::99 1 = Resists being held, continuously pushing away, thrashing, stiffening, or arching; 2 = Resists being held most but not all of the time; 3 = Does not resist but does not participate either; lies passively in arms (like a sack of meal); 4 = Eventually molds in arms, but after a lot of nestling and cuddling by examiner; 5 = Molds and relaxes on own, but with some delay; 6 = Molds and relaxes on own without delay; 7 = Molds, relaxes, and initiates nestling head in crook of elbow; 8 = In addition to molding and relaxing, the infant nestles and turns head, fits feet into cavity of examiner's other arm; the infant participates with whole body; 9 = All of the above, and the infant grasps and clings to the examiner; 97 = Item discontinued because the infant changes to State 1, 2, or 3 reaches State 6; 98 = Item not administered becuase the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnpuics Integer Recommended Cuddle on shoulder 1::9; 97::99 1 = Resists being held, continuously pushing away, thrashing, stiffening, or arching; 2 = Resists being held most but not all of the time; 3 = Does not resist but does not participate either; lies passively against shoulder (like a sack of meal); 4 = Eventually molds into shoulder, but after a lot of nestling and cuddling by examiner; 5 = Molds and relaxes on own, but with some delay; 6 = Molds and relaxes on own without delay; 7 = Molds and relaxes; head nestles into crook of the examiner's neck; 8 = In addition to molding and relaxing, the infant nestles and turns head toward the examiner's neck and leans forward on shoulder. The infant participates with whole body, and always molds initially; 9 = All of the above, and the infant grasps and clings to the examiner; 97 = Item discontinued because the infant changes to State 1, 2, or 3 or reaches State 6; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnisliv Integer Recommended Orientation inanimate visual 1::9 1 = Does not focus on or follow stimulus; 2 = Stills and brightens with stimulus; 3 = Stills, focuses on stimulus when presented, little spontaneous interest, brief following; 4 = Stills, focuses on stimulus, follows for one 30-degree arc; jerky movements; 5 = Focuses and follows with eyes horizontally for at least a 30-degree arc; smooth movement, loses stimulus but finds it again; 6 = Follows for two 30-degree arcs with eyes and head; eye movements are smooth; 7 = Follows with eyes and head at least 60 degrees horizontally, partly continuous movement, loses stimulus occasionally, head turns to follow; 8 = Follows with eyes and head 60 degrees horizontally and 30 degrees vertically; 9 = Focuses on stimulus and follows with smooth continuous head movement horizontally and vertically and follows in a circular path for a 180-degree arc
Query nnislia Integer Recommended Orientation inanimate auditory 1::9; 98; 99 1 = No reaction, 2 = Respiratory change or blink only; 3 = General quieting as well as blinking and respiratory changes; 4 = Stills, brightens, no attempt to locate source; 5 = Shifting of eyes to sounds, still, and brightens; 6 = Alerting and shifting of eyes, head turns to source; 7 = Alerting, head turns to stimulus and finds or looks at stimulus once or twice; 8 = Alerting prolonged, head and eyes turn to stimulus repeatedly (three of four times); 9 = Turning and alerting to stimulus, and finds or looks at the stimulus on both sides four of four times; 98 = Item not administered because the infant is not in a sustained State 4 or 5; 99 = Item not administered due to examiner error
Query nnislib Integer Recommended Orientation inanimate visual and auditory 1::9 1 = Does not focus on or follow stimulus; 2 = Stills and brightens with stimulus; 3 = Stills, focuses on stimulus when presented, little spontaneous interest, brief following; 4 = Stills, focuses on stimulus, follows for one 30-degree arc; jerky movements; 5 = Focuses and follows with eyes horizontally for at least a 30-degree arc; smooth movement, loses stimulus but finds it again; 6 = Follows for two 30-degree arcs with eyes and head; eye movements are smooth; 7 = Follows with eyes and head at least 60 degrees horizontally, partly continuous movement, loses stimulus occasionally, head turns to follow; 8 = Follows with eyes and head 60 degrees horizontally and 30 degrees vertically; 9 = Focuses on stimulus and follows with smooth continuous head movement horizontally and vertically and follows in a circular path for a 180-degree arc
Query nnislav Integer Recommended Orientation animate visual 1::9 1 = Does not focus on or follow stimulus; 2 = Stills and brightens with stimulus; 3 = Stills, focuses on stimulus when presented, little spontaneous interest, brief following; 4 = Stills, focuses on stimulus, follows for one 30-degree arc; jerky movements; 5 = Focuses and follows with eyes horizontally for at least a 30-degree arc; smooth movement, loses stimulus but finds it again; 6 = Follows for two 30-degree arcs with eyes and head; eye movements are smooth; 7 = Follows with eyes and head at least 60 degrees horizontally, partly continuous movement, loses stimulus occasionally, head turns to follow; 8 = Follows with eyes and head 60 degrees horizontally and 30 degrees vertically; 9 = Focuses on stimulus and follows with smooth continuous head movement horizontally and vertically and follows in a circular path for a 180-degree arc
Query nnislaa Integer Recommended Orientation animate auditory 1::9; 98; 99 1 = No reaction; 2 = Respiratory change or blink only; 3 = General quieting as well as blinking and respiratory changes; 4 = Stills, brightens, no attempt to locate source; 5 = Shifting of eyes to sound, stills, and brightens; 6 = Alerting and shifting of eyes, head turns to source; 7 = Alerting, head turns to stimulus and finds or looks at stimulus once or twice; 8 = Alerting prolonged, head and eyes turn to and find stimulus repeatedly (three of four times); 9 = Alerting prolonged, head and eyes turn to and find stimulus four of four times; 98 = Item not administered because the infant is not in a sustained State 4 or 5; 99 = Item not administered due to examiner error
Query nnislab Integer Recommended Orientation animate visual and auditory 1::9 1 = Does not focus on or follow stimulus; 2 = Stills and brightens with stimulus; 3 = Stills, focuses on stimulus when presented, little spontaneous interest, brief following; 4 = Stills, focuses on stimulus, follows for one 30-degree arc; jerky movements; 5 = Focuses and follows with eyes horizontally for at least a 30-degree arc; smooth movement, loses stimulus but finds it again; 6 = Follows for two 30-degree arcs with eyes and head; eye movements are smooth; 7 = Follows with eyes and head at least 60 degrees horizontally, partly continuous movement, loses stimulus occasionally, head turns to follow; 8 = Follows with eyes and head 60 degrees horizontally and 30 degrees vertically; 9 = Focuses on stimulus and follows with smooth continuous head movement horizontally and vertically and follows in a circular path for a 180-degree arc
orientation_attention1 String 300 Recommended For Inanimate Visual, Inanimate Visual and Auditory, Animate Visual, and Animate Visual and Auditory: record infants ability to become alert, focus on the object, follow with eyes and head horizontally or vertically and to coordinate head and eye movements.
orientation_attention2 String 300 Recommended For Inanimate Auditory and Animate Auditory: record infant's ability to become alert, turn and/or look toward the stimulus.
Query nnspntd Integer Recommended Tonic deviation of head and eyes 1::6; 98; 99 1 = No response of eyes in the direction of the spin; 2 = Weak, barely discernible response, small excursions of the eyes; 3 = Eyes are closed but head turns in the direction of the spin; 4 = Clear response of head/eyes turning in the direction of the spin; 5 = Response is exaggerated and excessive, head may "whip" in the direction of the spin and may not return to midline when the spin is completed; 6 = Eyes and/or head turn in opposite direction (i.e., away from spin); 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnspatd Integer Recommended Tonic deviation of head and eyes asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query da_nystagmus Integer Recommended DescriptAbnormal: Nystagmus 0;1 0 = unchecked box; 1 = checked box
Query nnscrdr Integer Recommended Defensive movements 1::10; 98; 99 1 = No response; 2 = Changes to State 1 or 2; 3 = General quieting; 4 = Nonspecific activity increase with long latency; 5 = Nonspecific activity increase with short latency; 6 = Rooting and lateral head turning; 7 = Neck stretching; 8 = One or more nondirected swipes of arms in the upper quadrant of the body; 9 = One or more directed swipes of arms toward the cloth; 10 = Successful removal of cloth with swipes; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnscrtn Integer Recommended Asymmetrical tonic neck reflex 1::4; 98; 99 1= No response; 2 = Weak or incomplete response- there is some change in the position of arms or legs but it is transient; 3 = Well-marked response; 4 = Well-marked response that is prolonged and exaggerated; infant is unable to release response; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnscatn Integer Recommended Asymmetrical tonic neck reflex asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnscrmr Integer Recommended Moro reflex 1::5; 98; 99 1 = No response; 2 = Weak response with minimal abduction of shoulders and some elbow extension followed by narrow adduction at shoulders and just discernible flextion at the elbow; 3 = Adequate abduction of shoulders and extension of the elbow but mnimal or no adduction; 4 = Adequate abduction at the shoulder with extension fo the elbow followed by full adduction of the shoulder and flexion at the elbow; 5 = Exaggerated, hyperactive response with excessive abduction and full extension of the elbow followed by adduction at the shoulder across the midline; 98 = Item not administered because the infant is not in an appropriate state; 99 = Item not administered due to examiner error
Query nnscamr Integer Recommended Moro reflex asymmetry: less optimal side 1::4 1 = asymmetry on left side (response too weak); 2 = asymmetry on left side (response too strong); 3 = asymmetry on right side (response too weak); 4 = asymmetry on right side (response too strong)
Query nnsiost Integer Recommended Orientation handling procedures: Was infant in State 4 or 5? 0;1 0 = No; 1 = Yes
Query nnsioto Integer Recommended Orientation handling procedures: If infant was in State 4 or 5: Repeated time out 0;1 0 = No; 1 = Yes
Query nnsiohv Integer Recommended Orientation handling procedures: If infant was in State 4 or 5: Hand holding/Ventral pressure 0;1 0 = No; 1 = Yes
Query nnsioas Integer Recommended Orientation handling procedures: If infant was in State 4 or 5: Auditory stimulation (voice or rattle) 0;1 0 = No; 1 = Yes
Query nnsiojr Integer Recommended Orientation handling procedures: If infant was in State 4 or 5: Jiggling/Vertial rocking 0;1 0 = No; 1 = Yes
Query nnsiocw Integer Recommended Orientation handling procedures: Covering/Wrapping 0;1 0 = No; 1 = Yes
Query nnsiosw Integer Recommended Orientation handling procedures: Swaddling 0;1 0 = No; 1 = Yes
Query nnsiorw Integer Recommended Orientation handling procedures: Rocking/Walking 0;1 0 = No; 1 = Yes
Query nnsiosp Integer Recommended Orientation handling procedures: Sucking/Pacifier 0;1 0 = No; 1 = Yes
Query nnsioot Integer Recommended Orientation handling procedures: Other 0;1 0 = No; 1 = Yes
Query nnsialr Integer Recommended Alertness 1::9; 98 1 = Never alert and rarely or never responsive to direct stimulation; 2 = Brief alerting; responsiveness are brief and always delayed- alerting and orientation very brief and general, not specific to stimulus; 3 = Quality of alerting is variable; responsiveness is brief and often delayed; 4 = Quality of alerting is variable; responsiveness is brief but not delayed; 5 = Alerting is less variable; responsiveness is of moderate duration but may be delayed; 6 = Alerting is less variable; responsiveness is moderately sustained, not delayed and not variable; 7 = Alerting is sustained; responsiveness is neither delayed nor variable; 8 = Sustained periods of alertness throughout the examination. Alerting and orientation frequent; stimulation brings infant to alert state and quiets infant; 9 = Always alert for most of examination, intensely and predictably alert; 98 = Item not scored because the infant is never in an appropriate state
Query nnsiton Integer Recommended General tone - Predominant tone 1::10; 98 1 = Flaccid, limp like a rag doll, no resistance when limbs are moved; may have complete head lag in Pull to Sit; 2 = Flaccid, limp most of the time, but responds with some tone less than 25% of the time; 3 = Flaccid, limp most of the time, but responds with some tone at least 25% of the time; 4 = Some tone half of the time, responds with average tone less than half of the time; 5 = Tone average when handled, lies with relaxed tone at rest; 6 = Responsive with good tone as infant is handled approximately 75% of the time, may be on the hypertonic side up to 25% of the time, variable tone in resting; 7 = Is on the hypertonic side approximately 50% of the time; 8 = When handled, responsive with hypertonicity about 75% of the time; 9 = Hypertonic at rest (in flexion) and hypertonic all of the time; 10 = Tone not consistent either because infant alternates between hypertonicity and hypotonicity or because of an imbalance of hyper/hypotonicity between upper and lower extremities or between trunk and extremities; 98 = Item not scored because the infant is never in an appropriate state
Query nnsimot Integer Recommended Motor maturity 1::9; 98 1 = Cogwheel-like jerkiness, overshooting of legs and arms in all directions; 2 = Jerky movements predominate with mild overshooting; 3 = Jerky movements with little or no overshooting; there may be some smooth movements; 4 = Jerky movements half of the time, smooth movements half of the time, arcs up to 45 degrees; 5 = Smooth movements predominate, arcs predominantly 60 degrees half of the time, may be some jerkiness; 6 = Smooth movements, arcs predominantly 60 degrees; 7 = Smooth movements and arcs of 90 degrees less than half of the time; 8 = Smooth movements and unrestricted arcs laterally to 90 degrees most of the time; 9 = Smoothness, unrestricted arcs of more than 90 degrees all of the time; 98 = Item not scored because the infant is never in appropriate state
Query nnsicon Integer Recommended Consolability with intervention 1::10; 98; 99 1 = Not consolable; 2 = Pacifier or finger to suck in addition to wrapping, holding, and rocking; 3 = Wrapping, holding in arms or on shoulder, and rocking; 4 = Holding and rocking; 5 = Picking up and holding on shoulder; 6 = Picking up and holding in arms; 7 = Hand on belly and restraining one or both arms; 8 = Hand steadily on belly; 9 = Examiner's voice and face alone; 10 = Examiner's face alone; 98 = Item not administered because the infant is never in appropriate state; 99 = Item not administered due to examiner error
Query nnsiexc Integer Recommended Peak of excitement 1::9 1 = Low level of arousal to all stimuli; never about State 2, does not awaken fully; 2 = Some arousal to stimulation and reaches State 3; 3 = Infant reaches State 4 only briefly, but is predominantly in State 3 or lower; 4 = Infant is predominantly in State 4 or lower but may reach State 5; 5 = Infant reaches State 6 after stimulation once or twice, but predominantly is in State 5 or lower; 6 = Infant reaches State 6 after stimulation more than twice but returns to a lower state spontaneously, at least two times; 7 = Infant reaches State 6 in response to stimuli more than twice, but with consoling is easily brought back to lower state; 8 = Infant screams (State 6) in response to stimulation more than twice, although some quieting can occur with consoling, with difficulty; usually needs finger or pacifier to console; 9 = Infant achieves insulated crying state in which the infant is unavailable and unresponsive; infant is unable to be quieted or soothed
Query nnsirap Integer Recommended Rapidity of build-up 1::12 1 = Infant never upset; 2 = At end of examination with INFANT SUPINE IN CRIB for alternative orders, infant reaches State 6 in the last third of the examination; 3 = During INFANT SPIN; 4 = During orientation items when INFANT SUPINE ON EXAMINER'S LAP; 5 = During INFANT PRONE package; for alternative orders, infant reaches State 6 in the middle third of the examination; 6 = During UPRIGHT RESPONSES package; 7 = During UPPER EXTREMITIES AND FACE package; 8 = During LOWER EXTREMITY REFLEXES package; for alternative orders, infant reaches State 6 in the first third of the examination; 9 = During Response Decrement to Tactile Stimulation of the Foot; 10 = During UNWRAP AND SUPINE package; 11 = During HABITUATION package (only if first package in examination); 12 = Never was quiet enough to score this
Query nnsirrt Integer Recommended Irritability 1::9; 98 1 = No irritable fussing to any of the above; 2 = Irritable fussing during one of the packages or items; 3 = Irritable fussing during two of the packages or items; 4 = Irritable fussing during three of the packages or items; 5 = Irritable fussing during four of the packages or items; 6 = Irritable fussing during five of the packages or items; 7 = Irritable fussing during six of the packages or items; 8 = Irritable fussing during seven of the packages or items; 9 = Irritable fusing during eight of the packages or items or more than two of the packages or items not administered because the infant was in a State 6; 98 = Infant never achieved an awake state
Query nnsispo Integer Recommended Spontaneous activity 1::6; 98 1 = None; 2 = Slight; 3 = Moderate; 4 = Much; 5 = Continuous but consolable movement; 6 = Continuous, inconsolable movement; 98 = Item not scored because the infant is never in appropriate state
Query nnsiact Integer Recommended Elicited activity 1::6; 98 1 = None; 2 = Slight; 3 = Moderate; 4 = Much; 5 = Continuous but consolable movement; 6 = Continuous, inconsolable movement; 98 = Item not scored because the infant is never in appropriate state
Query nnsitre Integer Recommended Tremulousness 1::9 1 = No tremors or temulousness noted; 2 = Tremors only during sleep; 3 = Tremors only after the Moro reflex or startles; 4 = Temulousness seen one or two times in States 5 or 6; 5 = Tremulousness seen three or more times in States 5 or 6; 6 = Tremulousness seen one or two times in State 4; 7 = Tremulousness seen three times in State 4, fewer than three times in other states; 8 = Tremulousness seen more than three times in State 4 and may be seen more than three times in each of several other states; 9 = Temulousness seen consistently and repeatedly in all states
Query nnsista Integer Recommended Amount of startle during exam 1::9; 98 1 = No startles noted; 2 = Startles as a response to examiner's attempt to set off a Moro reflex only; 3 = One startle, excluding Moro reflex; 4 = Two startles, excluding Moro reflex; 5 = Three startles, excluding Moro reflex; 6 = Four startles, including Moro reflex; 7 = Five-six startles, excluding Moro reflex; 8 = Seven-nine startles, excluding Moro reflex; 9 = Ten or more startles, excluding Moro reflex; 98 = Item not scored because the infant is never in appropriate state
Query nnsiskn Integer Recommended Lability of skin color 1::11 1 = Skin color does not change during the examination; 2 = Skin color changes minimally during the examination; 3 = Skin color changes to slightly more blue around mouth or extremities during the examination, improving somewhat during the examination; 4 = Slight change in skin color to acrocyanosis in extremities as well as chest or abdomen but more rapid recovery; there may be mild cyanosis around mouth or extremities after stress during exam; 5 = Changes in skin color on parts of the body only; there may be a mild color change of chest and abdomen; mottling may appear on face, chest or limbs; original color returns quickly; 6 = Complete change in skin color to red over whole body but color returns with soothing or covering; 7 = Skin color changes to very red when uncovered or crying; recovers slowly if covered or soothed; 8 = Skin color rapidly changes to very red early in the examination; recovery is slow; 9 = Marked rapid changes in skin color to very red; good color does not return during rest of examination; 10 = Infant becomes pale and dusky during examination, but skin color improves with handling; 11 = Infant becomes pale and dusky during examination, but color does not improve with handling
Query nnsilab Integer Recommended Lability of states 1::9 1 = 0-2 changes over 30 minutes; 2 = 3-5; 3 = 6-8; 4 = 9-10; 5 = 11-13; 6 = 14-15; 7 = 16-18; 8 = 19-22; 9 = 23 or more
Query nnsiqui Integer Recommended Self-quieting activity 1::9; 98 1 = Makes not attempt to quiet self; intervention always necessary; 2 = A brief attempt to quiet self (fewer than 5 seconds), but with no success; 3 = Several attempts to quiet self, but with no success; 4 = One brief success in quieting self for period of 5 seconds or more; 5 = Several brief successes (5 seconds or more) in quieting self; 6 = An attempt to quiet self that results in a sustained successful quieting with the infant returning to State 4 or lower (for at least 15 seconds); 7 = One sustained (15 seconds) and several brief (5 seconds) successes in quieting self; 8 = At least two (15 seconds) successes in quieting self; 9 = Consistently quiets self for sustained periods, never needs consoling; 98 = Item not scored because the infant is never in appropriate state
Query nnsihmd Integer Recommended Hand to mouth facility 1::10 1 = No attempt to bring hands to mouth; 2 = Brief swipes at mouth area, no real contact; 3 = Hand brought to mouth and contact, but no insertion, once only; 4 = Hand brought next to mouth area twice, no insertion; 5 = Hand brought next to mouth area at least three times, but no real insertion; abortive attempts to suck on fist; 6 = One insertion that is brief, unable to be maintained; 7 = Several actual insertions that are brief, not maintained; abortive sucking attempts, more than three times next to mouth; 8 = Several brief insertions in rapid succession in an attempt to prolong sucking at this time; 9 = Fist and/or fingers actually inserted and sucking on them for 15 seconds or more; 10 = Frantic, exaggerated attempts to get hand in mouth
Query nnsifpr Integer Recommended First predominant State 1::6 1 = State 1; 2 = State 2; 3 = State 3; 4 = State 4; 5 = State 5; 6 = State 6
Query nnsispr Integer Recommended Second predominant State 1::6 1 = State 1; 2 = State 2; 3 = State 3; 4 = State 4; 5 = State 5; 6 = State 6
Query nnsipex Integer Recommended Post-Examination State observation 1::6 1 = State 1; 2 = State 2; 3 = State 3; 4 = State 4; 5 = State 5; 6 = State 6
Query nnsiord Integer Recommended Order of administration 1::6 1 = Preferred order; 2 = Alternative order: Orientation items after Pull to Sit; 3 = Third order: Packages maintained but out of order; 4 = Fourth order: Items administered independent of packages; 5 = Fifth order: HABITUATION not administered at all; 6 = Interrupted order: Other procedures or nap time interrupt the examination
Query nnphlab Integer Recommended Physiological: Labored breathing 0;1 0 = No; 1 = Yes
Query nnphnas Integer Recommended Physiological: Nasal flaring 0;1 0 = No; 1 = Yes
Query nnauswe Integer Recommended Autonomic: Sweating 0;1 0 = No; 1 = Yes
Query nnauspt Integer Recommended Autonomic: Spit-up 0;1 0 = No; 1 = Yes
Query nnauhic Integer Recommended Autonomic: Hiccoughing 0;1 0 = No; 1 = Yes
Query nnausnz Integer Recommended Autonomic: Sneezing 0;1 0 = No; 1 = Yes
Query nnaustf Integer Recommended Autonomic: Nasal stuffiness 0;1 0 = No; 1 = Yes
Query nnauyaw Integer Recommended Autonomic: Yawning 0;1 0 = No; 1 = Yes
Query nncnasu Integer Recommended CNS: Abnormal sucking 0;1 0 = No; 1 = Yes
Query nncncho Integer Recommended CNS: Choreiform movements 0;1 0 = No; 1 = Yes
Query nncnath Integer Recommended CNS: Athetoid postures and movements 0;1 0 = No; 1 = Yes
Query nncntrl Integer Recommended CNS: Tremors: low frequency/high amplitude 0;1 0 = No; 1 = Yes
Query nncntrh Integer Recommended CNS: Tremors: high frequency/low amplitude 0;1 0 = No; 1 = Yes
Query nncncog Integer Recommended CNS: Cogwheel movements 0;1 0 = No; 1 = Yes
Query nncnsta Integer Recommended CNS: Startles 0;1 0 = No; 1 = Yes
Query nncnhyp Integer Recommended CNS: Hypertonia 0;1 0 = No; 1 = Yes
Query nncnbar Integer Recommended CNS: Back arching 0;1 0 = No; 1 = Yes
Query nncnfst Integer Recommended CNS: Fisting 0;1 0 = No; 1 = Yes
Query nncncth Integer Recommended CNS: Cortical thumb 0;1 0 = No; 1 = Yes
Query nncnjrk Integer Recommended CNS: Myoclonic jerks 0;1 0 = No; 1 = Yes
Query seizures_general Integer Recommended Does the patient have generalized seizures 0;1 0=No;1=Yes nncnsez
Query nncnapo Integer Recommended CNS: Abnormal posture 0;1 0 = No; 1 = Yes
Query nnskpal Integer Recommended Skin: Pallor 0;1 0 = No; 1 = Yes
Query nnskmot Integer Recommended Skin: Mottling 0;1 0 = No; 1 = Yes
Query nnskpcy Integer Recommended Skin: Paroxysmal cyanosis 0;1 0 = No; 1 = Yes
Query nnskocy Integer Recommended Skin: Overall cyanosis 0;1 0 = No; 1 = Yes
Query nnskccy Integer Recommended Skin: Circumoral cyanosis 0;1 0 = No; 1 = Yes
Query nnskrcy Integer Recommended Skin: Periocular cyanosis 0;1 0 = No; 1 = Yes
Query nnviavr Integer Recommended Visual: Gaze aversion during orientation 0;1 0 = No; 1 = Yes
Query nnvipul Integer Recommended Visual: Pull down during orientation 0;1 0 = No; 1 = Yes
Query nnvicry Integer Recommended Visual: Fuss/Cry during orientation 0;1 0 = No; 1 = Yes
Query nnvifol Integer Recommended Visual: Obligatory following during orientation 0;1 0 = No; 1 = Yes
Query nnvieny Integer Recommended Visual: End point nystagmus during orientation 0;1 0 = No; 1 = Yes
Query nnvisny Integer Recommended Visual: Sustained spontaneous nystagmus 0;1 0 = No; 1 = Yes
Query nnviloc Integer Recommended Visual: Visual locking 0;1 0 = No; 1 = Yes
Query nnvihyp Integer Recommended Visual: Hyperalertness 0;1 0 = No; 1 = Yes
Query nnvisun Integer Recommended Visual: Setting sun sign 0;1 0 = No; 1 = Yes
Query nnvieye Integer Recommended Visual: Roving eye movements 0;1 0 = No; 1 = Yes
Query nnvistr Integer Recommended Visual: Strabismus 0;1 0 = No; 1 = Yes
Query nnvibln Integer Recommended Visual: Tight blinking 0;1 0 = No; 1 = Yes
Query nnvioth Integer Recommended Visual: Other abnormal eye signs 0;1 0 = No; 1 = Yes
Query nngachk Integer Recommended Gastrointestinal: Gagging/choking 0;1 0 = No; 1 = Yes
Query nngastl Integer Recommended Gastrointestinal: Loose stools, watery stools 0;1 0 = No; 1 = Yes
Query nngagas Integer Recommended Gastrointestinal: Excessive gas, bowel sounds 0;1 0 = No; 1 = Yes
Query nnsthcr Integer Recommended State: High pitched cry 0;1 0 = No; 1 = Yes
Query nnstmcr Integer Recommended State: Monotone pitch cry 0;1 0 = No; 1 = Yes
Query nnstwcr Integer Recommended State: Weak cry 0;1 0 = No; 1 = Yes
Query nnstncr Integer Recommended State: No cry 0;1 0 = No; 1 = Yes
Query nnstirr Integer Recommended State: Extreme irritability 0;1 0 = No; 1 = Yes
Query nnstchn Integer Recommended State: Abrupt state changes 0;1 0 = No; 1 = Yes
Query nnstqua Integer Recommended State: Inability to achive quiet awake state (State 4) 0;1 0 = No; 1 = Yes
Query nnspnny Integer Recommended Nystagmus 1::4 1 = No nystagmus; 2 = Weak response, one or two beats; 3 = Clear nystagmus, repetitive beats (three or four); 4 = Persistent sustained nystagmus
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.
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  • 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
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