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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Caregiver History Form

0 Shared Subjects

N/A
Clinical Assessments
Demographics
05/05/2015
carhf01

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
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.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
relationship Integer Required Relationship of respondent to individual
1::94;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker
Query resp_living_status Integer Required Please indicate which best describes your current living arrangement/situation: 1::3 1 = Married/living with domestic partner; 2 = single, with other adult(s) living in the home; 3 = single, no other adults living in the home
resp_ethnicity String 30 Recommended Respondent's ethnicity Hispanic or Latino;Not Hispanic or Latino;Unknown or not reported
resp_race String 150 Recommended Respondent's race American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query thous Integer Recommended Total number of persons in household 0=Does not apply (e.g., in institution), 99=unknown household_number_in_house
Query person1_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person1_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person1_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person2_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person2_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person2_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person3_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person3_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person3_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person4_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person4_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person4_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person5_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person5_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person5_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person6_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person6_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person6_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person7_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person7_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person7_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
Query person8_age Integer Recommended Age of individual living at home with the child 0::100 Age expressed in years
person8_sex String 2 Recommended Gender of individual living at home with the child M;F Male; Female
Query person8_relation_to_child Integer Recommended Individual's relation to the child 1::19;999 1= Biological Mom; 2= Biological Dad; 3 = Grandparent; 4 = Adoptive mother; 5 = Adpotive father; 6 = Foster Mother; 7 = Foster father; 8 = step-mother; 9 = step-father; 10 = Aunt; 11 = Uncle; 12 = cousin; 13 = brother; 14 = sister; 15 = step-sister; 16 = step-brother; 17 = caregiver/guardian; 18 = family friend; 19 = other; 999 = missing data
bio_mother_education String 75 Recommended Biological Mother Highest level of education Less than High School;High School Degree;GED; Less than 7th Grade; Jr. High School; Some High School; Some College;Associates Degree;Bachelors Degree;Some Graduate Work;Graduate Degree; Never attended school ; Primary/all age/ Jnr. Secondary ; Secondary/High/Technical ; H.E.A.R.T/ Vocational ; Tertiary College/University ; Other tertiary- specify ; Other education-specify;99= D/K ; 77= N/A; 999= Missing mother_education
mother_degree String 50 Recommended Highest degree obtained by mother 1 = GED, 2 = Associate's Degree; 3 = BA/BS; 4 = MA/MS; 5 = Doctorate/Ph.D
Query mother_edu_years Float Recommended Mother's years of education 101=Missing mother_years_education
momoccuc String 100 Recommended mother's current occupation mother_occupation
mother_title String 50 Recommended Mother's Job Title
bio_father_education String 75 Recommended Biological Father Highest level of education Less than High School;High School Degree;GED; Less than 7th Grade; Jr. High School; Some High School; Some College;Associates Degree;Bachelors Degree;Some Graduate Work;Graduate Degree; Never attended school ; Primary/all age/ Jnr. Secondary ; Secondary/High/Technical ; H.E.A.R.T/ Vocational ; Tertiary College/University ; Other tertiary- specify ; Other education-specify;99= D/K ; 77= N/A; 999= Missing father_education
father_degree String 50 Recommended Highest degree obtained by father
Query father_edu_years Float Recommended Father's years of education 101=Missing father_years_education
fatherocup String 100 Recommended Father' occupation father_occupation
father_title String 50 Recommended Father's Job Title
Query fi121 Integer Recommended reported income before taxes 0::9; 97::99 1 = under $5000; 2 = $5,000-$9,999; 3 = $10,000-$19,999; 4 = $20,000-$29,999; 5 = $30,000-$39,999; 6 = $40,000-$49,999; 7 = $50,000-$59,999; 8 = $60,000-$69,999; 9 = $70,000 or more; 97 = Refused; 98 = Don't know; 99 = NA demo_income
Query qa7 Integer Recommended What language do you usually speak at home? 1::5 1=English; 2=Spanish; 3=Other; 4=Both English and Spanish; 5=Both English and some other language language_spoken
sum2_langhome String 50 Recommended Language spoken at home, specify demo_othlangdesc
insurance String 50 Recommended child's primary health insurance provider
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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