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Clinical Assessments
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07/03/2017
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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_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
Query version_form String 121 Required Form used/assessment name
Query t1serva Integer Recommended Speech or lanugage therapy, or communication services 0;1 0=No; 1=Yes sixmo_services2speech
Query t1serva1 Integer Recommended Speech or lanugage therapy, or communication services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2speech_a
Query t1serva2 Integer Recommended Speech or lanugage therapy, or communication services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2speech_b
Query t1serva3 Integer Recommended Speech or lanugage therapy, or communication services. Currently needed? 0;1 0=No; 1=Yes sixmo_service2s_speech_d
Query t1serva4 Integer Recommended Speech or lanugage therapy, or communication services. On the wait list? 0;1 0=No; 1=Yes
t1serva4m String 15 Recommended Speech or lanugage therapy, or communication services. How many months on wait list?
Query sixmo_services2speech_c Integer Recommended Speech or lanugage therapy, or communication services. Received in 2016? 0;1 0=No; 1=Yes
Query t1servb Integer Recommended Audiology services for hearing problems 0;1 0=No; 1=Yes sixmo_services2audiol
Query t1servb1 Integer Recommended Audiology services for hearing problems. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2audiol_a
Query t1servb2 Integer Recommended Audiology services for hearing problems. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2audiol_b
Query t1servb3 Integer Recommended Audiology services for hearing problems. Currently needed? 0;1 0=No; 1=Yes sixmo_services2audiol_d
Query t1servb4 Integer Recommended Audiology services for hearing problems. On the wait list? 0;1 0=No; 1=Yes
t1servb4m String 15 Recommended Audiology services for hearing problems. How many months on wait list?
Query sixmo_services2audiol_c Integer Recommended Audiology services for hearing problems. Received in 2016? 0;1 0=No; 1=Yes
Query t1servk Integer Recommended Reader or interpreter, including sign language 0;1 0=No; 1=Yes sixmo_services2read
Query t1servk1 Integer Recommended Reader or interpreter, including sign language. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2read_a
Query t1servk2 Integer Recommended Reader or interpreter, including sign language. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2read_b
Query t1servk3 Integer Recommended Reader or interpreter, including sign language. Currently needed? 0;1 0=No; 1=Yes sixmo_services2read_d
Query t1servk4 Integer Recommended Reader or interpreter, including sign language. On the wait list? 0;1 0=No; 1=Yes
t1servk4m String 15 Recommended Reader or interpreter, including sign language. How many months on wait list?
Query sixmo_services2read_c Integer Recommended Reader or interpreter, including sign language. Received in 2016? 0;1 0=No; 1=Yes
Query t1servm Integer Recommended Assistive technology services/devices, such as help getting /using any kind of equipment that helps people with a disability, like a tape recorder or reading machine 0;1 0=No; 1=Yes sixmo_services2at
Query t1servmd String 50 Recommended Specify assistive technology: sixmo_services2at_1
Query t1servm1 Integer Recommended Assistive technology services/devices. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2at_a
Query t1servm2 Integer Recommended Assistive technology services/devices. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2at_b
Query t1servm3 Integer Recommended Assistive technology services/devices. Currently needed? 0;1 0=No; 1=Yes sixmo_services2_at_d
Query t1servm4 Integer Recommended Assistive technology services/devices. On the wait list? 0;1 0=No; 1=Yes
t1servm4m String 15 Recommended Assistive technology services/devices. How many months on wait list?
Query sixmo_services2at_c Integer Recommended Assistive technology services/devices. Received in 2016? 0;1 0=No; 1=Yes
Query t1servg Integer Recommended Orientation and mobility services 0;1 0=No; 1=Yes sixmo_services2orien
Query t1servg1 Integer Recommended Orientation and mobility services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2orien_a
Query t1servg2 Integer Recommended Orientation and mobility services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2orien_b
Query t1servg3 Integer Recommended Orientation and mobility services. Currently needed? 0;1 0=No; 1=Yes sixmo_services2orien_d
Query t1servg4 Integer Recommended Orientation and mobility services. On the wait list? 0;1 0=No; 1=Yes
t1servg4m String 15 Recommended Orientation and mobility services. How many months on wait list?
Query sixmo_services2orien_c Integer Recommended Orientation and mobility services. Received in 2016? 0;1 0=No; 1=Yes
Query t1servd Integer Recommended Physical therapy 0;1 0=No; 1=Yes sixmo_services2pt
Query t1servd1 Integer Recommended Physical therapy. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2pt_a
Query t1servd2 Integer Recommended Physical therapy. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2pt_b
Query t1servd3 Integer Recommended Physical therapy. Currently needed? 0;1 0=No; 1=Yes sixmo_services2pt_d
Query t1servd4 Integer Recommended Physical therapy. On the wait list? 0;1 0=No; 1=Yes
t1servd4m String 15 Recommended Physical therapy. How many months on wait list?
Query sixmo_services2pt_c Integer Recommended Physical therapy. Received in 2016? 0;1 0=No; 1=Yes
Query t1servn Integer Recommended Transportation because of his/her special needs 0;1 0=No; 1=Yes sixmo_services2transp
Query t1servn1 Integer Recommended Transportation. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2transp_a
Query t1servn2 Integer Recommended Transportation. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2transp_b
Query t1servn3 Integer Recommended Transportation. Currently needed? 0;1 0=No; 1=Yes sixmo_services2transp_d
Query t1servn4 Integer Recommended Transportation. On the wait list? 0;1 0=No; 1=Yes
t1servn4m String 15 Recommended Transportation. How many months on wait list?
Query sixmo_services2trasnp_c Integer Recommended Transportation. Received in 2016? 0;1 0=No; 1=Yes
Query t1servl Integer Recommended Nursing care 0;1 0=No; 1=Yes sixmo_services2nc
Query t1servl1 Integer Recommended Nursing care. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2nc_a
Query t1servl2 Integer Recommended Nursing care. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2nc_b
Query t1servl3 Integer Recommended Nursing care. Currently needed? 0;1 0=No; 1=Yes sixmo_services2nc_d
Query t1servl4 Integer Recommended Nursing care. On the wait list? 0;1 0=No; 1=Yes
t1servl4m String 15 Recommended Nursing care. How many months on wait list?
Query sixmo_services2nc_c Integer Recommended Nursing care. Received in 2016? 0;1 0=No; 1=Yes
Query t1servi Integer Recommended Personal assistant or an in-the-home aide 0;1 0=No; 1=Yes sixmo_services2pa
Query t1servi1 Integer Recommended Personal assistant or an in-the-home aide. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2pa_a
Query t1servi2 Integer Recommended Personal assistant or an in-the-home aide. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2pa_b
Query t1servi3 Integer Recommended Personal assistant or an in-the-home aide. Currently needed? 0;1 0=No; 1=Yes sixmo_services2pa_d
Query t1servi4 Integer Recommended Personal assistant or an in-the-home aide. On the wait list? 0;1 0=No; 1=Yes
t1servi4m String 15 Recommended Personal assistant or an in-the-home aide. How many months on wait list?
Query sixmo_services2pa_c Integer Recommended Personal assistant or an in-the-home aide. Received in 2016? 0;1 0=No; 1=Yes
Query t1servo Integer Recommended Respite care 0;1 0=No; 1=Yes sixmo_services2rc
Query t1servo1 Integer Recommended Respite care. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2rc_a
Query t1servo2 Integer Recommended Respite care. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2rc_b
Query t1servo3 Integer Recommended Respite care. Currently needed? 0;1 0=No; 1=Yes sixmo_services2rc_d
Query t1servo4 Integer Recommended Respite care. On the wait list? 0;1 0=No; 1=Yes
t1servo4m String 15 Recommended Respite care. How many months on wait list?
Query sixmo_services2rc_c Integer Recommended Respite care. Received in 2016? 0;1 0=No; 1=Yes
Query t1serve Integer Recommended Social work services 0;1 0=No; 1=Yes sixmo_services2sw
Query t1serve1 Integer Recommended Social work services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2sw_a
Query t1serve2 Integer Recommended Social work services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2sw_b
Query t1serve3 Integer Recommended Social work services. Currently needed? 0;1 0=No; 1=Yes sixmo_services2sw_d
Query t1serve4 Integer Recommended Social work services. On the wait list? 0;1 0=No; 1=Yes
Query t1serve4m String 15 Recommended Social work services. How many months on wait list?
Query sixmo_services2sw_c Integer Recommended Social work services. Received in 2016? 0;1 0=No; 1=Yes
Query t1servc Integer Recommended Psychological or mental health services or counseling 0;1 0=No; 1=Yes sixmo_services2psyc
Query t1servc1 Integer Recommended Psychological or mental health services or counseling. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2psyc_a
Query t1servc2 Integer Recommended Psychological or mental health services or counseling. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2psyc_b
Query t1servc3 Integer Recommended Psychological or mental health services or counseling. Currently needed? 0;1 0=No; 1=Yes sixmo_services2psyc_d
Query t1servc4 Integer Recommended Psychological or mental health services or counseling. On the wait list? 0;1 0=No; 1=Yes
t1servc4m String 15 Recommended Psychological or mental health services or counseling. How many months on wait list?
Query sixmo_services2psyc_c Integer Recommended Psychological or mental health services or counseling. Received in 2016? 0;1 0=No; 1=Yes
Query t1servh Integer Recommended Medical services for diagnosis or evaluation related to his/her special needs 0;1 0=No; 1=Yes sixmo_services2med
Query t1servh1 Integer Recommended Medical services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2med_a
Query t1servh2 Integer Recommended Medical services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2med_b
Query t1servh3 Integer Recommended Medical services. Currently needed? 0;1 0=No; 1=Yes sixmo_services2med_d
Query t1servh4 Integer Recommended Medical services. On the wait list? 0;1 0=No; 1=Yes
t1servh4m String 15 Recommended Medical services. How many months on wait list?
Query sixmo_services2med_c Integer Recommended Medical services. Received in 2016? 0;1 0=No; 1=Yes
Query t1servf Integer Recommended Training in independent living skills or occupational therapy 0;1 0=No; 1=Yes sixmo_services2ind
Query t1servfd String 50 Recommended Specify training/ occupational therapy: sixmo_services2ind_1
Query t1servf1 Integer Recommended Training/ occupational therapy. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2ind_a
Query t1servf2 Integer Recommended Training/ occupational therapy. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2ind_b
Query t1servf3 Integer Recommended Training/ occupational therapy. Currently needed? 0;1 0=No; 1=Yes sixmo_services2ind_d
Query t1servf4 Integer Recommended Training/ occupational therapy. On the wait list? 0;1 0=No; 1=Yes
Query t1servf4m String 15 Recommended Training/ occupational therapy. How many months on wait list?
Query sixmo_services2ind_c Integer Recommended Training/ occupational therapy. Received in 2016? 0;1 0=No; 1=Yes
Query t1servr Integer Recommended Housing assistance or services such as a supervised group home 0;1 0=No; 1=Yes sixmo_services2hous
Query t1servrd String 50 Recommended Specify housing service: sixmo_services2hous_1
Query t1servr1 Integer Recommended Housing service. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2hous_a
Query t1servr2 Integer Recommended Housing service. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2hous_b
Query t1servr3 Integer Recommended Housing service. Currently needed? 0;1 0=No; 1=Yes sixmo_services2hous_d
Query t1servr4 Integer Recommended Housing service. On the wait list? 0;1 0=No; 1=Yes
t1servr4m String 15 Recommended Housing service. How many months on wait list?
Query sixmo_services2hous_c Integer Recommended Housing service. Received in 2016? 0;1 0=No; 1=Yes
Query t1servp Integer Recommended Vocational services like job training, basic work skills training, career counseling, job shadowing, internships, help in finding a job 0;1 0=No; 1=Yes sixmo_services2voc
Query t1servpd String 50 Recommended Specify job services: sixmo_services2voc_1
Query t1servp1 Integer Recommended Job services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2voc_a
Query t1servp2 Integer Recommended Job services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2voc_b
Query t1servp3 Integer Recommended Job services. Currently needed? 0;1 0=No; 1=Yes sixmo_services2voc_d
Query t1servp4 Integer Recommended Job services. On the wait list? 0;1 0=No; 1=Yes
Query t1servp4m String 15 Recommended Job services. How many months on wait list?
Query sixmo_services2voc_c Integer Recommended Job services. Received in 2016? 0;1 0=No; 1=Yes
Query t1servq Integer Recommended Other services because of his or her special needs 0;1 0=No; 1=Yes sixmo_services2other
t1servqd String 50 Recommended Specify other services: sixmo_services2other_a
Query t1servq1 Integer Recommended Other services. Do you pay for 1::3 1=all of service; 2=some; 3=none sixmo_services2other_b
Query t1servq2 Integer Recommended Other services. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very sixmo_services2other_c
Query t1servq3 Integer Recommended Other services. Currently needed? 0;1 0=No; 1=Yes sixmo_services2other_e
Query t1servq4 Integer Recommended Other services. On the wait list? 0;1 0=No; 1=Yes
t1servq4m String 15 Recommended Other services. How many months on wait list?
Query sixmo_services2other_d Integer Recommended Other services. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services1 Integer Recommended Is your son/daughter currently receiving SSI (supplemental security income)? 0;1 0=No; 1=Yes
Query sixmo_services2 Integer Recommended SSI. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services3 Integer Recommended SSI. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services3_other String 50 Recommended SSI. Please specify:
Query sixmo_services4 Integer Recommended Is your son or daughter currently receiving SSDI? 0;1 0=No; 1=Yes
Query sixmo_services5 Integer Recommended SSDI. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services6 Integer Recommended SSDI. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services6_other String 50 Recommended SSDI. Please specify:
Query sixmo_services7 Integer Recommended Is your son/daughter currently receiving Vocational Rehabilitative (VR) Services? 0;1 0=No; 1=Yes
Query sixmo_services8 Integer Recommended VR. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services9 Integer Recommended VR. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services9_other String 50 Recommended VR. Please specify:
Query sixmo_services10 Integer Recommended Is your son/daughter currently receiving Medicaid Waiver Services? 0;1 0=No; 1=Yes
Query sixmo_services11 Integer Recommended Medicaid Waiver Services. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services12 Integer Recommended Medicaid Waiver Services. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services12_other String 50 Recommended Medicaid Waiver Services. Please specify:
Query sixmo_services13 Integer Recommended Is your son/daughter currently receiving conservatorship (including conservatorship, power of attorney, health care surrogate)? 0;1 0=No; 1=Yes
Query sixmo_services14 Integer Recommended Conservatorship. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services15 Integer Recommended Conservatorship. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services15_other String 50 Recommended Conservatorship. Please specify:
Query sixmo_services16 Integer Recommended Is your son/daughter currently receiving Special Needs Trust? 0;1 0=No; 1=Yes
Query sixmo_services17 Integer Recommended Special Needs Trust. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services18 Integer Recommended Special Needs Trust. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
Query sixmo_services18_other String 50 Recommended Special Needs Trust. Please specify:
Query sixmo_services19 Integer Recommended Is your son/daughter currently receiving Section 8 Housing? 0;1 0=No; 1=Yes
Query sixmo_services20 Integer Recommended Section 8 Housing. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services21 Integer Recommended Section 8 Housing. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
sixmo_services21_other String 50 Recommended Section 8 Housing. Please specify:
Query sixmo_services22 Integer Recommended Is your son currently receiving Ticket to Work? 0;1 0=No; 1=Yes
Query sixmo_services23 Integer Recommended Ticket to Work. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services24 Integer Recommended Ticket to Work. Why not receiving? 1::3 1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
sixmo_services24_other String 50 Recommended Ticket to Work. Please specify:
Query sixmo_services2fin Integer Recommended Is your son or daughter currently receiving financial aid? 0;1 0=No; 1=Yes
Query sixmo_services2fin_a Integer Recommended Financial aid. Do you pay for...? 1::3 1=all of service; 2=some; 3=none
Query sixmo_services2fin_b Integer Recommended Financial aid. How satisfied with service are you? 1::3 1=not at all; 2=somewhat; 3=very
Query sixmo_services2fin_c Integer Recommended Financial aid. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services2fin_d Integer Recommended Financial aid. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services2educ Integer Recommended Is your son or daughter currently receiving education assistance or tutoring? 0;1 0=No; 1=Yes
Query sixmo_services2educ_1 String 50 Recommended Education assistance or tutoring. Please specify type of service:
Query sixmo_services2educ_a Integer Recommended Education assistance or tutoring. Do you pay for...? 1::3 1=all of service; 2=some; 3=none
Query sixmo_services2educ_b Integer Recommended Education assistance or tutoring. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very
Query sixmo_services2educ_c Integer Recommended Education assistance or tutoring. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services2educ_d Integer Recommended Education assistance or tutoring. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services2child Integer Recommended Is your son or daughter currently receiving childcare services or parenting skills training? 0;1 0=No; 1=Yes
Query sixmo_services2child_a Integer Recommended Childcare services or parenting skills training. Do you pay for...? 1::3 1=all of service; 2=some; 3=none
Query sixmo_services2child_b Integer Recommended Childcare services or parenting skills training. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very
Query sixmo_services2child_c Integer Recommended Childcare services or parenting skills training. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services2child_d Integer Recommended Childcare services or parenting skills training. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services2adult Integer Recommended Is your son or daughter currently receiving adult day care? 0;1 0=No; 1=Yes
Query sixmo_services2adult_a Integer Recommended Adult day care. Do you pay for...? 1::3 1=all of service; 2=some; 3=none
Query sixmo_services2adult_b Integer Recommended Adult day care. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very
Query sixmo_services2adult_c Integer Recommended Adult day care. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services2adult_d Integer Recommended Adult day care. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services2case Integer Recommended Is your son or daughter currently receiving services from a case manager or someone who coordinates the services he/she receives? 0;1 0=No; 1=Yes
Query sixmo_services2case_a Integer Recommended Services from a case manager. Do you pay for...? 1::3 1=all of service; 2=some; 3=none
Query sixmo_services2case_b Integer Recommended Services from a case manager. How satisfied are you with service? 1::3 1=not at all; 2=somewhat; 3=very
Query sixmo_services2case_c Integer Recommended Services from a case manager. Received in 2016? 0;1 0=No; 1=Yes
Query sixmo_services2case_d Integer Recommended Services from a case manager. Currently needed? 0;1 0=No; 1=Yes
Query sixmo_services2waitlist Integer Recommended Is your son or daughter currently on a wait list for any services? 0;1 0=No; 1=Yes
Query sixmo_services2wait_b String 50 Recommended On a wait list. Please specify type of service:
Query sixmo_famrole Integer Recommended Did you begin receiving any new services in 2016? 0;1 0=No; 1=Yes
Query sixmo_famrole1 Integer Recommended Have you attempted to get services for your son or daughter since January 1, 2016? 0;1 0=No; 1=Yes
Query sixmo_famrole2 Integer Recommended Overall, how much effort did you or your family expend to get new services for your son or daughter? 1::4; -9 4= A great deal of effort; 3= Some effort; 2=A little effort; 1=Almost no effort; -9=No new services
Query sixmo_famrole_4 String 50 Recommended Please specify type of problem:
Query sixmo_famrole5 Integer Recommended Who coordinates the services your son or daughter receives? 1::6 1= social worker or other professional; 2= you or another family member; 3= teacher; 4= no one; 5= someone else; 6= N/A= doesn't receive any services
Query sixmo_famrole6 String 50 Recommended Please specify coordination:
Query notes String 200 Recommended Any additional notes sixmo_famrole5_comments
Query sixmo_services2wait_a___1 Integer Recommended On a wait list. Please specify services: Audiology 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___2 Integer Recommended On a wait list. Please specify services: Speech or language therapy 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___3 Integer Recommended On a wait list. Please specify services: Reader or interpreter 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___4 Integer Recommended On a wait list. Please specify services: Assistive technology 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___5 Integer Recommended On a wait list. Please specify services: Orientation and mobility 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___6 Integer Recommended On a wait list. Please specify services: Social work 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___7 Integer Recommended On a wait list. Please specify services: Independent living skills training 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___8 Integer Recommended On a wait list. Please specify services: Educational Assistance 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___9 Integer Recommended On a wait list. Please specify services: Personal assistant 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___10 Integer Recommended On a wait list. Please specify services: Case manager 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___11 Integer Recommended On a wait list. Please specify services: Medical services related to special needs 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___12 Integer Recommended On a wait list. Please specify services: Transportation 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___13 Integer Recommended On a wait list. Please specify services: Housing services 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___14 Integer Recommended On a wait list. Please specify services: Vocational services 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___15 Integer Recommended On a wait list. Please specify services: Nursing care 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___16 Integer Recommended On a wait list. Please specify services: Parenting skills training 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___17 Integer Recommended On a wait list. Please specify services: Physical therapy 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___18 Integer Recommended On a wait list. Please specify services: Mental health services 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___19 Integer Recommended On a wait list. Please specify services: Occupational therapy 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___20 Integer Recommended On a wait list. Please specify services: Respite care 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___21 Integer Recommended On a wait list. Please specify services: Childcare services 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___22 Integer Recommended On a wait list. Please specify services: Adult day care 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___23 Integer Recommended On a wait list. Please specify services: Financial aid 0;1 0=No; 1=Yes
Query sixmo_services2wait_a___24 Integer Recommended On a wait list. Please specify services: Other 0;1 0=No; 1=Yes
Query sixmo_famrole3___1 Integer Recommended Have any of the following been a problem in getting or dealing with services? cost of services 0;1 0=No; 1=Yes
Query sixmo_famrole3___2 Integer Recommended Have any of the following been a problem in getting or dealing with services? where services are provided 0;1 0=No; 1=Yes
Query sixmo_famrole3___3 Integer Recommended Have any of the following been a problem in getting or dealing with services? services not being available 0;1 0=No; 1=Yes
Query sixmo_famrole3___4 Integer Recommended Have any of the following been a problem in getting or dealing with services? physical accessibility of services 0;1 0=No; 1=Yes
Query sixmo_famrole3___5 Integer Recommended Have any of the following been a problem in getting or dealing with services? poor service quality 0;1 0=No; 1=Yes
Query sixmo_famrole3___6 Integer Recommended Have any of the following been a problem in getting or dealing with services? scheduling conflicts 0;1 0=No; 1=Yes
Query sixmo_famrole3___7 Integer Recommended Have any of the following been a problem in getting or dealing with services? language problems 0;1 0=No; 1=Yes
Query sixmo_famrole3___8 Integer Recommended Have any of the following been a problem in getting or dealing with services? lack of time for services 0;1 0=No; 1=Yes
Query sixmo_famrole3___9 Integer Recommended Have any of the following been a problem in getting or dealing with services? Transportation 0;1 0=No; 1=Yes
Query sixmo_famrole3___10 Integer Recommended Have any of the following been a problem in getting or dealing with services? son or daughter not being eligible for the service 0;1 0=No; 1=Yes
Query sixmo_famrole3___11 Integer Recommended Have any of the following been a problem in getting or dealing with services? lack of information about services 0;1 0=No; 1=Yes
Query sixmo_famrole3___12 Integer Recommended Have any of the following been a problem in getting or dealing with services? anything else 0;1 0=No; 1=Yes
avsev08p Integer Recommended How many times in the past 30 days have you received a session devoted to helping you with relapse triggers or other specific methods to help you avoid relapse? (?Cuantas veces en los ultimos 30 dias usted ha recibido una sesion dedicada a ayudarle con los factores de recaida u otros metodos espec?ficos para ayudarle a evitar la recaida?) (Number of times)
avsev09p Integer Recommended How many times in the past 30 days have you attended an AA/NA/CA or any other 12-Step or Self-Help session? (?Cuantas veces en los ultimos 30 dias usted ha atendido a una sesion de AA/NA/CA o a cualquier otra sesion de 12 pasos o autoayuda?) (Number of times)
avsev10p Integer Recommended How many days in the past 30 days have you seen a case manager, social worker or educational/training specialist regarding your education or training needs? (?Cuantas veces en los ultimos 30 dias usted ha visto a un administrador de casos, trabajador social o especialista en educacion/formacion con respecto a sus necesidades de educacion o formacion?) (Number of days)
avsev11p Integer Recommended In the past 30 days have you seen a housing agency or service to obtain adequate, safe, housing or to get assistance with your housing expenses (e.g. rent assistance)? (?Cuantas veces en los ultimos 30 dias usted ha visto una agencia o servicio de vivienda para obtener una vivienda adecuada y segura o para obtener ayuda con sus gastos de vivienda (por ejemplo, asistencia de alquiler)? 0;1 0 = No; 1 = Yes (Si)
avsev12p Integer Recommended In the past 30 days have you seen an individual, agency or service to improve your transportation problem, including getting your driver''s license? (?Cuantas veces en los ultimos 30 dias usted ha visto a un individuo, agencia, o servicio para mejorar su problema de transporte, incluyendo obtener su licencia de conducir?) 0;1 0 = No; 1 = Yes (Si)
avsev01p Integer Recommended How many times in the past 30 days have you had a physical examination or a visit to a medical professional for medical care? (?Cuantas veces en los ultimos 30 dias usted ha tenido un examen fisico o ha visitado a un profesional medico para recibir atencion medica?) (Number of times)
avsev02p Integer Recommended How many times in the past 30 days have you had a session by a specialist focused on helping you get housing, food, clothing or shelter? (?Cuantas veces en los ultimos 30 dias usted ha tenido una sesion con un especialista centrada en ayudarle a conseguir vivienda, comida, ropa o refugio?) (Number of times)
avsev03p Integer Recommended How many times in the past 30 days have you had a session by a specialist focused on helping you get SSI, Welfare, disability or other benefits? (?Cuantas veces en los ultimos 30 dias usted ha tenido una sesion con un especialista enfocada en ayudarle a obtener SSI, asistencia social, discapacidad u otros beneficios?) (Number of times)
avsev04p Integer Recommended How many times in the past 30 days have you had a session with a specialist focused on helping you get employment? (?Cuantas veces en los ultimos 30 dias usted ha tenido una sesion con un especialista centrada en ayudarle a conseguir empleo?) (Number of times)
avsev05p Integer Recommended How many times in the past 30 days have you actually taken a medication to help you detoxify from alcohol or drugs? (?Cuantas veces en los ultimos 30 dias usted ha realmente tomado un medicamento para ayudarle a desintoxicarse del alcohol o las drogas?) (Number of times)
avsev06p Integer Recommended How many times in the past 30 days have you actually taken a medication to prevent you from drinking or taking drugs? (?Cuantas veces en los ultimos 30 dias usted ha realmente tomado un medicamento para prevenir que bebas o tomes drogas?) (Number of times)
avsev07p Integer Recommended How many times in the past 30 days have you received acupuncture to stop or reduce your drinking or drug use? (?Cuantas veces en los ultimos 30 dias usted ha recibido acupuntura para detener o reducir su consumo de alcohol o drogas?) (Number of times)
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

Please email the The NDA Help Desk with any questions.

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