|
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
|
a1_socemot_reciprocity |
String |
1
|
Required |
Deficitis in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions. |
Y;N
|
|
a1_social_emotional_reciprocity |
Query
|
a2_nv_communication |
String |
1
|
Required |
Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication. |
Y;N
|
|
a2_nonverbal_communication |
Query
|
a3_relationships |
String |
1
|
Required |
Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers. |
Y;N
|
|
|
Query
|
b1_sterepet_behaviors |
String |
1
|
Required |
Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases) |
Y;N
|
|
b1_stereotyped_or_repetitive_behaviors |
Query
|
b2_routines |
String |
1
|
Required |
Insistence on sameness, inflexible adherence to routines, or ritualized patterns or verbal nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat food every day). |
Y;N
|
|
|
Query
|
b3_interests |
String |
1
|
Required |
Highly restricted, fixated interests that are abnormal in intensity or focus (e.g, strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interest). |
Y;N
|
|
|
Query
|
b4_sensory_issues |
String |
1
|
Required |
Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement). |
Y;N
|
|
|
Query
|
c_pres_earlydev |
String |
2
|
Required |
Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life) |
Y;N;NA
|
|
c_present_early_development |
Query
|
d_impairment |
String |
2
|
Required |
Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning. |
Y;N;NA
|
|
|
Query
|
e_no_better_explanation |
String |
2
|
Required |
These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level. |
Y;N;NA
|
|
|
Query
|
a_severity |
Integer |
|
Recommended |
Severity of persistent deficits in social communication and social interaction across multiple contexts |
1::3
|
1=Requiring support; 2=Requiring substantial support; 3=Requiring very substantial support
|
|
Query
|
b_severity |
Integer |
|
Recommended |
Severity of restricted, repetitive patterns of behavior, interests, or activities |
1::3
|
1=Requiring support; 2=Requiring substantial support; 3=Requiring very substantial support
|
|
|
dsm_antiper_dx_origprot |
Integer |
|
Recommended |
DSM ANTISOCIAL PERSONALITY Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
dsm_antisocial_personality_dx_origprot |
|
feighner_alcrit_origprot |
Integer |
|
Recommended |
Alcohol Dependence by FEIGHNER CRITERIA Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
feighner_criteria_alcrit_origprot |
|
dsm_alcoholism_dx_origprot |
Integer |
|
Recommended |
DSM ALCOHOLISM Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
dsm_drug_dep_dx_origprot |
Integer |
|
Recommended |
DSM DRUG Dependence Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
dsm_anxiety_dx_origprot |
Integer |
|
Recommended |
DSM ANXIETY Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
dsm_depression_dx_origprot |
Integer |
|
Recommended |
DSM DEPRESSION Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
dsm_mania_dx_origprot |
Integer |
|
Recommended |
DSM MANIA Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
dsm_schizophrenia_dx_origprot |
Integer |
|
Recommended |
DSM SCHIZOPHRENIA Diagnosis Baseline Protocol |
1::3
|
1 = Negative; 2 = Probable; 3 = Definitely met criteria
|
|
|
mint_diagnostics008 |
Integer |
|
Recommended |
Other Diagnosis Summary Sheet - Other diagnosis summary sheet completed on paper? |
1;2
|
1 = Yes; 2 = No
|
other_diag_sum_sheet_comp |
|
mint_diagnostics098 |
String |
100
|
Recommended |
Substance Use Disorder (Non-alcohol) - Current DSM Severity |
|
|
subst_use_severity |
|
mint_diagnostics099 |
Integer |
|
Recommended |
Substance Use Disorder (Non-alcohol) - Past |
1;2
|
1 = Yes; 2 = No
|
subst_use_ever |
|
mint_diagnostics100 |
Integer |
|
Recommended |
Substance Use Disorder (Non-alcohol) - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
subst_use_last_year |
|
mint_diagnostics101 |
Integer |
|
Recommended |
Substance Use Disorder (Non-alcohol) - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
subst_use_follow_up |
|
mint_diagnostics102 |
String |
1,000
|
Recommended |
Substance Use Disorder (Non-alcohol) - Justification: |
|
|
subst_use_notes |
|
mint_diagnostics103 |
Integer |
|
Recommended |
Alcohol Abuse - Current |
1;2
|
1 = Yes; 2 = No
|
alcohol_abuse_follow_up |
|
mint_diagnostics104 |
String |
100
|
Recommended |
Alcohol Abuse - Current DSM Severity |
|
|
alcohol_abuse_ever |
|
mint_diagnostics105 |
Integer |
|
Recommended |
Alcohol Abuse - Past |
1;2
|
1 = Yes; 2 = No
|
alcohol_abuse_last_year |
|
mint_diagnostics106 |
Integer |
|
Recommended |
Alcohol Abuse - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
alcohol_abuse_current |
|
mint_diagnostics107 |
String |
100
|
Recommended |
Alcohol Abuse - Follow-Up Needed? |
|
|
alcohol_abuse_severity |
|
mint_diagnostics009 |
Integer |
|
Recommended |
Other Diagnosis Summary Sheet - Please select one of the following to indicate participant's age and interview used. |
1::5
|
1 = Minor/MINI-Kid; 2 = Adult/MINI; 3 = Minor/DISC; 4 = Adult/DISC; 5 = Other
|
other_dx_age_interview |
|
mint_diagnostics108 |
String |
1,000
|
Recommended |
Alcohol Abuse - Justification: |
|
|
alcohol_abuse_notes |
|
mint_diagnostics109 |
Integer |
|
Recommended |
Alcohol Dependence - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
alcohol_dep_follow_up |
|
mint_diagnostics110 |
Integer |
|
Recommended |
Alcohol Dependence - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
alcohol_dep_ever |
|
mint_diagnostics111 |
Integer |
|
Recommended |
Alcohol Dependence - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
alcohol_dep_last_year |
|
mint_diagnostics112 |
Integer |
|
Recommended |
Alcohol Dependence - Currently? |
1;2
|
1 = Yes; 2 = No
|
alcohol_dep_current |
|
mint_diagnostics113 |
String |
100
|
Recommended |
Alcohol Dependence - Current DSM Severity |
|
|
alcohol_dep_severity |
|
mint_diagnostics114 |
String |
1,000
|
Recommended |
Alcohol Dependence - Justification: |
|
|
alcohol_dep_notes |
|
mint_diagnostics115 |
Integer |
|
Recommended |
Nicotine Dependence - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
nicotine_dep_follow_up |
|
mint_diagnostics116 |
Integer |
|
Recommended |
Nicotine Dependence - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
nicotine_dep_ever |
|
mint_diagnostics117 |
Integer |
|
Recommended |
Nicotine Dependence - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
nicotine_dep_last_year |
|
mint_diagnostics010 |
Integer |
|
Recommended |
Major Depressive Episode - Current |
1;2
|
1 = Yes; 2 = No
|
depr_current |
|
mint_diagnostics118 |
Integer |
|
Recommended |
Nicotine Dependence - Currently? |
1;2
|
1 = Yes; 2 = No
|
nicotine_dep_current |
|
mint_diagnostics119 |
String |
100
|
Recommended |
Nicotine Dependence - Current DSM Severity |
|
|
nicotine_dep_severity |
|
mint_diagnostics120 |
String |
1,000
|
Recommended |
Nicotine Dependence - Justification: |
|
|
nicotine_dep_notes |
|
mint_diagnostics121 |
Integer |
|
Recommended |
Marijuana Abuse - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
marij_abuse_follow_up |
|
mint_diagnostics122 |
Integer |
|
Recommended |
Marijuana Abuse - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
marij_abuse_ever |
|
mint_diagnostics123 |
Integer |
|
Recommended |
Marijuana Abuse - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
marij_abuse_last_year |
|
mint_diagnostics124 |
Integer |
|
Recommended |
Marijuana Abuse - Currently? |
1;2
|
1 = Yes; 2 = No
|
marij_abuse_current |
|
mint_diagnostics125 |
String |
100
|
Recommended |
Marijuana Abuse - Current DSM Severity |
|
|
marij_abuse_severity |
|
mint_diagnostics126 |
String |
1,000
|
Recommended |
Marijuana Abuse - Justification: |
|
|
marij_abuse_notes |
|
mint_diagnostics127 |
Integer |
|
Recommended |
Marijuana Dependence - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
marij_dep_follow_up |
|
mint_diagnostics011 |
String |
100
|
Recommended |
Major Depressive Episode - Current DSM Severity |
|
|
depr_severity |
|
mint_diagnostics128 |
Integer |
|
Recommended |
Marijuana Dependence - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
marij_dep_ever |
|
mint_diagnostics129 |
Integer |
|
Recommended |
Marijuana Dependence - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
marij_dep_last_year |
|
mint_diagnostics130 |
Integer |
|
Recommended |
Marijuana Dependence - Currently? |
1;2
|
1 = Yes; 2 = No
|
marij_dep_current |
|
mint_diagnostics131 |
String |
100
|
Recommended |
Marijuana Dependence - Current DSM Severity |
|
|
marij_dep_severity |
|
mint_diagnostics132 |
String |
1,000
|
Recommended |
Marijuana Dependence - Justification: |
|
|
marij_dep_notes |
|
mint_diagnostics133 |
Integer |
|
Recommended |
Substance Abuse - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
subst_abuse_follow_up |
|
mint_diagnostics134 |
Integer |
|
Recommended |
Substance Abuse - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
subst_abuse_ever |
|
mint_diagnostics135 |
Integer |
|
Recommended |
Substance Abuse - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
subst_abuse_last_year |
|
mint_diagnostics136 |
Integer |
|
Recommended |
Substance Abuse - Currently? |
1;2
|
1 = Yes; 2 = No
|
subst_abuse_current |
|
mint_diagnostics137 |
String |
100
|
Recommended |
Substance Abuse - Current DSM Severity |
|
|
subst_abuse_severity |
|
mint_diagnostics012 |
Integer |
|
Recommended |
Major Depressive Episode - Past |
1;2
|
1 = Yes; 2 = No
|
depr_ever |
|
mint_diagnostics138 |
String |
1,000
|
Recommended |
Substance Abuse - Justification: |
|
|
subst_abuse_notes |
|
mint_diagnostics139 |
Integer |
|
Recommended |
Substance Dependence - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
subst_dep_follow_up |
|
mint_diagnostics140 |
Integer |
|
Recommended |
Substance Dependence - Diagnosis ever present? |
1;2
|
1 = Yes; 2 = No
|
subst_dep_ever |
|
mint_diagnostics141 |
Integer |
|
Recommended |
Substance Dependence - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
subst_dep_last_year |
|
mint_diagnostics142 |
Integer |
|
Recommended |
Substance Dependence - Currently? |
1;2
|
1 = Yes; 2 = No
|
subst_dep_current |
|
mint_diagnostics143 |
String |
100
|
Recommended |
Substance Dependence - Current DSM Severity |
|
|
subst_dep_severity |
|
mint_diagnostics144 |
String |
1,000
|
Recommended |
Substance Dependence - Justification: |
|
|
subst_dep_notes |
|
mint_diagnostics145 |
Integer |
|
Recommended |
Tourette's Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
tourettes_current |
|
mint_diagnostics146 |
String |
100
|
Recommended |
Tourette's Disorder - Diagnosis ever present? |
|
|
tourettes_severity |
|
mint_diagnostics147 |
Integer |
|
Recommended |
Tourette's Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
tourettes_ever |
|
mint_diagnostics013 |
Integer |
|
Recommended |
Major Depressive Episode - Recurrent |
1;2
|
1 = Yes; 2 = No
|
depr_recurrent |
|
mint_diagnostics148 |
Integer |
|
Recommended |
Tourette's Disorder - Currently? |
1;2
|
1 = Yes; 2 = No
|
tourettes_last_year |
|
mint_diagnostics149 |
String |
100
|
Recommended |
Tourette's Disorder - Current DSM Severity |
|
|
tourettes_follow_up |
|
mint_diagnostics150 |
String |
1,000
|
Recommended |
Tourette's Disorder - Justification: |
|
|
tourettes_notes |
|
mint_diagnostics151 |
Integer |
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
motor_tic_current |
|
mint_diagnostics152 |
String |
100
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Current DSM Severity |
|
|
motor_tic_severity |
|
mint_diagnostics153 |
Integer |
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
motor_tic_ever |
|
mint_diagnostics154 |
Integer |
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
motor_tic_last_year |
|
mint_diagnostics155 |
Integer |
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
motor_tic_follow_up |
|
mint_diagnostics156 |
String |
1,000
|
Recommended |
Persistent (Chronic) Motor Tic Disorder - Justification: |
|
|
motor_tic_notes |
|
mint_diagnostics157 |
Integer |
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
vocal_tic_current |
|
mint_diagnostics014 |
Integer |
|
Recommended |
Major Depressive Episode - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
depr_last_year |
|
mint_diagnostics158 |
String |
100
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Current DSM Severity |
|
|
vocal_tic_severity |
|
mint_diagnostics159 |
Integer |
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
vocal_tic_ever |
|
mint_diagnostics160 |
Integer |
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
vocal_tic_last_year |
|
mint_diagnostics161 |
Integer |
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
vocal_tic_follow_up |
|
mint_diagnostics162 |
String |
1,000
|
Recommended |
Persistent (Chronic) Vocal Tic Disorder - Justification: |
|
|
vocal_tic_notes |
|
mint_diagnostics163 |
Integer |
|
Recommended |
Provisional (Transient) Tic Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
prov_tic_current |
|
mint_diagnostics164 |
String |
100
|
Recommended |
Provisional (Transient) Tic Disorder - Current DSM Severity |
|
|
prov_tic_severity |
|
mint_diagnostics165 |
Integer |
|
Recommended |
Provisional (Transient) Tic Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
prov_tic_ever |
|
mint_diagnostics166 |
Integer |
|
Recommended |
Provisional (Transient) Tic Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
prov_tic_last_year |
|
mint_diagnostics167 |
Integer |
|
Recommended |
Provisional (Transient) Tic Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
prov_tic_follow_up |
|
mint_diagnostics015 |
Integer |
|
Recommended |
Major Depressive Episode - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
depr_follow_up |
|
mint_diagnostics168 |
String |
1,000
|
Recommended |
Provisional (Transient) Tic Disorder - Justification: |
|
|
prov_tic_notes |
|
mint_diagnostics169 |
Integer |
|
Recommended |
Conduct Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
conduct_current |
|
mint_diagnostics170 |
String |
100
|
Recommended |
Conduct Disorder - Current DSM Severity |
|
|
conduct_severity |
|
mint_diagnostics171 |
Integer |
|
Recommended |
Conduct Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
conduct_ever |
|
mint_diagnostics172 |
Integer |
|
Recommended |
Conduct Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
conduct_last_year |
|
mint_diagnostics173 |
Integer |
|
Recommended |
Conduct Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
conduct_follow_up |
|
mint_diagnostics174 |
String |
1,000
|
Recommended |
Conduct Disorder - Justification: |
|
|
conduct_notes |
|
mint_diagnostics175 |
Integer |
|
Recommended |
Oppositional Defiant Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
odd_current |
|
mint_diagnostics176 |
String |
100
|
Recommended |
Oppositional Defiant Disorder - Current DSM Severity |
|
|
odd_severity |
|
mint_diagnostics177 |
Integer |
|
Recommended |
Oppositional Defiant Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
odd_ever |
|
mint_diagnostics016 |
String |
1,000
|
Recommended |
Major Depressive Episode - Justification: |
|
|
depr_notes |
|
mint_diagnostics178 |
Integer |
|
Recommended |
Oppositional Defiant Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
odd_last_year |
|
mint_diagnostics179 |
Integer |
|
Recommended |
Oppositional Defiant Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
odd_follow_up |
|
mint_diagnostics180 |
String |
1,000
|
Recommended |
Oppositional Defiant Disorder - Justification: |
|
|
odd_notes |
|
mint_diagnostics181 |
Integer |
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
schiz_current |
|
mint_diagnostics182 |
String |
100
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Current DSM Severity |
|
|
schiz_severity |
|
mint_diagnostics183 |
Integer |
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
schiz_ever |
|
mint_diagnostics184 |
Integer |
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
schiz_last_year |
|
mint_diagnostics185 |
Integer |
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
schiz_follow_up |
|
mint_diagnostics186 |
String |
1,000
|
Recommended |
Schizophrenia/Any Psychotic Disorder - Justification: |
|
|
schiz_notes |
|
mint_diagnostics187 |
Integer |
|
Recommended |
Major Depressive Disorder with Psychotic Features - Current |
1;2
|
1 = Yes; 2 = No
|
mdd_psych_current |
|
mint_diagnostics017 |
Integer |
|
Recommended |
Major Depressive Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
mdd_current |
|
mint_diagnostics188 |
String |
100
|
Recommended |
Major Depressive Disorder with Psychotic Features - Current DSM Severity |
|
|
mdd_psych_severity |
|
mint_diagnostics189 |
Integer |
|
Recommended |
Major Depressive Disorder with Psychotic Features - Past |
1;2
|
1 = Yes; 2 = No
|
mdd_psych_ever |
|
mint_diagnostics190 |
Integer |
|
Recommended |
Major Depressive Disorder with Psychotic Features - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
mdd_psych_last_year |
|
mint_diagnostics191 |
Integer |
|
Recommended |
Major Depressive Disorder with Psychotic Features - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
mdd_psych_follow_up |
|
mint_diagnostics192 |
String |
1,000
|
Recommended |
Major Depressive Disorder with Psychotic Features - Justification: |
|
|
mdd_psych_notes |
|
mint_diagnostics193 |
Integer |
|
Recommended |
Bipolar I Disorder with Psychotic Features - Current |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_psych_current |
|
mint_diagnostics194 |
String |
100
|
Recommended |
Bipolar I Disorder with Psychotic Features - Current DSM Severity |
|
|
bipolar_i_psych_severity |
|
mint_diagnostics195 |
Integer |
|
Recommended |
Bipolar I Disorder with Psychotic Features - Past |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_psych_ever |
|
mint_diagnostics196 |
Integer |
|
Recommended |
Bipolar I Disorder with Psychotic Features - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_psych_last_year |
|
mint_diagnostics197 |
Integer |
|
Recommended |
Bipolar I Disorder with Psychotic Features - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_psych_follow_up |
|
mint_diagnostics018 |
String |
100
|
Recommended |
Major Depressive Disorder - Current DSM Severity |
|
|
mdd_severity |
|
mint_diagnostics198 |
String |
1,000
|
Recommended |
Bipolar I Disorder with Psychotic Features - Justification: |
|
|
bipolar_i_psych_notes |
|
mint_diagnostics199 |
Integer |
|
Recommended |
Generalized Anxiety Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
gad_current |
|
mint_diagnostics200 |
String |
100
|
Recommended |
Generalized Anxiety Disorder - Current DSM Severity |
|
|
gad_severity |
|
mint_diagnostics201 |
Integer |
|
Recommended |
Generalized Anxiety Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
gad_ever |
|
mint_diagnostics202 |
Integer |
|
Recommended |
Generalized Anxiety Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
gad_last_year |
|
mint_diagnostics203 |
Integer |
|
Recommended |
Generalized Anxiety Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
gad_follow_up |
|
mint_diagnostics204 |
String |
1,000
|
Recommended |
Generalized Anxiety Disorder - Justification: |
|
|
gad_notes |
|
mint_diagnostics205 |
Integer |
|
Recommended |
Disruptive Mood Dysregulation Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
dmdd_current |
|
mint_diagnostics206 |
String |
100
|
Recommended |
Disruptive Mood Dysregulation Disorder - Current DSM Severity |
|
|
dmdd_severity |
|
mint_diagnostics207 |
Integer |
|
Recommended |
Disruptive Mood Dysregulation Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
dmdd_ever |
|
mint_diagnostics019 |
Integer |
|
Recommended |
Major Depressive Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
mdd_ever |
|
mint_diagnostics208 |
Integer |
|
Recommended |
Disruptive Mood Dysregulation Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
dmdd_last_year |
|
mint_diagnostics209 |
Integer |
|
Recommended |
Disruptive Mood Dysregulation Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
dmdd_follow_up |
|
mint_diagnostics210 |
String |
1,000
|
Recommended |
Disruptive Mood Dysregulation Disorder - Justification: |
|
|
dmdd_notes |
|
mint_diagnostics211 |
Integer |
|
Recommended |
Antisocial Personality Disorder - Antisocial Personality Disorder (Lifetime) |
1;2
|
1 = Yes; 2 = No
|
antisocial_lifetime |
|
mint_diagnostics212 |
Integer |
|
Recommended |
Antisocial Personality Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
antisocial_followup |
|
mint_diagnostics213 |
String |
1,000
|
Recommended |
Antisocial Personality Disorder - Justification |
|
|
antisocial_justification |
|
mint_diagnostics020 |
Integer |
|
Recommended |
Major Depressive Disorder - Recurrent |
1;2
|
1 = Yes; 2 = No
|
mdd_recurrent |
|
mint_diagnostics021 |
Integer |
|
Recommended |
Major Depressive Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
mdd_last_year |
|
mint_diagnostics022 |
Integer |
|
Recommended |
Major Depressive Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
mdd_follow_up |
|
mint_diagnostics023 |
String |
1,000
|
Recommended |
Major Depressive Disorder - Justification: |
|
|
mdd_notes |
|
mint_diagnostics024 |
Integer |
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
dysthymia_current |
|
mint_diagnostics025 |
String |
100
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Current DSM Severity |
|
|
dysthymia_severity |
|
mint_diagnostics026 |
Integer |
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
dysthymia_ever |
|
mint_diagnostics027 |
Integer |
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
dysthymia_last_year |
|
mint_diagnostics001 |
String |
100
|
Recommended |
ADHD Diagnostic Summary Sheet - Number of Current IA Symptoms in Clinical Interview (Parent/Observer) |
|
|
current_ia_other |
|
mint_diagnostics028 |
Integer |
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
dysthymia_follow_up |
|
mint_diagnostics029 |
String |
1,000
|
Recommended |
Dysthymia/Persistent Depressive Disorder - Justification: |
|
|
dysthymia_notes |
|
mint_diagnostics030 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts without a plan? Check all that apply. Current (past month) |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_no_plan1 |
|
mint_diagnostics031 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts without a plan? Check all that apply. Past |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_no_plan2 |
|
mint_diagnostics032 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts without a plan? Check all that apply. No |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_no_plan3 |
|
mint_diagnostics033 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts with a plan? Check all that apply. Current (Past month) |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_plan1 |
|
mint_diagnostics034 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts with a plan? Check all that apply. Past |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_plan2 |
|
mint_diagnostics035 |
Integer |
|
Recommended |
Suicidality - Has the participant had suicidal thoughts with a plan? Check all that apply. No |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_plan3 |
|
mint_diagnostics036 |
Integer |
|
Recommended |
Suicidality - Has the participant attempted suicide? Check all that apply. Current (Past month) |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_attempts1 |
|
mint_diagnostics037 |
Integer |
|
Recommended |
Suicidality - Has the participant attempted suicide? Check all that apply. Past |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_attempts2 |
|
mint_diagnostics002 |
String |
100
|
Recommended |
ADHD Diagnostic Summary Sheet - Number of Current IA Symptoms in Clinical Interview (Self) |
|
|
current_ia_self |
|
mint_diagnostics038 |
Integer |
|
Recommended |
Suicidality - Has the participant attempted suicide? Check all that apply. No |
0;1
|
0 = Not checked; 1 = Checked
|
suicide_attempts3 |
|
mint_diagnostics039 |
String |
100
|
Recommended |
Suicidality - How many attempts within the last month (current)? |
|
|
suicide_attempt_curr |
|
mint_diagnostics040 |
String |
100
|
Recommended |
Suicidality - How many attempts in the past? |
|
|
suicide_attempt_past |
|
mint_diagnostics041 |
Integer |
|
Recommended |
Suicidality - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
suicide_follow_up |
|
mint_diagnostics042 |
String |
1,000
|
Recommended |
Suicidality - Justification: |
|
|
suicide_notes |
|
mint_diagnostics043 |
Integer |
|
Recommended |
Mania - Current |
1;2
|
1 = Yes; 2 = No
|
mania_current |
|
mint_diagnostics044 |
String |
100
|
Recommended |
Mania - Current DSM Severity |
|
|
mania_severity |
|
mint_diagnostics045 |
Integer |
|
Recommended |
Mania - Past |
1;2
|
1 = Yes; 2 = No
|
mania_ever |
|
mint_diagnostics046 |
Integer |
|
Recommended |
Mania - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
mania_last_year |
|
mint_diagnostics047 |
Integer |
|
Recommended |
Mania - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
mania_follow_up |
|
mint_diagnostics003 |
String |
100
|
Recommended |
ADHD Diagnostic Summary Sheet - Number of Current HI Symptoms in Clinical Interview (Parent/Observer) |
|
|
current_hi_other |
|
mint_diagnostics048 |
String |
1,000
|
Recommended |
Mania - Justification: |
|
|
mania_notes |
|
mint_diagnostics049 |
Integer |
|
Recommended |
Hypomania - Current |
1;2
|
1 = Yes; 2 = No
|
hypomania_current |
|
mint_diagnostics050 |
String |
100
|
Recommended |
Hypomania - Current DSM Severity |
|
|
hypomania_severity |
|
mint_diagnostics051 |
Integer |
|
Recommended |
Hypomania - Past |
1;2
|
1 = Yes; 2 = No
|
hypomania_ever |
|
mint_diagnostics052 |
Integer |
|
Recommended |
Hypomania - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
hypomania_last_year |
|
mint_diagnostics053 |
Integer |
|
Recommended |
Hypomania - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
hypomania_follow_up |
|
mint_diagnostics054 |
String |
1,000
|
Recommended |
Hypomania - Justification: |
|
|
hypomania_notes |
|
mint_diagnostics055 |
Integer |
|
Recommended |
Bipolar I Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_current |
|
mint_diagnostics056 |
String |
100
|
Recommended |
Bipolar I Disorder - Current DSM Severity |
|
|
bipolar_i_severity |
|
mint_diagnostics057 |
Integer |
|
Recommended |
Bipolar I Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_ever |
|
mint_diagnostics004 |
String |
100
|
Recommended |
ADHD Diagnostic Summary Sheet - Number of Current HI Symptoms in Clinical Interview (Self) |
|
|
current_hi_self |
|
mint_diagnostics058 |
Integer |
|
Recommended |
Bipolar I Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_last_year |
|
mint_diagnostics059 |
Integer |
|
Recommended |
Bipolar I Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
bipolar_i_follow_up |
|
mint_diagnostics060 |
String |
1,000
|
Recommended |
Bipolar I Disorder - Justification: |
|
|
bipolar_i_notes |
|
mint_diagnostics061 |
Integer |
|
Recommended |
Bipolar II Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
bipolar_ii_current |
|
mint_diagnostics062 |
String |
100
|
Recommended |
Bipolar II Disorder - Current DSM Severity |
|
|
bipolar_ii_severity |
|
mint_diagnostics063 |
Integer |
|
Recommended |
Bipolar II Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
bipolar_ii_ever |
|
mint_diagnostics064 |
Integer |
|
Recommended |
Bipolar II Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
bipolar_ii_last_year |
|
mint_diagnostics065 |
Integer |
|
Recommended |
Bipolar II Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
bipolar_ii_follow_up |
|
mint_diagnostics066 |
String |
1,000
|
Recommended |
Bipolar II Disorder - Justification: |
|
|
bipolar_ii_notes |
|
mint_diagnostics067 |
Integer |
|
Recommended |
Other Specified Bipolar or Related Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
other_bipolar_current |
|
mint_diagnostics005 |
Integer |
|
Recommended |
ADHD Diagnostic Summary Sheet - ADHD Diagnosis (please indicate which box was checked): |
1;7::11
|
1 = Subject meets full criteria for ADHD Combined Presentation; 7 = Subject meets full criteria for ADHD Predominantly Hyperactive/Impulsive Presentation; 8 = Subject meets full criteria for ADHD Predominantly Inattentive Presentation with some ELEVATED hyperactive/impulsive symptoms; 9 = Subject meets full criteria for ADHD Predominantly Inattentive Presentation with FEW IF ANY hyperactive/impulsive symptoms; 10 = Subject does NOT meet criteria for ADHD, but exhibits ELEVATED hyperactive/impulsive symptoms; 11 = Subject does NOT meet criteria for ADHD, and exhibits FEW IF ANY hyperactive impulsive symptoms
|
adhd_diagnosis |
|
mint_diagnostics068 |
String |
100
|
Recommended |
Other Specified Bipolar or Related Disorder - Current DSM Severity |
|
|
other_bipolar_severity |
|
mint_diagnostics069 |
Integer |
|
Recommended |
Other Specified Bipolar or Related Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
other_bipolar_ever |
|
mint_diagnostics070 |
Integer |
|
Recommended |
Other Specified Bipolar or Related Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
other_bipolar_last_year |
|
mint_diagnostics071 |
Integer |
|
Recommended |
Other Specified Bipolar or Related Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
other_bipolar_follow_up |
|
mint_diagnostics072 |
String |
1,000
|
Recommended |
Other Specified Bipolar or Related Disorder - Justification: |
|
|
other_bipolar_notes |
|
mint_diagnostics073 |
Integer |
|
Recommended |
Panic Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
panic_current |
|
mint_diagnostics074 |
String |
100
|
Recommended |
Panic Disorder - Current DSM Severity |
|
|
panic_severity |
|
mint_diagnostics075 |
Integer |
|
Recommended |
Panic Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
panic_ever |
|
mint_diagnostics076 |
Integer |
|
Recommended |
Panic Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
panic_last_year |
|
mint_diagnostics077 |
Integer |
|
Recommended |
Panic Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
panic_follow_up |
|
mint_diagnostics006 |
Integer |
|
Recommended |
ADHD Diagnostic Summary Sheet - ADHD Severity |
1::3
|
1 = Mild; 2 = Moderate; 3 = Severe
|
adhd_severity |
|
mint_diagnostics078 |
String |
1,000
|
Recommended |
Panic Disorder - Justification: |
|
|
panic_notes |
|
mint_diagnostics079 |
Integer |
|
Recommended |
Obsessive Compulsive Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
ocd_current |
|
mint_diagnostics080 |
String |
100
|
Recommended |
Obsessive Compulsive Disorder - Current DSM Severity |
|
|
ocd_severity |
|
mint_diagnostics081 |
Integer |
|
Recommended |
Obsessive Compulsive Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
ocd_ever |
|
mint_diagnostics082 |
Integer |
|
Recommended |
Obsessive Compulsive Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
ocd_last_year |
|
mint_diagnostics083 |
Integer |
|
Recommended |
Obsessive Compulsive Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
ocd_follow_up |
|
mint_diagnostics084 |
String |
1,000
|
Recommended |
Obsessive Compulsive Disorder - Justification: |
|
|
ocd_notes |
|
mint_diagnostics085 |
Integer |
|
Recommended |
Post Traumatic Stress Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
ptsd_current |
|
mint_diagnostics086 |
String |
100
|
Recommended |
Post Traumatic Stress Disorder - Current DSM Severity |
|
|
ptsd_severity |
|
mint_diagnostics087 |
Integer |
|
Recommended |
Post Traumatic Stress Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
ptsd_ever |
|
mint_diagnostics007 |
Integer |
|
Recommended |
ADHD Diagnostic Summary Sheet - ADHD In Partial Remission? |
1;2
|
1 = Yes; 2 = No
|
partial_remission |
|
mint_diagnostics088 |
Integer |
|
Recommended |
Post Traumatic Stress Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
ptsd_last_year |
|
mint_diagnostics089 |
Integer |
|
Recommended |
Post Traumatic Stress Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
ptsd_follow_up |
|
mint_diagnostics090 |
String |
1,000
|
Recommended |
Post Traumatic Stress Disorder - Justification: |
|
|
ptsd_notes |
|
mint_diagnostics091 |
Integer |
|
Recommended |
Alcohol Use Disorder - Current |
1;2
|
1 = Yes; 2 = No
|
alcohol_use_current |
|
mint_diagnostics092 |
String |
100
|
Recommended |
Alcohol Use Disorder - Current DSM Severity |
|
|
alcohol_use_severity |
|
mint_diagnostics093 |
Integer |
|
Recommended |
Alcohol Use Disorder - Past |
1;2
|
1 = Yes; 2 = No
|
alcohol_use_ever |
|
mint_diagnostics094 |
Integer |
|
Recommended |
Alcohol Use Disorder - Diagnosis present within the last year? |
1;2
|
1 = Yes; 2 = No
|
alcohol_use_last_year |
|
mint_diagnostics095 |
Integer |
|
Recommended |
Alcohol Use Disorder - Follow-Up Needed? |
1;2
|
1 = Yes; 2 = No
|
alcohol_use_follow_up |
|
mint_diagnostics096 |
String |
1,000
|
Recommended |
Alcohol Use Disorder - Justification: |
|
|
alcohol_use_notes |
|
mint_diagnostics097 |
Integer |
|
Recommended |
Substance Use Disorder (Non-alcohol) - Current |
1;2
|
1 = Yes; 2 = No
|
subst_use_current |
|
dsm5asd_section_e_1 |
Integer |
|
Recommended |
E1: ASD Diagnosis |
0;1
|
0= Absent; 1= Present
|
|
|
dsm5asd_certainty |
Integer |
|
Recommended |
Certainty Rating: Select the range below that represents your level of certainty in the CBE diagnosis provided above: |
1::5
|
1 = 0-20%; 2 = 21-40%; 3 = 41-60%; 4 = 61-80%; 5 = 81-100%
|
|