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Screening Diagnosis Form

0 Shared Subjects

N/A
Clinical Assessments
Questionnaire
06/25/2015
screendiag01
11/02/2023
View Change History
01
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_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
respondent String 20 Recommended Respondent
Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
scrresp
respond_detail_oth_spec String 255 Recommended Respondent details scrrespo
Query scrliv Integer Recommended Child lives with 1;2 1=respondent; 2=not with respondent
scrlivo String 50 Recommended If with respondent, where?
subject_verbal String 4 Recommended Is the subject verbal? Determines if dbaes_bnvtotal or dbaes_bvtotal should be populated.
Yes;No;NA
If Yes, then dbaes_bvtotal should not be null, else dbaes_bnvtotal should not be null. scrverb
Query scrscq Integer Recommended SCQ administered 0;1 0=No; 1=Yes
Query asdyn Integer Recommended In your judgment, is this child's behavior consistent with an autism spectrum diagnosis? 0;1 0=No; 1=Yes
Query asdyncert Integer Recommended How certain are you of this classification? 1::4 1=Highly uncertain ; 4=Highly certain
Query asddx Integer Recommended If ASD, what is the diagnosis? 1::3 1=299.00 autistic disorder; 2=299.80 Asperger's disorder; 3=299.80 PDD-NOS
Query asdpheno Integer Recommended Does this child demonstrate behavior consistent with the broader autism phenotype? 1::5 1=Social concerns (e.g., difficulties with peer relationships, social understanding) ; 2=Language/communication concerns (e.g., conversational difficulty, stereotyped language) ; 3=Atypical behaviors (e.g., rigidity, stereotyped mannerisms) ; 4=Emotional/behavioral regulation ; 5=Other
asdphenoo String 100 Recommended Specify other behavior
Query asdid Integer Recommended Intellectual disability 1::4 1=No risk present; 4=Clear risk present
Query asdld Integer Recommended Language delay/disorder 1::4 1=No risk present; 4=Clear risk present
Query asdsd Integer Recommended Speech/articulation disorder 1::4 1=No risk present; 4=Clear risk present
Query asdadhd Integer Recommended ADHD 1::4 1=No risk present; 4=Clear risk present
Query asddep Integer Recommended Depression 1::4 1=No risk present; 4=Clear risk present
Query asdanx Integer Recommended Anxiety 1::4 1=No risk present; 4=Clear risk present
Query asdemo Integer Recommended Emotional/behavioral regulation difficulties 1::4 1=No risk present; 4=Clear risk present
Query asdo Integer Recommended Other 1::4 1=No risk present; 4=Clear risk present
asdos String 100 Recommended Specify comorbid other
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data scrnote
prehar_mhi_a6_01 Integer Recommended Before Hurricane Harvey (before August 2017) did a doctor or other health care provider ever tell you that you had any of the following? Anxiety Disorder 0;1;9 0= No; 1= Yes; 9= Missing
prehar_mhi_a6_02 Integer Recommended Before Hurricane Harvey (before August 2017) did a doctor or other health care provider ever tell you that you had any of the following? Bipolar Disorder 0;1;9 0= No; 1= Yes; 9= Missing
prehar_mhi_a6_03 Integer Recommended Before Hurricane Harvey (before August 2017) did a doctor or other health care provider ever tell you that you had any of the following? Depression 0;1;9 0= No; 1= Yes; 9= Missing
prehar_mhi_a6_04 Integer Recommended Before Hurricane Harvey (before August 2017) did a doctor or other health care provider ever tell you that you had any of the following? Post-Traumatic Stress Disorder (PTSD) 0;1;9 0= No; 1= Yes; 9= Missing
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.