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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL
Change History For

Minimally Verbal - Common Demographic Intake Form

0 Shared Subjects

The Common Demographic Intake Form as defined by the Minimally Verbal Workgroup
Clinical Assessments
Demographics
09/27/2011
mv_demo_intake01
09/28/2011
View Data Structure
01
Definition
Submission Template
Element Name Change Description Before Now When
medication9_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 05/24/2023 10:47 AM
medication8_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 05/24/2023 10:47 AM
medication7_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 05/24/2023 10:47 AM
medication4_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 05/24/2023 10:47 AM
medication3_name ELEMENT_SIZE, ELEMENT_SIZE: 150 ELEMENT_SIZE: 500 05/24/2023 10:46 AM
medication2_name ELEMENT_SIZE, ELEMENT_SIZE: 200 ELEMENT_SIZE: 500 05/24/2023 10:46 AM
race VALUE_RANGE, VALUE_RANGE: 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; Prefer not to answer VALUE_RANGE: 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 04/06/2023 12:02 PM
race VALUE_RANGE, VALUE_RANGE: 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 VALUE_RANGE: 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; Prefer not to answer 04/06/2023 11:39 AM
race VALUE_RANGE, VALUE_RANGE: 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 VALUE_RANGE: 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 07/15/2022 10:00 AM
race VALUE_RANGE, VALUE_RANGE: American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported VALUE_RANGE: 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 07/29/2021 12:53 PM
sex DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Sex of subject at birth 07/09/2021 10:38 AM
interview_date NOTES, NOTES: Required field NOTES: 01/08/2021 10:21 AM
cg1_education VALUE_RANGE, , NOTES, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; No formal schooling completed; Nursery school to 4th grade; 5th or 6th grade; 7th or 8th grade; 9th grade; 10th grade;11th grade; 12th grade, no diploma; High School Graduate/GED or equivalent; Some college credit, but less than 1 year; Technical college/vocational school; Associate degree; Bachelors's degree; Master's degree; Professional degree; Doctorate degree;Refused; Some elementary; Elementary; Some Middle School; Middle School; Some High School; GED; High School; Trade School/Certification Program; Undergraduate Degree; Some Graduate School; Less than 7th grade; Junior High; High School Graduate; Some College; Special Training After High School; Graduate/Professional Training; Some Grade School NOTES: VALUE_RANGE: NOTES: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; Middle School 09/22/2020 15:56 PM
cg2_education VALUE_RANGE, , NOTES, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; Middle School NOTES: VALUE_RANGE: NOTES: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; Middle School 09/22/2020 15:56 PM
earlydev_fsymc ELEMENT_SIZE, ELEMENT_SIZE: 1024 ELEMENT_SIZE: 1020 09/22/2020 12:12 PM
child2_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:38 AM
child3_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:38 AM
child4_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:38 AM
child5_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:38 AM
child6_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:38 AM
child1_gender VALUE_RANGE, VALUE_RANGE: Male;Female VALUE_RANGE: Male;Female;Other 08/17/2020 10:35 AM
sex VALUE_RANGE, , NOTES, VALUE_RANGE: M;F NOTES: M = Male; F = Female VALUE_RANGE: M;F; O; NR NOTES: M = Male; F = Female; O=Other; NR = Not reported 02/21/2020 13:02 PM
cg2_relationship VALUE_RANGE, VALUE_RANGE: VALUE_RANGE: 12/04/2019 15:43 PM
cg1_relationship VALUE_RANGE, VALUE_RANGE: VALUE_RANGE: 12/04/2019 15:39 PM
cg1_relationship NOTES, NOTES: NOTES: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother 11/20/2019 12:09 PM
cg2_education VALUE_RANGE, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; Middle School 11/20/2019 12:09 PM
cg2_relationship VALUE_RANGE, VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother VALUE_RANGE: 11/20/2019 12:09 PM
cg2_relationship NOTES, NOTES: NOTES: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother 11/20/2019 12:09 PM
cg1_relationship VALUE_RANGE, VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother VALUE_RANGE: 11/20/2019 12:09 PM
gender PERMANENTLY ALIASED gender sex 04/22/2019 00:00 AM
milestone_age_mo_crawl TYPE TYPE: Float TYPE: Integer 03/05/2019 10:57 AM
milestone_age_mo_smile TYPE TYPE: Float TYPE: Integer 03/05/2019 10:57 AM
milestone_age_mo_walkalone TYPE TYPE: Float TYPE: Integer 03/05/2019 10:57 AM
milestone_age_mo_crawl TYPE TYPE: Integer TYPE: Float 03/05/2019 10:55 AM
milestone_age_mo_smile TYPE TYPE: Integer TYPE: Float 03/05/2019 10:55 AM
milestone_age_mo_walkalone TYPE TYPE: Integer TYPE: Float 03/05/2019 10:55 AM
medication6_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 02/28/2019 18:42 PM
medication5_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 500 02/28/2019 18:42 PM
medication1_name ELEMENT_SIZE, ELEMENT_SIZE: 150 ELEMENT_SIZE: 500 02/28/2019 18:42 PM
hispanic VALUE_RANGE, , NOTES, VALUE_RANGE: 0; 1 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 0; 1; 999 NOTES: 0 = No; 1 = Yes; 999= missing 01/03/2019 17:32 PM
cg1_education VALUE_RANGE, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; No formal schooling completed; Nursery school to 4th grade; 5th or 6th grade; 7th or 8th grade; 9th grade; 10th grade;11th grade; 12th grade, no diploma; High School Graduate/GED or equivalent; Some college credit, but less than 1 year; Technical college/vocational school; Associate degree; Bachelors's degree; Master's degree; Professional degree; Doctorate degree;Refused; Some elementary; Elementary; Some Middle School; Middle School; Some High School; GED; High School; Trade School/Certification Program; Undergraduate Degree; Some Graduate School; Less than 7th grade; Junior High; High School Graduate; Some College; Special Training After High School; Graduate/Professional Training; Some Grade School 12/28/2018 15:43 PM
medication1_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 150 09/13/2018 12:26 PM
gender DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Sex of the subject 08/22/2018 10:43 AM
gender DESCRIPTION DESCRIPTION: Block Brief 2000: Sex of the subject DESCRIPTION: Sex of the subject 08/20/2018 10:21 AM
gender DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Block Brief 2000: Sex of the subject 08/14/2018 16:18 PM
diagnosis_autism NOTES, NOTES: NOTES: 999=NA/missing 06/21/2018 15:42 PM
medication1_current NOTES, NOTES: NOTES: 999=NA/missing 06/21/2018 15:42 PM
suspect_hearing_loss NOTES, NOTES: NOTES: 999=NA/missing 06/21/2018 15:42 PM
cg1_education VALUE_RANGE, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate 06/12/2018 14:22 PM
cg1_relationship VALUE_RANGE, VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother 06/12/2018 14:22 PM
cg2_education VALUE_RANGE, VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree VALUE_RANGE: Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate 06/12/2018 14:22 PM
cg2_relationship VALUE_RANGE, VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose; Step-father; Step-mother 06/12/2018 14:22 PM
medication1_name NOTES, NOTES: 999= Legitimately skipped; NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication2_name NOTES, NOTES: 999= Legitimately skipped; NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication3_name NOTES, NOTES: 999= Legitimately skipped; NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication4_name NOTES, NOTES: 999= Legitimately skipped; NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication5_name NOTES, NOTES: NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication6_name NOTES, NOTES: NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication7_name NOTES, NOTES: NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication8_name NOTES, NOTES: NOTES: 0 = No medication; 999= Legitimately skipped 02/27/2018 17:14 PM
medication2_name ELEMENT_SIZE, ELEMENT_SIZE: 100 ELEMENT_SIZE: 200 12/22/2017 11:58 AM
race DESCRIPTION DESCRIPTION: Race of participant DESCRIPTION: Race of study subject 12/21/2017 08:54 AM
race DESCRIPTION DESCRIPTION: Race of study subject DESCRIPTION: Race of participant 12/21/2017 08:52 AM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYY DESCRIPTION: Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY 08/28/2017 15:10 PM
cg2_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose 01/06/2017 16:19 PM
cg1_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent; Adoptive/Foster Parent; I do not wish to disclose 01/06/2017 16:19 PM
medication3_name ELEMENT_SIZE ELEMENT_SIZE: 100 ELEMENT_SIZE: 150 12/12/2016 11:37 AM
cg1_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent 12/06/2016 13:22 PM
cg2_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father; Biological Parent; Adoptive Parent 12/06/2016 13:22 PM
cg1_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father 12/05/2016 17:45 PM
cg2_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father 12/05/2016 17:45 PM
cg1_relation_status VALUE_RANGE VALUE_RANGE: Married;Never married;Widowed;Divorced and remarried;Separated;Divorced;Widowed and remarried;Other VALUE_RANGE: Married;Never married;Widowed;Divorced and remarried;Separated;Divorced;Widowed and remarried;Other; Living with Partner 09/26/2016 12:32 PM
cg2_relation_status VALUE_RANGE VALUE_RANGE: Married;Never married;Widowed;Divorced and remarried;Separated;Divorced;Widowed and remarried;Other VALUE_RANGE: Married;Never married;Widowed;Divorced and remarried;Separated;Divorced;Widowed and remarried;Other; Living with Partner 09/26/2016 12:32 PM
cg1_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father 09/26/2016 12:31 PM
cg2_relationship VALUE_RANGE VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other VALUE_RANGE: Parent;Step-parent;Foster parent;Grandparent;Other family member;Other; Biological Mother; Biological Father 09/26/2016 12:31 PM
cg2_relation_status DESCRIPTION DESCRIPTION: Caregiver 2's Relationship Status DESCRIPTION: Caregiver/Parent 2's Relationship Status 09/22/2016 18:50 PM
cg2_relation_status_specify DESCRIPTION DESCRIPTION: Caregiver 2's Relationship Status Other Specify DESCRIPTION: Caregiver/Parent 2's Relationship Status Other Specify 09/22/2016 18:50 PM
cg2_relationship DESCRIPTION DESCRIPTION: Caregiver 2's Relationship to Participant DESCRIPTION: Caregiver/Parent 2's Relationship to Participant 09/22/2016 18:50 PM
cg2_relationship_specify DESCRIPTION DESCRIPTION: Caregiver 2's Relationship to Participant Other Specify DESCRIPTION: Caregiver/Parent 2's Relationship to Participant Other Specify 09/22/2016 18:50 PM
cg1_race_specify DESCRIPTION DESCRIPTION: Race of the Caregiver 1 Other Specify DESCRIPTION: Race of the Caregiver/Parent 1 Other Specify 09/22/2016 18:50 PM
cg1_relation_status DESCRIPTION DESCRIPTION: Caregiver 1's Relationship Status DESCRIPTION: Caregiver/Parent 1's Relationship Status 09/22/2016 18:50 PM
cg1_relation_status_specify DESCRIPTION DESCRIPTION: Caregiver 1's Relationship Status Other Specify DESCRIPTION: Caregiver/Parent 1's Relationship Status Other Specify 09/22/2016 18:50 PM
cg1_relationship DESCRIPTION DESCRIPTION: Caregiver 1's Relationship to Participant DESCRIPTION: Caregiver/Parent 1's Relationship to Participant 09/22/2016 18:50 PM
cg1_relationship_specify DESCRIPTION DESCRIPTION: Caregiver 1's Relationship to Participant Other Specify DESCRIPTION: Caregiver/Parent 1's Relationship to Participant Other Specify 09/22/2016 18:50 PM
cg2_education DESCRIPTION DESCRIPTION: Caregiver 2's Highest Level of Education DESCRIPTION: Caregiver/Parent 2's Highest Level of Education 09/22/2016 18:50 PM
cg2_guardian DESCRIPTION DESCRIPTION: Caregiver 2. Is this the Participant's Custodian/Legal Guardian? DESCRIPTION: Caregiver/Parent 2. Is this the Participant's Custodian/Legal Guardian? 09/22/2016 18:50 PM
cg2_hispanic DESCRIPTION DESCRIPTION: Is Caregiver 2 of Hispanic or Latino Origin? DESCRIPTION: Is Caregiver/Parent 2 of Hispanic or Latino Origin? 09/22/2016 18:50 PM
cg2_occupation DESCRIPTION DESCRIPTION: Caregiver 2's Occupation DESCRIPTION: Caregiver/Parent 2's Occupation 09/22/2016 18:50 PM
cg2_race DESCRIPTION DESCRIPTION: Race of the Caregiver 2 DESCRIPTION: Race of the Caregiver/Parent 2 09/22/2016 18:50 PM
cg1_cg2_relationship_specify DESCRIPTION DESCRIPTION: Relationship of Caregiver 2 to Caregiver 1 Other Specify DESCRIPTION: Relationship of Caregiver/Parent 2 to Caregiver/Parent 1 Other Specify 09/22/2016 18:50 PM
cg1_cohabitate DESCRIPTION DESCRIPTION: Caregiver 1. Does the participant live with this custodian? DESCRIPTION: Caregiver/Parent 1. Does the participant live with this custodian? 09/22/2016 18:50 PM
cg1_education DESCRIPTION DESCRIPTION: Caregiver 1's Highest Level of Education DESCRIPTION: Caregiver/Prent 1's Highest Level of Education 09/22/2016 18:50 PM
cg1_gender DESCRIPTION DESCRIPTION: Caregiver 1's Gender DESCRIPTION: Caregiver/Parent 1's Gender 09/22/2016 18:50 PM
cg1_guardian DESCRIPTION DESCRIPTION: Caregiver 1. Is this the Participant's Custodian/Legal Guardian? DESCRIPTION: Caregiver/Parent 1. Is this the Participant's Custodian/Legal Guardian? 09/22/2016 18:50 PM
cg1_occupation DESCRIPTION DESCRIPTION: Caregiver 1's Occupation DESCRIPTION: Caregiver/Parent 1's Occupation 09/22/2016 18:50 PM
cg1_race DESCRIPTION DESCRIPTION: Race of the Caregiver 1 DESCRIPTION: Race of the Caregiver/Parent 1 09/22/2016 18:50 PM
cg1_cg2_relationship DESCRIPTION DESCRIPTION: Relationship of Caregiver 2 to Caregiver 1 DESCRIPTION: Relationship of Caregiver/Parent 2 to Caregiver/Parent 1 09/22/2016 18:50 PM
race_other DESCRIPTION DESCRIPTION: Race of Participant Specify DESCRIPTION: Race of Respondent Specify 07/12/2016 16:52 PM
race DESCRIPTION DESCRIPTION: Race of participant DESCRIPTION: Race of study subject 07/12/2016 16:49 PM
medication3_name NOTES NOTES: Add 999= Legitimately skipped; NOTES: 999= Legitimately skipped; 05/31/2016 10:23 AM
medication4_name NOTES NOTES: Add 999= Legitimately skipped; NOTES: 999= Legitimately skipped; 05/31/2016 10:23 AM
medication2_name NOTES NOTES: Add 999= Legitimately skipped; NOTES: 999= Legitimately skipped; 05/31/2016 10:23 AM
medication1_name NOTES NOTES: Add 999= Legitimately skipped; NOTES: 999= Legitimately skipped; 05/31/2016 10:23 AM
gender VALUE_RANGE, NOTES VALUE_RANGE: M;F; T NOTES: M = Male; F = Female; T= Transgender VALUE_RANGE: M;F NOTES: M = Male; F = Female 05/25/2016 11:51 AM
gender DESCRIPTION DESCRIPTION: Gender DESCRIPTION: Sex of the subject 05/25/2016 11:50 AM
cg1_cg2_relationship VALUE_RANGE VALUE_RANGE: "Spouse;In a relationship, unmarried;Other" VALUE_RANGE: Spouse;In a relationship, unmarried;Other 07/06/2015 11:13 AM
mv_household_income VALUE_RANGE VALUE_RANGE: "Less than $9,999;Between $10,000 and $19,999;Between $20,000 and $29,999;Between $30,000 and $39,999;Between $40,000 and $49,999;Between $50,000 and $59,999;Between $60,000 and $69,999;Between $70,000 and $79,999;Between $80,000 and $89,999;Between $90,000 and $99,999;Over $100,000" VALUE_RANGE: Less than $9,999;Between $10,000 and $19,999;Between $20,000 and $29,999;Between $30,000 and $39,999;Between $40,000 and $49,999;Between $50,000 and $59,999;Between $60,000 and $69,999;Between $70,000 and $79,999;Between $80,000 and $89,999;Between $90,000 and $99,999;Over $100,000 07/06/2015 11:13 AM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYY DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYY 06/02/2015 17:40 PM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYY 06/02/2015 17:40 PM
medication1_name NOTES NOTES: NOTES: Add 999= Legitimately skipped; 04/14/2015 18:52 PM
medication2_name NOTES NOTES: NOTES: Add 999= Legitimately skipped; 04/14/2015 18:52 PM
medication3_name NOTES NOTES: NOTES: Add 999= Legitimately skipped; 04/14/2015 18:52 PM
medication4_name NOTES NOTES: NOTES: Add 999= Legitimately skipped; 04/14/2015 18:52 PM
diagnosis_autism REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
diagnosis_seizures REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
medication1_current REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
suspect_hearing_loss REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
diagnosis_autism VALUE_RANGE VALUE_RANGE: Yes;No VALUE_RANGE: Yes;No;999 03/09/2015 07:27 AM
medication1_current VALUE_RANGE VALUE_RANGE: Yes;No VALUE_RANGE: Yes;No;999 03/09/2015 07:27 AM
suspect_hearing_loss VALUE_RANGE VALUE_RANGE: Yes;No VALUE_RANGE: Yes;No;999 03/09/2015 07:27 AM
milestone_age_mo_solidfood TYPE TYPE: Integer TYPE: Float 01/13/2015 17:25 PM
src_subject_id DESCRIPTION DESCRIPTION: The site or study's subject identification DESCRIPTION: Subject ID how it's defined in lab/project 01/12/2015 18:22 PM
earlyint1_week_hrs TYPE TYPE: Integer TYPE: Float 12/23/2014 14:30 PM
floortime1_week_hrs TYPE TYPE: Integer TYPE: Float 12/23/2014 14:30 PM
ot1_week_hrs TYPE TYPE: Integer TYPE: Float 12/23/2014 14:30 PM
othertherapy1_week_hrs TYPE TYPE: Integer TYPE: Float 12/23/2014 14:30 PM
gender VALUE_RANGE, NOTES VALUE_RANGE: M;F NOTES: M = Male; F = Female VALUE_RANGE: M;F; T NOTES: M = Male; F = Female; T= Transgender 12/01/2014 12:34 PM
Data Structure Change History

This page displays a list of all the changes that have been made to this data structure since its original definition. You can view the element name, the attribute that was changed, previous and subsequent values, and the timestamp of the change. Use the search bar to filter the displayed changes.

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