5 Data Dictionary
Variables marked “checkbox” appear in the full dataset as: 0 = No, 1 = Yes
5.1 Enrollment Information
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
familyid | Family ID | text | ||
a_demosubject | Proband check: (Proband of the following assessment data) | dropdown | ||
a_site_id | Site | dropdown | ||
a_csex | Proband Sex | dropdown | ||
a_addircphase___1 | ADDIRC Phase (Select all that apply) : 1, Phase 1 | checkbox | ||
a_addircphase___2 | ADDIRC Phase (Select all that apply) : 2, Phase 2 | checkbox | ||
a_addircphase___3 | ADDIRC Phase (Select all that apply) : 3, Phase 3 | checkbox | ||
a_addircphase___4 | ADDIRC Phase (Select all that apply) : 4, Phase 4 | checkbox | ||
a_admitdaystoconsent | Admit days to Consent | calc | ||
age | Proband’s age in years at initial (First) admission | calc |
5.2 Intake Demographic Medical Form
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystodemo | Admit days to Demo. Values over 1000 denote individuals with multiple admissions | calc | ||
a_foccupationcode | First parent/guardian’s occupational code | See "Occupation Code" page for further details. | text | |
a_moccupationcode | Second parent/guardian’s occupational code | See "Occupation Code" page for further details. | text | |
a_demomarital | Marital Status of Parent/Caregiver Informant | dropdown | ||
a_race___1 | Child’s race : 1, American Indian or Alaskan Native | checkbox | ||
a_race___2 | Child’s race : 2, Native Hawaiian or Other Pacific Islander | checkbox | ||
a_race___3 | Child’s race : 3, Black or African American | checkbox | ||
a_race___4 | Child’s race : 4, Asian | checkbox | ||
a_race___5 | Child’s race : 5, White | checkbox | ||
a_race___6 | Child’s race : 6, Other | checkbox | ||
a_ethnicity | Child’s ethnicity | dropdown | ||
a_lang | Child’s primary language | radio | ||
a_reside | Where does child currently live | radio | ||
a_age1 | Household member 1: Age (years) | text | ||
a_sex1 | Household member 1: Sex | dropdown | ||
a_marital1 | Household member 1: Marital Status | dropdown | ||
a_relation1 | Household member 1: Relationship | dropdown | ||
a_age2 | Household member 2: Age (years) | text | ||
a_sex2 | Household member 2: Sex | dropdown | ||
a_marital2 | Household member 2: Marital Status | dropdown | ||
a_relation2 | Household member 2: Relationship | dropdown | ||
a_age3 | Household member 3: Age (years) | text | ||
a_sex3 | Household member 3: Sex | dropdown | ||
a_marital3 | Household member 3: Marital Status | dropdown | ||
a_relation3 | Household member 3: Relationship | dropdown | ||
a_age4 | Household member 4: Age (years) | text | ||
a_sex4 | Household member 4: Sex | dropdown | ||
a_marital4 | Household member 4: Marital Status | dropdown | ||
a_relation4 | Household member 4: Relationship | dropdown | ||
a_age5 | Household member 5: Age (years) | text | ||
a_sex5 | Household member 5: Sex | dropdown | ||
a_marital5 | Household member 5: Marital Status | dropdown | ||
a_relation5 | Household member 5: Relationship | dropdown | ||
a_age6 | Household member 6: Age (years) | text | ||
a_sex6 | Household member 6: Sex | dropdown | ||
a_marital6 | Household member 6: Marital Status | dropdown | ||
a_relation6 | Household member 6: Relationship | dropdown | ||
a_age7 | Household member 7: Age (years) | text | ||
a_sex7 | Household member 7: Sex | dropdown | ||
a_marital7 | Household member 7: Marital Status | dropdown | ||
a_relation7 | Household member 7: Relationship | dropdown | ||
a_age8 | Household member 8: Age (years) | text | ||
a_sex8 | Household member 8: Sex | dropdown | ||
a_marital8 | Household member 8: Marital Status | dropdown | ||
a_relation8 | Household member 8: Relationship | dropdown | ||
a_age9 | Household member 9: Age (years) | text | ||
a_sex9 | Household member 9: Sex | dropdown | ||
a_relation9 | Household member 9: Relationship | dropdown | ||
a_marital9 | Household member 9: Marital Status | dropdown | ||
a_age10 | Household member 10: Age (years) | text | ||
a_sex10 | Household member 10: Sex | dropdown | ||
a_marital10 | Household member 10: Marital Status | dropdown | ||
a_relation10 | Household member 10: Relationship | dropdown | ||
a_income | Total Household Income | dropdown | ||
a_fhighedu | What is the first parent/guardian’s highest level of education attained? | dropdown | ||
a_mhighedu | What is the second parent/guardian’s highest level of education attained? | dropdown | ||
a_genetictest | Has the child had genetic testing? | dropdown | ||
a_sigresult | Were there significant results? | dropdown | ||
a_sigresultyes___1 | What were the results? : 1, Fragile X | checkbox | ||
a_sigresultyes___2 | What were the results? : 2, Down Syndrome | checkbox | ||
a_sigresultyes___3 | What were the results? : 3, Tuberous Sclerosis | checkbox | ||
a_sigresultyes___4 | What were the results? : 4, Landau Kleffner Syndrome | checkbox | ||
a_sigresultyes___5 | What were the results? : 5, Rett’s Syndrome | checkbox | ||
a_sigresultyes___6 | What were the results? : 6, NF1 | checkbox | ||
a_sigresultyes___7 | What were the results? : 7, Other | checkbox | ||
a_dasthma | Asthma | radio | ||
a_dallergiesenviro | Allergies - Environmental | radio | ||
a_dallergiesfood | Allergies - Food | radio | ||
a_dallergiesdrug | Allergies - Drug | radio | ||
a_dblooddisorder | Blood disorders/Anemia | radio | ||
a_dceliac | Celiac disease | radio | ||
a_dconcussion | Concussion/head injury | radio | ||
a_dconstipation | Constipation | radio | ||
a_ddiabetes | Diabetes | radio | ||
a_ddiarrhea | Diarrhea | radio | ||
a_ddental | Dental Problems | radio | ||
a_dearinfect | Ear infections | radio | ||
a_dencopresis | Encopresis | radio | ||
a_denuresis | Enuresis | radio | ||
a_dulcer | Gastric ulcer | radio | ||
a_dgerd | GERD | radio | ||
a_dhepatitis | Hepatitis | radio | ||
a_dheadaches | Headaches | radio | ||
a_dhearloss | Hearing loss | radio | ||
a_dhyperthyroid | Hyperthyroid | radio | ||
a_dhypothyroid | Hypothyroid | radio | ||
a_dibd | IBD | radio | ||
a_dibs | IBS | radio | ||
a_dpica | Ingesting poisons or other non-nutritive substances (Pica) | radio | ||
a_dfever | Suffered high prolonged fever | radio | ||
a_dseizures | Seizures or convulsions | radio | ||
a_dabpain | Severe abdominal pain | radio | ||
a_dtics | Tics/Tourettes | radio | ||
a_durinary | Urinary problems/infections | radio | ||
a_dvisualprob | Visual/eye problems | radio | ||
a_colorblind | Is your child colorblind? | dropdown | ||
a_adm_factors___1 | In your opinion, why does your child need this hospitalization? Check all that apply : 1, New or worsening physical aggression toward others | checkbox | ||
a_adm_factors___2 | In your opinion, why does your child need this hospitalization? Check all that apply : 2, New or worsening property destruction | checkbox | ||
a_adm_factors___3 | In your opinion, why does your child need this hospitalization? Check all that apply : 3, New or worsening verbal aggression (example: threats to harm others) | checkbox | ||
a_adm_factors___4 | In your opinion, why does your child need this hospitalization? Check all that apply : 4, New or worsening self-injury (examples: biting, hitting, head banging, etc.) | checkbox | ||
a_adm_factors___5 | In your opinion, why does your child need this hospitalization? Check all that apply : 5, Suicidal statements | checkbox | ||
a_adm_factors___6 | In your opinion, why does your child need this hospitalization? Check all that apply : 6, Suicide attempts | checkbox | ||
a_adm_factors___7 | In your opinion, why does your child need this hospitalization? Check all that apply : 7, Homicidal statements | checkbox | ||
a_adm_factors___8 | In your opinion, why does your child need this hospitalization? Check all that apply : 8, Decrease in daily functioning skills ( examples: communication skills, self-care) | checkbox | ||
a_adm_factors_most | Select the ONE problem that you think is the most important reason for this hospitalization | dropdown | ||
a_adm_contr___1 | In your opinion, what do you think contributed to this admission? : 1, Change of school | checkbox | ||
a_adm_contr___2 | In your opinion, what do you think contributed to this admission? : 2, Medication change | checkbox | ||
a_adm_contr___3 | In your opinion, what do you think contributed to this admission? : 3, Loss/inadequate services in school | checkbox | ||
a_adm_contr___4 | In your opinion, what do you think contributed to this admission? : 4, Bullying | checkbox | ||
a_adm_contr___5 | In your opinion, what do you think contributed to this admission? : 5, Loss/inadequate in-home services | checkbox | ||
a_adm_contr___6 | In your opinion, what do you think contributed to this admission? : 6, Emotional Trauma/Abuse | checkbox | ||
a_adm_contr___7 | In your opinion, what do you think contributed to this admission? : 7, Change in outpatient provider | checkbox | ||
a_adm_contr___8 | In your opinion, what do you think contributed to this admission? : 8, Physical Trauma/Abuse | checkbox | ||
a_adm_contr___9 | In your opinion, what do you think contributed to this admission? : 9, Medical issues (Examples: Recent illness, recent surgery, chronic illness) | checkbox | ||
a_adm_contr___10 | In your opinion, what do you think contributed to this admission? : 10, Sexual Trauma/Abuse | checkbox | ||
a_adm_contr___11 | In your opinion, what do you think contributed to this admission? : 11, Death of a loved one | checkbox | ||
a_adm_contr___12 | In your opinion, what do you think contributed to this admission? : 12, Family stress or crisis | checkbox | ||
a_adm_contr___13 | In your opinion, what do you think contributed to this admission? : 13, Other | checkbox | ||
a_admitlife | Number of psychiatric hospitalizations in child’s lifetime (not including current admission): | text | ||
a_admit2mo | Number of psychiatric hospitalizations the past 2 months (not including current admission): | text | ||
a_crisis2mo | Number of in-home crisis evaluations in the past 2 months: | text | ||
a_er2mo | Number of ER visits for behavioral crisis in the past 2 months: | text | ||
a_police2mo | Number of police contacts for behavioral crisis in the past 2 months: | text | ||
a_ddxautism | Has the child ever been diagnosed with an autism spectrum disorder? | dropdown | ||
a_dxautismyes | If yes, what is your best understanding of the child’s Autism related diagnosis? | dropdown | ||
a_hxtrauma___0 | Does the child have a history of trauma : 0, None | checkbox | ||
a_hxtrauma___1 | Does the child have a history of trauma : 1, Physical abuse | checkbox | ||
a_hxtrauma___2 | Does the child have a history of trauma : 2, Sexual abuse | checkbox | ||
a_hxtrauma___3 | Does the child have a history of trauma : 3, Emotional abuse | checkbox | ||
a_famadhd | Attention deficit hyperactivity disorder (ADHD) | dropdown | ||
a_adhdfullsib | ADHD: # Full sibs with diagnosis | text | ||
a_adhdhalfsib | ADHD: # Half sibs with diagnosis | text | ||
a_adhdparents___1 | ADHD: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_adhdparents___2 | ADHD: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famasd | Autism Spectrum Disorder | dropdown | ||
a_asdfullsib | Autism Spectrum Disorder: # Full sibs with diagnosis | text | ||
a_asdhalfsib | Autism Spectrum Disorder: # Half sibs with diagnosis | text | ||
a_asdparents___1 | Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_asdparents___2 | Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famanx | Anxiety | dropdown | ||
a_anxhalfsib | Anxiety: # Half sibs with diagnosis | text | ||
a_anxfullsib | Anxiety: # Full sibs with diagnosis | text | ||
a_anxparents___1 | Anxiety: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_anxparents___2 | Anxiety: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_fambipolar | Bipolar disorder | dropdown | ||
a_fambipolarfullsib | Bipolar: # Full sibs with diagnosis | text | ||
a_bipolarhalfsib | Bipolar: # Half sibs with diagnosis | text | ||
a_bipolarparents___1 | Bipolar: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_bipolarparents___2 | Bipolar: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famconduct | Conduct Disorder | dropdown | ||
a_conductfullsib | Conduct Disorder: # Full sibs with diagnosis | text | ||
a_conducthalfsib | Conduct Disorder: # Half sibs with diagnosis | text | ||
a_conductparents___1 | Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_conductparents___2 | Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famdep | Depression | dropdown | ||
a_depfullsib | Depression: # Full sibs with diagnosis | text | ||
a_dephalfsib | Depression: # Half sibs with diagnosis | text | ||
a_depparents___1 | Depression: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_depparents___2 | Depression: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_fameat | Eating Disorder | dropdown | ||
a_eatfullsib | Eating Disorder: # Full sibs with diagnosis | text | ||
a_eathalfsib | Eating Disorder: # Half sibs with diagnosis | text | ||
a_eatparents___1 | Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_eatparents___2 | Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famgeneticdis | Genetic disorders | dropdown | ||
a_geneticdishalfsib | Genetic disorders: # Half sibs with diagnosis | text | ||
a_geneticdisfullsib | Genetic disorders: # Full sibs with diagnosis | text | ||
a_geneticdisparents___1 | Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_geneticdisparents___2 | Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famlearn | Learning disability | dropdown | ||
a_learnfullsib | Learning disability: # Full sibs with diagnosis | text | ||
a_learnhalfsib | Learning disability: # Half sibs with diagnosis | text | ||
a_learnparents___1 | Learning disability: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_learnparents___2 | Learning disability: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_fammr | Intellectual disability or mental retardation | dropdown | ||
a_mrfullsib | Intellectual disability or mental retardation: # Full sibs with diagnosis | text | ||
a_mrhalfsib | Intellectual disability or mental retardation: # Half sibs with diagnosis | text | ||
a_mrparents___1 | Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_mrparents___2 | Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famocd | Obsessive Compulsive Disorder (OCD) | dropdown | ||
a_ocdfullsib | OCD: # Full sibs with diagnosis | text | ||
a_ocdhalfsib | OCD: # Half sibs with diagnosis | text | ||
a_ocdparents___1 | OCD: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_ocdparents___2 | OCD: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famodd | Oppositional Defiant Disorder | dropdown | ||
a_oddfullsib | Oppositional Defiant Disorder: # Full sibs with diagnosis | text | ||
a_oddhalfsib | Oppositional Defiant Disorder: # Half sibs with diagnosis | text | ||
a_oddparents___1 | Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_oddparents___2 | Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_fampalsy | Cerebral Palsy | dropdown | ||
a_palsyfullsib | Cerebral Palsy: # Full sibs with diagnosis | text | ||
a_palsyhalfsib | Cerebral Palsy: # Half sibs with diagnosis | text | ||
a_palsyparents___1 | Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_palsyparents___2 | Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famptsd | PTSD | dropdown | ||
a_ptsdfullsib | PTSD: # Full sibs with diagnosis | text | ||
a_ptsdhalfsib | PTSD: # Half sibs with diagnosis | text | ||
a_ptsdparents___1 | PTSD: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_ptsdparents___2 | PTSD: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famschiz | Psychosis or Schizophrenia | dropdown | ||
a_schizfullsib | Psychosis or Schizophrenia: # Full sibs with diagnosis | text | ||
a_schizhalfsib | Psychosis or Schizophrenia: # Half sibs with diagnosis | text | ||
a_schizparents___1 | Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_schizparents___2 | Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famtourette | Tourette Syndrome | dropdown | ||
a_tourettefullsib | Tourette Syndrome: # Full sibs with diagnosis | text | ||
a_tourettehalfsib | Tourette Syndrome: # Half sibs with diagnosis | text | ||
a_touretteparents___1 | Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_touretteparents___2 | Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_famseizure | Seizure disorder/epilepsy | dropdown | ||
a_seizurefullsib | Seizure disorder / epilepsy: # Full sibs with diagnosis | text | ||
a_seizurehalfsib | Seizure disorder / epilepsy: # Half sibs with diagnosis | text | ||
a_seizureparents___1 | Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis : 1, Bio Mom | checkbox | ||
a_seizureparents___2 | Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis : 2, Bio Dad | checkbox | ||
a_daac | Does the child use an Augmentative and Alternative Communication (AAC) device? | dropdown | ||
a_daacnote | If yes, please describe | notes |
5.3 Diagnostic Behavioral Summary
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_comorbiddx___0 |
|
checkbox | ||
s_comorbiddx___1 |
|
checkbox | ||
s_comorbiddx___2 |
|
checkbox | ||
s_comorbiddx___3 |
|
checkbox | ||
s_comorbiddx___4 |
|
checkbox | ||
s_comorbiddx___5 |
|
checkbox | ||
s_comorbiddx___6 |
|
checkbox | ||
s_comorbiddx___7 |
|
checkbox | ||
s_comorbiddx___8 |
|
checkbox | ||
s_comorbiddx___9 |
|
checkbox | ||
s_comorbiddx___10 |
|
checkbox | ||
s_comorbiddx___11 |
|
checkbox | ||
s_comorbiddx___12 |
|
checkbox | ||
s_comorbiddx___13 |
|
checkbox | ||
s_comorbiddx___14 |
|
checkbox | ||
s_comorbiddx___15 |
|
checkbox | ||
s_comorbiddx___16 |
|
checkbox | ||
s_comorbiddx___17 |
|
checkbox | ||
s_comorbiddx___18 |
|
checkbox | ||
s_comorbiddx___19 |
|
checkbox | ||
s_comorbiddx___20 |
|
checkbox | ||
s_comorbiddx___21 |
|
checkbox | ||
s_comorbiddx___22 |
|
checkbox | ||
s_comorbiddx___23 |
|
checkbox | ||
s_comorbiddx___24 |
|
checkbox | ||
s_comorbiddx___25 |
|
checkbox | ||
s_comorbiddx___26 |
|
checkbox | ||
s_comorbiddx___27 |
|
checkbox | ||
s_comorbiddx___28 |
|
checkbox | ||
s_comorbiddx___29 |
|
checkbox | ||
s_comorbiddx___30 |
|
checkbox | ||
s_comorbiddx___31 |
|
checkbox | ||
s_comorbiddx___32 |
|
checkbox | ||
s_comorbiddx___33 |
|
checkbox | ||
s_comorbiddx___34 |
|
checkbox | ||
s_comorbiddx___35 |
|
checkbox | ||
s_comorbiddx___35 |
|
checkbox | ||
s_anyaxis3 | Any Axis III diagnoses? | dropdown | ||
s_axis3a | Axis III1. ICD-10 code | text | ||
s_axis3b | Axis III2. ICD-10 code | text | ||
s_axis3c | Axis III3. ICD-10 code | text | ||
s_axis3d | Axis III4. ICD-10 code | text | ||
s_axis3e | Axis III5. ICD-10 code | text | ||
s_anomaly | Does the child have a known genetic condition or anomaly? | dropdown | ||
s_anomalyyes___1 | If yes, check applicable: : 1, Fragile X | checkbox | ||
s_anomalyyes___2 | If yes, check applicable: : 2, Down Sydrome | checkbox | ||
s_anomalyyes___3 | If yes, check applicable: : 3, Tuberous Sclerosis | checkbox | ||
s_anomalyyes___4 | If yes, check applicable: : 4, Landau Kleffner Syndrome | checkbox | ||
s_anomalyyes___5 | If yes, check applicable: : 5, Rett’s Syndrome | checkbox | ||
s_anomalyyes___6 | If yes, check applicable: : 6, NF1 | checkbox | ||
s_anomalyyes___7 | If yes, check applicable: : 7, Other (specify) | checkbox | ||
s_finadxitems___0 | Check any additional items used to make final diagnosis : 0, None | checkbox | ||
s_finadxitems___1 | Check any additional items used to make final diagnosis : 1, Review of child’s history | checkbox | ||
s_finadxitems___2 | Check any additional items used to make final diagnosis : 2, Clinical notes/chart review | checkbox | ||
s_finadxitems___3 | Check any additional items used to make final diagnosis : 3, Unit observation by ADOS tester | checkbox | ||
s_finadxitems___4 | Check any additional items used to make final diagnosis : 4, Caregiver interview, which can include clarification of item(s) on a study measure | checkbox | ||
s_dxbxfinaldx | Final Clinician Diagnosis (Used to determine double- vs. single-confirmed ASD) | radio | ||
s_dasd | Dually confirmed ASD diagnosis by ADOS and Clinician | calc | ||
s_dxbxasda___0 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: : 0, 0 None of the A criteria | checkbox | ||
s_dxbxasda___1 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: : 1, 1 Deficits in social-emotional reciprocity | checkbox | ||
s_dxbxasda___2 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: : 2, 2 Deficits in nonverbal communicative behaviors used for social interaction | checkbox | ||
s_dxbxasda___3 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: : 3, 3 Deficits in developing maintaining and understanding relationships | checkbox | ||
s_dxbxasdb___0 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: : 0, None of the B criteria met | checkbox | ||
s_dxbxasdb___1 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: : 1, 1 Stereotyped or repetitive motor movements use of objects or speech | checkbox | ||
s_dxbxasdb___2 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: : 2, 2 Insistence on sameness inflexible adherence to routines or ritualized patterns of verbal or nonverbal behavior | checkbox | ||
s_dxbxasdb___3 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: : 3, 3 Highly restricted fixated interests that are abnormal in intensity or focus | checkbox | ||
s_dxbxasdb___4 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: : 4, 4 Hyper- or hypoactivity to sensory input or unusual interest in sensory aspects of the environment | checkbox | ||
s_dxbxasdcde___0 | C, D, and E Symptoms : 0, No C D or E symptom criteria met | checkbox | ||
s_dxbxasdcde___1 | C, D, and E Symptoms : 1, C. Symptoms must be present in the early developmental period… | checkbox | ||
s_dxbxasdcde___2 | C, D, and E Symptoms : 2, D. Symptoms cause clinical significant impairment in social occupational or other important areas of current functioning | checkbox | ||
s_dxbxasdcde___3 | C, D, and E Symptoms : 3, E. These disturbances are not better explained by ID or global developmental delay | checkbox | ||
s_scqadjusted | Adjusted SCQ score (If SCQ score ≥12) | text |
5.4 Inpatient Data
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_childht | Height in inches | text | ||
s_childwt | Weight in pounds | text | ||
s_los | Length of Stay: | calc | ||
s_dcto | Discharged to: | dropdown | ||
s_samecare | Same caregiver as at admission? | dropdown | ||
s_bmi | BMI: | text | ||
s_bp_sys | Systolic blood pressure: | text | ||
s_bp_dia | Diastolic blood pressure: | text | ||
s_arxname1 |
|
dropdown | ||
s_arxdose1 |
|
text | ||
s_arxdoseunit1 |
|
dropdown | ||
s_arxname2 |
|
dropdown | ||
s_arxdose2 |
|
text | ||
s_arxdoseunit2 |
|
dropdown | ||
s_arxname3 |
|
dropdown | ||
s_rxdose3 |
|
text | ||
s_rxdoseunit3 |
|
dropdown | ||
s_arxname4 |
|
dropdown | ||
s_arxdose4 |
|
text | ||
s_arxdoseunit4 |
|
dropdown | ||
s_arxname5 |
|
dropdown | ||
s_arxdose5 |
|
text | ||
s_arxdoseunit5a |
|
dropdown | ||
s_arxname6 |
|
dropdown | ||
s_arxdose6 |
|
text | ||
s_arxdoseunit6 |
|
dropdown | ||
s_arxname7 |
|
dropdown | ||
s_arxdose7 |
|
text | ||
s_arxdoseunit7 |
|
dropdown | ||
s_arxname8 |
|
dropdown | ||
s_arxdose8 |
|
text | ||
s_arxdoseunit8 |
|
dropdown | ||
s_arxname9 |
|
dropdown | ||
s_arxdose9 |
|
text | ||
s_arxdoseunit9 |
|
dropdown | ||
s_arxname10 |
|
dropdown | ||
s_arxdose10 |
|
text | ||
s_arxdoseunit10 |
|
dropdown | ||
s_dcrxname1 |
|
dropdown | ||
s_dcrxdose1 |
|
text | ||
s_dcrxdoseunit1 |
|
dropdown | ||
s_dcrxname2 |
|
dropdown | ||
s_dcrxdose2 |
|
text | ||
s_dcrxdoseunit2 |
|
dropdown | ||
s_dcrxname3 |
|
dropdown | ||
s_dcrxdose3 |
|
text | ||
s_dcrxdoseunit3 |
|
dropdown | ||
s_dcrxname4 |
|
dropdown | ||
s_dcrxdose4 |
|
text | ||
s_dcrxdoseunit4 |
|
dropdown | ||
s_dcrxname5 |
|
dropdown | ||
s_dcrxdose5 |
|
text | ||
s_dcrxname6 |
|
dropdown | ||
s_dcrxdose6 |
|
text | ||
s_dcrxdoseunit6 |
|
dropdown | ||
s_dcrxname7 |
|
dropdown | ||
s_dcrxdose7 |
|
text | ||
s_dcrxdoseunit7 |
|
dropdown | ||
s_dcrxname8 |
|
dropdown | ||
s_dcrxdose8 |
|
text | ||
s_dcrxdoseunit8 |
|
dropdown | ||
s_dcrxname9 |
|
dropdown | ||
s_dcrxdose9 |
|
text | ||
s_dcrxdoseunit9 |
|
dropdown | ||
s_dcrxname10 |
|
dropdown | ||
s_dcrxdose10 |
|
text |
5.5 AAC - Augmentative and Alternative Communication
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_aacrespondent | Parent/Caregiver informant | dropdown | ||
s_aaccomyes___1 | If yes, please check system(s) below: : 1, PECS (picture exchange communication system) | checkbox | ||
s_aaccomyes___2 | If yes, please check system(s) below: : 2, Sight board | checkbox | ||
s_aaccomyes___3 | If yes, please check system(s) below: : 3, Sign Language | checkbox | ||
s_aaccomyes___4 | If yes, please check system(s) below: : 4, Other (specify) | checkbox | ||
s_aacstatus | What is the status of the AAC Parent Survey | dropdown | ||
s_aaccom | Does the child use a communication system: | dropdown | ||
s_aacaac | Does the child use an Augmentative and Alternative Communication (AAC) device? | dropdown | ||
s_aac1a |
|
radio | ||
s_aac1b |
|
radio | ||
s_aac1c |
|
radio | ||
s_aac2 |
|
radio | ||
s_aac3 |
|
radio | ||
s_aac3a |
|
radio | ||
s_aac3b |
|
radio | ||
s_aac4 |
|
radio | ||
s_aac5 |
|
radio | ||
s_aac6 |
|
radio | ||
s_aac6a | 6a. Any other ways? Name these: | notes | ||
s_aacmean1 |
|
radio | ||
s_aacmean2 |
|
radio | ||
s_aacmean3 |
|
radio | ||
s_aacmean4 |
|
radio | ||
s_aacmean5 |
|
radio |
5.6 ABC - Full Aberrant Behavior Checklist
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystoabc | Admit days to ABC | calc | ||
a_abcage | ABC Age | text | ||
a_abcactive1 |
|
radio | ||
a_abcselfinj2 |
|
radio | ||
a_abcinact3 |
|
radio | ||
a_abcaggres4 |
|
radio | ||
a_abcisolate5 |
|
radio | ||
a_abcbodymove6 |
|
radio | ||
a_abcboister7 |
|
radio | ||
a_abcscream8 |
|
radio | ||
a_abctalk9 |
|
radio | ||
a_abctemper10 |
|
radio | ||
a_abcstermov11 |
|
radio | ||
a_abcpreocc12 |
|
radio | ||
a_abcimpuls13 |
|
radio | ||
a_abcirrita14 |
|
radio | ||
a_abcrestless15 |
|
radio | ||
a_abcwithdra16 |
|
radio | ||
a_abcoddbeh17 |
|
radio | ||
a_abcdiso18 |
|
radio | ||
a_abcyells19 |
|
radio | ||
a_abcfixface20 |
|
radio | ||
a_abcdisturb21 |
|
radio | ||
a_abcreptsp22 |
|
radio | ||
a_abcnothsit23 |
|
radio | ||
a_abcuncoop24 |
|
radio | ||
a_abcdepres25 |
|
radio | ||
a_abcnocont26 |
|
radio | ||
a_abcheadrep27 |
|
radio | ||
a_abcnoinstr28 |
|
radio | ||
a_abcdemand29 |
|
radio | ||
a_abcisoother30 |
|
radio | ||
a_abcdisgroup31 |
|
radio | ||
a_abclongtime32 |
|
radio | ||
a_abctalkself33 |
|
radio | ||
a_abccriesmin34 |
|
radio | ||
a_abcrepmov35 |
|
radio | ||
a_abcmoodqu36 |
|
radio | ||
a_abcunstruct37 |
|
radio | ||
a_abcnoseat38 |
|
radio | ||
a_abcnsitstil39 |
|
radio | ||
a_abcdifreach40 |
|
radio | ||
a_abccriesini41 |
|
radio | ||
a_abcprefalon42 |
|
radio | ||
a_abcnowords43 |
|
radio | ||
a_abcdistract44 |
|
radio | ||
a_abcwaverep45 |
|
radio | ||
a_abcrepwords46 |
|
radio | ||
a_abcbangsobj47 |
|
radio | ||
a_abcconstrun48 |
|
radio | ||
a_abcrocksrep49 |
|
radio | ||
a_abchurtself50 |
|
radio | ||
a_abcnoattent51 |
|
radio | ||
a_abcviolenself52 |
|
radio | ||
a_abcnospont53 |
|
radio | ||
a_abcoveract54 |
|
radio | ||
a_abcnegaffec55 |
|
radio | ||
a_abcignodirec56 |
|
radio | ||
a_abcnownway57 |
|
radio | ||
a_abcfewsocia58 |
|
radio |
5.7 ABC - Irritability Only
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
d_admitdaystoabc | Admit days to ABC | calc | ||
d_fuabcage | Discharge ABC Age | text | ||
d_iabcstatus | ABC data status | dropdown | ||
d_iabcrespondent | Respondent’s relationship to patient | dropdown | ||
d_abcsamecaregiver | Measures completed by same caregiver as at admission? | dropdown | ||
d_fuabc1 |
|
radio | ||
d_fuabc2 |
|
radio | ||
d_fuabc3 |
|
radio | ||
d_fuabc4 |
|
radio | ||
d_fuabc5 |
|
radio | ||
d_fuabc6 |
|
radio | ||
d_fuabc7 |
|
radio | ||
d_fuabc8 |
|
radio | ||
d_fuabc9 |
|
radio | ||
d_fuabc10 |
|
radio | ||
d_fuabc11 |
|
radio | ||
d_fuabc12 |
|
radio | ||
d_fuabc13 |
|
radio | ||
d_fuabc14 |
|
radio | ||
d_fuabc15 |
|
radio | ||
d_fuabc16 |
|
radio | ||
d_fuabc17 |
|
radio | ||
d_fuabc18 |
|
radio | ||
d_fuabc19 |
|
radio | ||
d_fuabc20 |
|
radio | ||
d_fuabc21 |
|
radio | ||
d_fuabc22 |
|
radio | ||
d_fuabc23 |
|
radio | ||
d_fuabc24 |
|
radio | ||
d_fuabc25 |
|
radio | ||
d_fuabc26 |
|
radio | ||
d_fuabc27 |
|
radio | ||
d_fuabc28 |
|
radio | ||
d_fuabc29 |
|
radio | ||
d_fuabc30 |
|
radio | ||
d_fuabc31 |
|
radio | ||
fu_admitdaystoabc | Admit days to ABC | calc | ||
fu_iabcstatus | ABC data status | dropdown | ||
fu_iabcrespondent | Respondent’s relationship to patient | dropdown | ||
fu_abcsamecaregiver | Measures completed by same caregiver as at admission? | dropdown | ||
fu_fuabcage | Followup ABC Age | |||
fu_fuabc1 |
|
radio | ||
fu_fuabc2 |
|
radio | ||
fu_fuabc3 |
|
radio | ||
fu_fuabc4 |
|
radio | ||
fu_fuabc5 |
|
radio | ||
fu_fuabc6 |
|
radio | ||
fu_fuabc7 |
|
radio | ||
fu_fuabc8 |
|
radio | ||
fu_fuabc9 |
|
radio | ||
fu_fuabc10 |
|
radio | ||
fu_fuabc11 |
|
radio | ||
fu_fuabc12 |
|
radio | ||
fu_fuabc13 |
|
radio | ||
fu_fuabc14 |
|
radio | ||
fu_fuabc15 |
|
radio | ||
fu_fuabc16 |
|
radio | ||
fu_fuabc17 |
|
radio | ||
fu_fuabc18 |
|
radio | ||
fu_fuabc19 |
|
radio | ||
fu_fuabc20 |
|
radio | ||
fu_fuabc21 |
|
radio | ||
fu_fuabc22 |
|
radio | ||
fu_fuabc23 |
|
radio | ||
fu_fuabc24 |
|
radio | ||
fu_fuabc25 |
|
radio | ||
fu_fuabc26 |
|
radio | ||
fu_fuabc27 |
|
radio | ||
fu_fuabc28 |
|
radio | ||
fu_fuabc29 |
|
radio | ||
fu_fuabc30 |
|
radio | ||
fu_fuabc31 |
|
radio |
5.8 ADOS - Autism Diagnostic Observation Schedule
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_adositems___1 | These items must be used to make the final ASD diagnosis: : 1, ADOS-2 Classification | checkbox | ||
s_adositems___2 | These items must be used to make the final ASD diagnosis: : 2, Review of RBS-R | checkbox | ||
s_adositems___3 | These items must be used to make the final ASD diagnosis: : 3, Review of SCQ; Is SCQ Score greater than or equal to 12 | checkbox | ||
s_adositems___4 | These items must be used to make the final ASD diagnosis: : 4, ADOS was missed - psychiatrist diagnosed | checkbox | ||
s_adosmodule | ADOS-2 Module Used: | radio | ||
s_adosage | ADOS Age | text | ||
s_ados_module | ADOS module completed | radio | ||
s_ados1_item_a1 | Non_echoed (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a2 | frequency_vocalization (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a3 | intonation_vocalization (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a4 | immediate_echolalia (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a5 | stereotyped_words (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a6 | body_communicate (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a7 | pointing (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_a8 | gestures (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b1 | eye_contact (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b2 | responsive_social (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b3 | facial_others (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b4 | integration_gaze (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b5 | shared_enjoyment (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b6 | response_name (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b7 | requesting (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b8 | giving (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b9 | showing (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b10 | spontaneous_joint (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b11 | responsive_joint (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b12 | social_overtures (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b13a | amount_overture_examiner (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b13b | amount_overture_caregiver (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, No Caregiver | 9, Missing | text | |
s_ados1_item_b14 | quality_response (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b15 | level_engagement (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_b16 | quality_rapport (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_c1 | functional_play (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_c2 | imagination (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_d1 | unusual_sensory (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_d2 | complex_mannerisms (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_d3 | self_injurious (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_d4 | unusually_repetitive (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_e1 | overactivity (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_e2 | tantrums (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_item_e3 | Anxiety (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados1_algorithm | ADOS Module 1 algorithm used | radio | ||
s_scoresumm_1_a2 | Frequency of Spontaneous Vocalization Directed to Others (A-2) | text | ||
s_scoresumm_1_a5 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-5) | text | ||
s_scoresumm_1_a7 | Pointing (A-7) | text | ||
s_scoresumm_1_a8 | Gestures (A-8) | text | ||
s_scoresumm_1_b1 | Unusual Eye Contact (B-1) | text | ||
s_scoresumm_1_b3 | Facial Expressions Directed to Others (B-3) | text | ||
s_scoresumm_1_b4 | Integration of Gaze and Other Behaviors During Social Overtures (B-4) | text | ||
s_scoresumm_1_b5 | Shared Enjoyment in Interaction (B-5) | text | ||
s_scoresumm_1_b9 | Showing (B-9) | text | ||
s_scoresumm_1_b10 | Spontaneous Initiation of Joint Attention (B-10) | text | ||
s_scoresumm_1_b11 | Response to Joint Attention (B-11) | text | ||
s_scoresumm_1_b12 | Quality of Social Overtures (B-12) | text | ||
s_scoresumm_1_a3 | Intonation of Vocalizations or Verbalizations (A-3) | text | ||
s_scoresumm_1_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | ||
s_scoresumm_1_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | ||
s_scoresumm_1_d4 | Unusually Repetitive Interests or Stereotyped Behaviors (D-4) | text | ||
s_ados2_item_a1 | Non_echoed (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a2 | speech_abnormalities (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a3 | immediate_echolalia (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a4 | stereotyped_words (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a5 | conversation (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a6 | pointing (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_a7 | gestures (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b1 | eye_contact (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b2 | facial_others (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b3 | shared_enjoyment (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b4 | response_name (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b5 | Showing (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b6 | spontaneous_joint (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b7 | response_joint (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b8 | quality_overture (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b9a | amount_overture_examiner (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b9b | amount_overture_caregiver (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b10 | quality_response (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b11 | reciprocal_social (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_b12 | quality_rapport (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_c1 | functional_play (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_c2 | imagination (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_d1 | unusual_sensory (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_d2 | complex_mannerisms (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_d3 | self_injurious (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_d4 | unusually_repetitive (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_e1 | overactivity (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_e2 | tantrums (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_item_e3 | Anxiety (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados2_algorithm | ADOS Module 2 algorithm used | radio | ||
s_scoresumm_2_a6 | Pointing (A-6) | text | ||
s_scoresumm_2_a7 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-7) | text | ||
s_scoresumm_2_b1 | Unusual Eye Contact (B-1) | text | ||
s_scoresumm_2_b2 | Facial Expressions Directed to Others (B-2) | text | ||
s_scoresumm_2_b3 | Shared Enjoyment in Interaction (B-3) | text | ||
s_scoresumm_2_b5 | Showing (B-5) | text | ||
s_scoresumm_2_b6 | Spontaneous Initiation of Joint Attention (B-6) | text | ||
s_scoresumm_2_b8 | Quality of Social Overtures (B-8) | text | ||
s_scoresumm_2_b11 | Amount of Reciprocal Social Communication (B-11) | text | ||
s_scoresumm_2_b12 | Overall Quality of Rapport (B-12) | text | ||
s_scoresumm_2_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | ||
s_scoresumm_2_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | ||
s_scoresumm_2_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | ||
s_scoresumm_2_d4 | Unusually Repetitive Interests or Stereotyped Behaviors (D-4) | text | ||
s_ados3_item_a1 | Non_echoed (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a2 | speech_abnormalities (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a3 | immediate_echolalia (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a4 | stereotyped_words (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a5 | offers_information (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a6 | asks_information (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a7 | reporting_events (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a8 | conversation (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_a9 | Gestures (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b1 | eye_contact (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b2 | facial_others (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b3 | language_production (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b4 | shared_enjoyment (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b5 | empathy (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b6 | insight (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b7 | quality_overture (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b8 | amount_overture (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b9 | quality_response (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b10 | reciprocal_social (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_b11 | quality_rapport (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_c1 | Imagination (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_d1 | unsual_sensory (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_d2 | complex_mannerisms (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_d3 | self_injurious (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_d4 | interest_objects (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_d5 | compulsive_rituals (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_e1 | overactivity (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_e2 | tantrums (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados3_item_e3 | anxiety (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_scoresumm_3_a7 | Reporting of Events (A-7) | text | ||
s_scoresumm_3_a8 | Conversation (A-8) | text | ||
s_scoresumm_3_a9 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) | text | ||
s_scoresumm_3_b1 | Unusual Eye Contact (B-1) | text | ||
s_scoresumm_3_b2 | Facial Expressions Directed to Examiner (B-2) | text | ||
s_scoresumm_3_b4 | Shared Enjoyment in Interaction (B-4) | text | ||
s_scoresumm_3_b7 | Quality of Social Overtures (B-7) | text | ||
s_scoresumm_3_b9 | Quality of Social Response (B-9) | text | ||
s_scoresumm_3_b10 | Amount of Reciprocal Social Communication (B-10) | text | ||
s_scoresumm_3_b11 | Overall Quality of Rapport (B-11) | text | ||
s_scoresumm_3_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | ||
s_scoresumm_3_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | ||
s_scoresumm_3_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | ||
s_scoresumm_3_d4 | Excessive Interest in Unusual or Highly Specific Topics/Objects or Repetitive Behaviors (D-4) | text | ||
s_ados4_item_a1 | Non_echoed (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a2 | speech_abnormalities (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a3 | immediate_echolalia (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a4 | stereotyped_words (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a5 | offers_information (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a6 | asks_information (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a7 | reporting_events (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a8 | conversation (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a9 | gestures_descriptive (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_a10 | gestures_emotional (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b1 | eye_contact (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b2 | facial_others (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b3 | language_production (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b4 | shared_enjoyment (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b5 | own_affect (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b6 | empathy (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b7 | insight (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b8 | Responsibility (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b9 | quality_overture (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b10 | amount_overture (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b11 | quality_response (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b12 | reciprocal_social (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_b13 | quality_rapport (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_c1 | imagination (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_d1 | unusual_sensory (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_d2 | complex_mannerisms (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_d3 | self_injurious (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_d4 | interest_objects (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_d5 | compulsive_rituals (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_e1 | overactivity (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_e2 | tantrums (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_ados4_item_e3 | anxiety (full item description omitted due to copyright) | 0, Not a problem | 1, Slight problem | 2, Serious Problem | 3, Severe Problem | 8, Not Applicable | 9, Missing | text | |
s_scoresumm_4_a8 | Conversation (A-8) | text | ||
s_scoresumm_4_a10 | Emphatic or Emotional Gestures (A-10) | text | ||
s_scoresumm_4_b1 | Unusual Eye Contact (B-1) | text | ||
s_scoresumm_4_b2 | Facial Expressions Directed to Examiner (B-2) | text | ||
s_scoresumm_4_b9 | Quality of Social Overtures (B-9) | text | ||
s_scoresumm_4_b11 | Quality of Social Response (B-11) | text | ||
s_scoresumm_4_b12 | Amount of Reciprocal Social Communication (B-12) | text | ||
s_scoresumm_4_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | ||
s_scoresumm_4_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | ||
s_scoresumm_4_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | ||
s_scoresumm_4_d4 | Excessive Interest in or References to Highly Specific Topics (D-4) | text | ||
s_scoresumm_4_a9 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) | text | ||
s_scoresumm_4_b6 | Comments on Others’ Emotions/Empathy (B-6) | text | ||
s_scoresumm_4_b8 | Responsibility (B-8) | text | ||
s_scoresumm_4_c1 | Imagination/Creativity | text | ||
s_scoresumm_4_d5 | Compulsions or Rituals (D-5) | text | ||
s_scoresumm_4_ctotal | Communication Total | text | ||
s_scoresumm_4_sitotal | Social Interaction Total | text | ||
s_scoresumm_4_satotal | Communication + Social Interaction Total | text | ||
s_scoresumm_4_rrbtotal | Stereotyped Behaviors and Restricted Interests Total | text | ||
s_scoresumm_rrbtotal | Restricted and Repetitive Behavior Total | text | ||
s_scoresumm_overalltotal | Overall Total (Social Affect + Restricted and Repetitive Behavior) | text | ||
s_scoresumm_compscore | ADOS-2 Comparison Score | text | ||
s_scoresumm_4_b5 | Communication of own Affect (B-5) | text | ||
s_scoresumm_4_b7 | Insight into typical social situations and relationships (B-7) | text | ||
s_scoresumm_4_b13 | Overall Quality of Rapport (B-13) | text | ||
s_scoresumm_4_a2 | Speech abnormalities associated with autism (A-2) | text | ||
s_scoresumm_adosdiag | Final ADOS Diagnosis (Used to determine double- vs. single-confirmed ASD) | radio | ||
s_ados_1_scoresumm_sa_total | Social Affect Total: Mod 1 | text | ||
s_ados_2_scoresumm_sa_total | Social Affect Total: Mod 2 | text | ||
s_ados_3_scoresumm_sa_total | Social Affect Total: Mod 3 | text | ||
s_ados_4_scoresumm_sa_total | Social Affect Total: Mod 4 | text | ||
s_ados_1_scoresumm_rrb_total | Restricted and Repetitive Behavior Total: Mod 1 | text | ||
s_ados_2_scoresumm_rrb_total | Restricted and Repetitive Behavior Total: Mod 2 | text | ||
s_ados_3_scoresumm_rrb_total | Restricted and Repetitive Behavior Total: Mod 3 | text | ||
s_ados_4_scoresumm_rrb_total | Restricted and Repetitive Behavior Total: Mod 4 | text | ||
s_ados_1_scoresumm_overall_total | Overall Total (Social Affect + Restricted and Repetitive Behavior): Mod 1 | text | ||
s_ados_2_scoresumm_overall_total | Overall Total (Social Affect + Restricted and Repetitive Behavior): Mod 2 | text | ||
s_ados_3_scoresumm_overall_total | Overall Total (Social Affect + Restricted and Repetitive Behavior): Mod 3 | text | ||
s_ados_4_scoresumm_overall_total | Overall Total (Social Affect + Restricted and Repetitive Behavior): Mod 4 | text |
5.9 BPI01 - Behavior Problems Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystobpi | Admit days to BPI | calc | ||
a_bpiage | BPI Age | text | ||
a_bpi_sib_freq1 |
|
radio | ||
a_bpi_sib_freq2 |
|
radio | ||
a_bpi_sib_freq3 |
|
radio | ||
a_bpi_sib_freq4 |
|
radio | ||
a_bpi_sib_freq5 |
|
radio | ||
a_bpi_sib_freq6 |
|
radio | ||
a_bpi_sib_freq7 |
|
radio | ||
a_bpi_sib_freq8 |
|
radio | ||
a_bpi_sib_freq9 |
|
radio | ||
a_bpi_sib_freq10 |
|
radio | ||
a_bpi_sib_freq11 |
|
radio | ||
a_bpi_sib_freq12 |
|
radio | ||
a_bpi_sib_freq13 |
|
radio | ||
a_bpi_sib_freq14 |
|
radio | ||
a_bpi_sib_sev2 |
|
radio | ||
a_bpi_sib_sev3 |
|
radio | ||
a_bpi_sib_sev4 |
|
radio | ||
a_bpi_sib_sev5 |
|
radio | ||
a_bpi_sib_sev6 |
|
radio | ||
a_bpi_sib_sev12 |
|
radio | ||
a_bpi_aggpd_freq41 |
|
radio | ||
a_bpi_aggpd_freq42 |
|
radio | ||
a_bpi_aggpd_freq43 |
|
radio | ||
a_bpi_aggpd_freq44 |
|
radio | ||
a_bpi_aggpd_freq45 |
|
radio | ||
a_bpi_aggpd_freq46 |
|
radio | ||
a_bpi_aggpd_freq47 |
|
radio | ||
a_bpi_aggpd_freq48 |
|
radio | ||
a_bpi_aggpd_freq49 |
|
radio | ||
a_bpi_aggpd_freq50 |
|
radio | ||
a_bpi_aggpd_freq51 |
|
radio | ||
a_bpi_aggpd_sev41 |
|
radio | ||
a_bpi_aggpd_sev42 |
|
radio | ||
a_bpi_aggpd_sev43 |
|
radio | ||
a_bpi_aggpd_sev45 |
|
radio | ||
a_bpi_aggpd_sev48 |
|
radio | ||
a_bpi_aggpd_sev49 |
|
radio | ||
a_bpi_aggpd_sev50 |
|
radio | ||
a_bpi_aggpd_sev51 |
|
radio | ||
a_bpi_sib_freq15 |
|
radio | ||
a_bpi_sib_sev1 |
|
radio | ||
a_bpi_sib_sev7 |
|
radio | ||
a_bpi_sib_sev9 |
|
radio | ||
a_bpi_aggpd_freq52 |
|
radio | ||
a_bpi_sib_sev15 |
|
radio | ||
a_bpi_aggpd_sev44 |
|
radio | ||
a_bpi_aggpd_sev46 |
|
radio | ||
a_bpi_aggpd_sev47 |
|
radio | ||
a_bpi_sib_sev10 |
|
radio | ||
a_bpi_sib_sev13 |
|
radio | ||
a_bpi_sib_sev14 |
|
radio | ||
a_bpi_sib_sev11 |
|
radio | ||
a_bpi_aggpd_sev52 |
|
radio | ||
a_bpi_sib_sev8 |
|
radio |
5.10 CASI - Child and Adolescent Symptom Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_admitdaystocasi | Admit Days to CASI 5 | calc | ||
s_casistatus | CASI 5 Status | dropdown | ||
s_casiage | Current years of age | calc | ||
s_casirespondent | Relation of the person completing this form to this youth | dropdown | ||
s_casia1 | A1. Does not pay close attention to details or makes careless mistakes | radio | ||
s_casia2 | A2. Has difficulty paying attention to tasks or activities | radio | ||
s_casia3 | A3. Does not seem to listen when spoken to directly | radio | ||
s_casia4 | A4. Has difficulty following through on instructions and falls to finish things | radio | ||
s_casia5 | A5. Has difficulty organizing work and activities | radio | ||
s_casia6 | A6. Avoids doing tasks that require a lot of mental effort (schoolwork, homework, etc.) | radio | ||
s_casia7 | A7. Loses things necessary for activities | radio | ||
s_casia8 | A8. Is easily distracted by other things going on | radio | ||
s_casia9 | A9. Is forgetful in daily activities | radio | ||
s_casia10 | A10. Fidgets with hands or feet or squirms in seat | radio | ||
s_casia11 | A11. Has difficulty remaining seated when asked to do so | radio | ||
s_casia12a | A12a. Runs about or climbs on things when asked not to do so | radio | ||
s_casia12b | A12b. Seems restless or jittery | radio | ||
s_casia13 | A13. Has difficulty playing or doing things quietly | radio | ||
s_casia14 | A14. Is "on the go" or acts as if "driven by a motor" | radio | ||
s_casia15 | A15. Talks excessively | radio | ||
s_casia16 | A16. Blurts out answers to questions before they have been completed | radio | ||
s_casia17 | A17. Has difficulty awaiting turn in group activities | radio | ||
s_casia18 | A18. Interrupts or intrudes on other people’s activities | radio | ||
s_casiax | Ax. How often do the behaviors in Category A Interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casib19 | B19. Loses temper | radio | ||
s_casib20 | B20. Argues with adults | radio | ||
s_casib21 | B21. Defies or refuses to do what you tell him/her to do | radio | ||
s_casib22 | B22. Does things to deliberately annoy others | radio | ||
s_casib23 | B23. Blames others for own misbehavior or mistakes | radio | ||
s_casib24 | B24. Is touchy or easily annoyed by others | radio | ||
s_casib25 | B25. Is angry and resentful | radio | ||
s_casib26 | B26. Takes anger out on others or tries to get even | radio | ||
s_casibx | Bx. How often do the behaviors in Category B interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casid47 | D47. Is overconcerned about abilities in school athletic, work or social activities | radio | ||
s_casid48 | D48. Has difficulty controlling worries | radio | ||
s_casid49 | D49. Acts restless or edgy | radio | ||
s_casid50 | D50. Is irritable for most of the day | radio | ||
s_casid51 | D51. Is extremely tense or unable to relax | radio | ||
s_casid52 | D52. Has difficulty falling asleep or staying asleep | radio | ||
s_casidx | Dx. How often do the behaviors in Category D interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casie53 | E53. Is overly fearful or tries to avoid specific ojects or situations (animals, heights, storms, insects, going places alone, being "trapped", etc.) | radio | ||
s_casie54 | E54. Complains about heart pounding, shortness of breath, feeling dizzy, trembling, or fear of dying | radio | ||
s_casie55 | E55. Cannot get distressing houghts out of his/her mind (worries about gems or doing things perfectly, etc.) | radio | ||
s_casie56 | E56. Feels compelled to perform unusual habits (hand washing, checking locks, repeating things a set number of times) | radio | ||
s_casie57 | E57. Has experienced an extremely upsetting event and continues to be bothered by it | radio | ||
s_casie58 | E58. Has distressing memories or dreams about an extremely upsetting event | radio | ||
s_casie59 | E59. Makes twitching or jerking movements for no apparent reason (eye blinking, nose twitching, grimacing, lip licking, head jerking, etc.) | radio | ||
s_casie60 | E60. Makes vocal sounds for no apparent reason (coughing, throat clearing, sniffling, grunting, etc.) | radio | ||
s_casie61 | E61. Complains about physical problems (headaches, upset stomach, etc.) for which there is no apparent causes | radio | ||
s_casie62 | E62. Worries about physical health | radio | ||
s_casiez1 | Ez1. Pulls out his/her hair, eyelashes, or eyebrows | radio | ||
s_casiez2 | Ez2. Picks is/her own skin | radio | ||
s_casiez3 | Ez3. Refuses to speak, other than to family members | radio | ||
s_casif63a | F63a. Tries to avoid contact with strangers; abnormally shy | radio | ||
s_casif63b | F63b. Is more anxious in social situations than most other youths | radio | ||
s_casif64 | F64. Is excessively shy with peers | radio | ||
s_casif64a | F64a. When put in an uncomfortable social situation; child cries, freezes, or withdraws from interacting | radio | ||
s_casifx | Fx. How often do the behaviors in Category F interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casig65 | G65. Gets very upset when he/she expects to be separated from home or parents | radio | ||
s_casig66 | G66. Worries that parents will be hurt or leave home and not come back | radio | ||
s_casig67 | G67. Worries that some disaster (getting lost, kidnapped, etc.) will separate him/her from parents | radio | ||
s_casig68 | G68. Tries to avoid going to school in order to stay home with parent | radio | ||
s_casig69 | G69. Worries about being left at home along or with a sitter | radio | ||
s_casig70 | G70. Afraid to go to sleep unless near parent | radio | ||
s_casig71 | G71. Has nightmares about being separated from parent | radio | ||
s_casig72 | G72. Complains about feeling sick when he/she expects to be separated from home or parents | radio | ||
s_casigx | Gx. How often do the behaviors in Category G interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casii76 | I76. Wets bed at night | radio | ||
s_casii77 | I77 Wets or soils underwear during daytime hours | radio | ||
s_casij78 | J78. Has strange ideas or beliefs that are not real (food is poisoned, people are trying to get him/her, etc.) | radio | ||
s_casij79 | J79. Has auditory hallucinations (hears voices talking to or telling him/her to do things, etc) | radio | ||
s_casij80a | J80a. Has extremely strange and illogical thoughts or ideas | radio | ||
s_casij80b | J80b. Has disorganized speech (ideas don’t make sense, thoughts run together, loses train of thought, etc.) | radio | ||
s_casij81a | J81a. Does extremely odd things (excessive preoccupation with fantasy friends, talks to self in a strange way, etc.) | radio | ||
s_casij81b | J81b. Behaves in extremely strange ways (unpredictable outbursts, acts as if in slow motion, seems to forget how to take care of self, etc.) | radio | ||
s_casij82 | J82. Laughs or cries at inappropriate times or shows no emotion in situations where most others of same age would react | radio | ||
s_casij83 | J83. Seems to have lost interest in doing things or talking to people | radio | ||
s_casijx | Jx. How often do the behaviors in Category J interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casirz1 | Rz1. Has temper outbursts that are way out of proportion to the situation | radio | ||
s_casirz2 | Rz2. Is irritable or angry most of the say | radio | ||
s_casirzx | Rzx. How often do the behaviors in Category Rz interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casik84 | K84. Is depressed for most of the day | radio | ||
s_casik85 | K85. Shows little interest in (or enjoyment of) pleasurable activities | radio | ||
s_casik86 | K86. Talks about death or suicide | radio | ||
s_casik87 | K87. Feels worthless or guilty | radio | ||
s_casik88 | K88. Has low energy level or is tired for no apparent reason | radio | ||
s_casik89 | K89. Has little confidence, feels inferior to others, or is very self conscious | radio | ||
s_casik90 | K90. Feels that things never work out right | radio | ||
s_casikx | Kx. How often do the behaviors in Category K interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_casik91 | K91. Has experienced a big change in his/her normal appetite or weight | radio | ||
s_casik92 | K92. Has experienced a big change in his/her normal sleeping habits (trouble sleeping or sleeps too much) | radio | ||
s_casik93 | K93. Has experienced a big change in his/her normal activity level (overactive or inactive) | radio | ||
s_casik94 | K94. Has experienced a big change in his/her ability to concentrate or make decisions | radio | ||
s_casik95 | K95. Has experienced a big drop in school grades or schoolwork | radio | ||
s_casik96 | K96. Has become more sensitive or tearful than usual | radio | ||
s_casik97 | K97. Has experienced a very stressful event such as parents divorce, death of a friend or relative, serious illness | radio | ||
s_casil98 | L98. Is much more cheerful than usual | radio | ||
s_casil99 | L99. Is much more irritable or explosive than usual | radio | ||
s_casi100 | L100. Becomes much more active or busy than usual | radio | ||
s_casi101 | L101. Needs far less sleep than usual | radio | ||
s_casi102 | L102. Is much more talkative than usual | radio | ||
s_casi103 | L103. Is far more distractible than usual | radio | ||
s_casi104 | L104. Does far more reckless or silly things than usual | radio | ||
s_casi105 | L105. Switches rapidly from one topic to another | radio | ||
s_casi106 | L106. Believes that he/she has special abilities or can do things that are obviously unrealistic | radio | ||
s_casilx | Lx. How often do the behaviors in Category L interfere with youth’s ability to do schoolwork or get along with others? | radio | ||
s_adhdiparent | ADHD-I Parent Count Score | text | ||
s_adhditscore | ADHD-I T-Score | text | ||
s_adhdicutoff | ADHD-I Symptom Cutoff | dropdown | ||
s_adhdhparent | ADHD-H Parent Count Score | text | ||
s_adhdhtscore | ADHD-H T-Score | text | ||
s_adhdhcutoff | ADHD-H Symptom Cutoff | dropdown | ||
s_adhdcparenta | ADHD-C Parent Count Score A | text | ||
s_adhdctscorea | ADHD-C T-Score | text | ||
s_adhdcparentb | ADHD-C Parent Count Score B | text | ||
s_adhdccutoff | ADHD-C Symptom Cutoff | dropdown | ||
s_oppositionparent | Opposition Parent Count Score | text | ||
s_oppositiontscore | Opposition T-Score | text | ||
s_oppositioncutoff | Opposition Symptom Cutoff | dropdown | ||
s_gadparenta | Generalized Anxiety Parent Count Score A | text | ||
s_gadtscorea | Generalized Anxiety T-Score | text | ||
s_gadparentb | Generalized Anxiety Parent Count Score B | text | ||
s_gadcutoff | Generalized Anxiety Symptom Cutoff | dropdown | ||
s_phobiaparent | Phobia Parent Count Score | text | ||
s_phobiacutoff | Phobia Symptom Cutoff | dropdown | ||
s_panicparent | Panic Parent Count Score | text | ||
s_paniccutoff | Panic Symptom Cutoff | dropdown | ||
s_obsessionsparent | Obsessions Parent Count Score | text | ||
s_obsessionscutoff | Obsessions Symptom Cutoff | dropdown | ||
s_compulsionsparent | Compulsions Parent Count Score | text | ||
s_compulsionscutoff | Compulsions Symptom Cutoff | dropdown | ||
s_ptsdparent | PTSD Parent Count Score | text | ||
s_ptsdcutoff | PTSD Symptom Cutoff | dropdown | ||
s_motorparent | Motor Parent Count Score | text | ||
s_motorcutoff | Motor Symptom Cutoff | dropdown | ||
s_vocalparent | Vocal Parent Count Score | text | ||
s_vocalcutoff | Vocal Symptom Cutoff | dropdown | ||
s_somaticparent | Somatic Parent Count Score | text | ||
s_somaticcutoff | Somatic Symptom Cutoff | dropdown | ||
s_hairparent | Hair Parent Count Score | text | ||
s_haircutoff | Hair Symptom Cutoff | dropdown | ||
s_skinparent | Skin Parent Count Score | text | ||
s_skincutoff | Skin Symptom Cutoff | dropdown | ||
s_mutismparent | Mutism Parent Count Score | text | ||
s_mutismcutoff | Mutism Symptom Cutoff | dropdown | ||
s_socialanxparent | Social Anxiety Parent Count Score | text | ||
s_socialanxtscore | Social Anxiety T-Score | text | ||
s_socialanxcutoff | Social Anxiety Symptom Cutoff | dropdown | ||
s_separationparent | Separation Parent Count Score | text | ||
s_separationtscore | Separation T-Score | text | ||
s_separationcutoff | Separation Symptom Cutoff | dropdown | ||
s_enuresisparent | Enuresis Parent Count Score | text | ||
s_enuresiscutoff | Enuresis Symptom Cutoff | dropdown | ||
s_encopresisparent | Encopresis Parent Count Score | text | ||
s_encopresiscutoff | Encopresis Symptom Cutoff | dropdown | ||
s_schizoparenta | Schizophrenia Parent Count Score A | text | ||
s_schizotscorea | Schizophrenia T-Score | text | ||
s_schizoparentb | Schizophrenia Parent Count Score B | text | ||
s_schizocutoff | Schizophrenia Symptom Cutoff | dropdown | ||
s_disruptiveparent | Disruptive Parent Count Score | text | ||
s_disruptivecutoff | Disruptive Symptom Cutoff | dropdown | ||
s_mdeparenta | Major Depressive Episode Parent Count Score A | text | ||
s_mdetscorea | Major Depressive Episode T-Score | text | ||
s_mdeparentb | Major Depressive Episode Parent Count Score B | text | ||
s_mdecutoff | Major Depressive Episode Symptom Cutoff | dropdown | ||
s_dysthymiaparenta | Dysthymia Parent Count Score A | text | ||
s_dysthymiatscorea | Dysthymia T-Score | text | ||
s_dysthymiaparentb | Dysthymia Parent Count Score B | text | ||
s_dysthymiacutoff | Dysthymia Symptom Cutoff | dropdown | ||
s_manicparenta | Manic Parent Count Score A | text | ||
s_manictscorea | Manic T-Score | text | ||
s_manicparentb | Manic Parent Count Score B | text | ||
s_maniccutoff | Manic Symptom Cutoff | dropdown | ||
s_casiaxcutoffi | AxImpairment cut off | calc | ||
s_casibxcutoffi | BxImpairment cut off | calc | ||
s_casidxcutoffi | DxImpairment cut off | calc | ||
s_casifxcutoffi | FxImpairment cut off | calc | ||
s_casigxcutoffi | GxImpairment cut off | calc | ||
s_casijxcutoffi | JxImpairment cut off | calc | ||
s_casirzxcutoffi | RzxImpairment cut off | calc | ||
s_casikxcutoffi | KxImpairment cut off | calc | ||
s_casilxcutoffi | LxImpairment cut off | calc |
5.11 CBCL - Child Behavior Checklist
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_cbclage | CBCL Age | text | ||
s_cbcl1 |
|
radio | ||
s_cbcl2 |
|
radio | ||
s_cbcl3 |
|
radio | ||
s_cbcl4 |
|
radio | ||
s_cbcl5 |
|
radio | ||
s_cbcl6 |
|
radio | ||
s_cbcl7 |
|
radio | ||
s_cbcl8 |
|
radio | ||
s_cbcl9 |
|
radio | ||
s_cbcl10 |
|
radio | ||
s_cbcl11 |
|
radio | ||
s_cbcl12 |
|
radio | ||
s_cbcl13 |
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radio | ||
s_cbcl14 |
|
radio | ||
s_cbcl15 |
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radio | ||
s_cbcl16 |
|
radio | ||
s_cbcl17 |
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radio | ||
s_cbcl18 |
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radio | ||
s_cbcl19 |
|
radio | ||
s_cbcl20 |
|
radio | ||
s_cbcl21 |
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radio | ||
s_cbcl22 |
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radio | ||
s_cbcl23 |
|
radio | ||
s_cbcl24 |
|
radio | ||
s_cbcl25 |
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radio | ||
s_cbcl26 |
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radio | ||
s_cbcl27 |
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radio | ||
s_cbcl28 |
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radio | ||
s_cbcl29 |
|
radio | ||
s_cbcl30 |
|
radio | ||
s_cbcl31 |
|
radio | ||
s_cbcl32 |
|
radio | ||
s_cbcl33 |
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radio | ||
s_cbcl34 |
|
radio | ||
s_cbcl35 |
|
radio | ||
s_cbcl36 |
|
radio | ||
s_cbcl37 |
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radio | ||
s_cbcl38 |
|
radio | ||
s_cbcl39 |
|
radio | ||
s_cbcl40 |
|
radio | ||
s_cbcl41 |
|
radio | ||
s_cbcl42 |
|
radio | ||
s_cbcl43 |
|
radio | ||
s_cbcl44 |
|
radio | ||
s_cbcl45 |
|
radio | ||
s_cbcl46 |
|
radio | ||
s_cbcl47 |
|
radio | ||
s_cbcl48 |
|
radio | ||
s_cbcl49 |
|
radio | ||
s_cbcl50 |
|
radio | ||
s_cbcl51 |
|
radio | ||
s_cbcl52 |
|
radio | ||
s_cbcl53 |
|
radio | ||
s_cbcl54 |
|
radio | ||
s_cbcl55 |
|
radio | ||
s_cbcl56a | 56a. Physical problems without known medical cause: Aches or pains (not stomach or headaches) | radio | ||
s_cbcl56b | 56b. Physical problems without known medical cause: Headaches | radio | ||
s_cbcl56c | 56c. Physical problems without known medical cause: Nausea, feels sick | radio | ||
s_cbcl56d | 56d. Physical problems without known medical cause: Problems with eyes (not if corrected by glasses) | radio | ||
s_cbcl56e | 56e. Physical problems without known medical cause: Rashes or other skin problems | radio | ||
s_cbcl56f | 56f. Physical problems without known medical cause: Stomachaches | radio | ||
s_cbcl56g | 56g. Physical problems without known medical cause: Vomiting, throwing up | radio | ||
s_cbcl56h | 56h. Physical problems without known medical cause: Other | radio | ||
s_cbcl57 |
|
radio | ||
s_cbcl58 |
|
radio | ||
s_cbcl59 |
|
radio | ||
s_cbcl60 |
|
radio | ||
s_cbcl61 |
|
radio | ||
s_cbcl62 |
|
radio | ||
s_cbcl63 |
|
radio | ||
s_cbcl64 |
|
radio | ||
s_cbcl65 |
|
radio | ||
s_cbcl66 |
|
radio | ||
s_cbcl67 |
|
radio | ||
s_cbcl68 |
|
radio | ||
s_cbcl69 |
|
radio | ||
s_cbcl70 |
|
radio | ||
s_cbcl71 |
|
radio | ||
s_cbcl72 |
|
radio | ||
s_cbcl73 |
|
radio | ||
s_cbcl74 |
|
radio | ||
s_cbcl75 |
|
radio | ||
s_cbcl76 |
|
radio | ||
s_cbcl77 |
|
radio | ||
s_cbcl78 |
|
radio | ||
s_cbcl79 |
|
radio | ||
s_cbcl80 |
|
radio | ||
s_cbcl81 |
|
radio | ||
s_cbcl82 |
|
radio | ||
s_cbcl83 |
|
radio | ||
s_cbcl84 |
|
radio | ||
s_cbcl85 |
|
radio | ||
s_cbcl86 |
|
radio | ||
s_cbcl87 |
|
radio | ||
s_cbcl88 |
|
radio | ||
s_cbcl89 |
|
radio | ||
s_cbcl90 |
|
radio | ||
s_cbcl91 |
|
radio | ||
s_cbcl92 |
|
radio | ||
s_cbcl93 |
|
radio | ||
s_cbcl94 |
|
radio | ||
s_cbcl95 |
|
radio | ||
s_cbcl96 |
|
radio | ||
s_cbcl97 |
|
radio | ||
s_cbcl98 |
|
radio | ||
s_cbcl99 |
|
radio | ||
s_cbcl100 |
|
radio | ||
s_cbcl101 |
|
radio | ||
s_cbcl102 |
|
radio | ||
s_cbcl103 |
|
radio | ||
s_cbcl104 |
|
radio | ||
s_cbcl105 |
|
radio | ||
s_cbcl106 |
|
radio | ||
s_cbcl107 |
|
radio | ||
s_cbcl108 |
|
radio | ||
s_cbcl109 |
|
radio | ||
s_cbcl110 |
|
radio | ||
s_cbcl111 |
|
radio | ||
s_cbcl112 |
|
radio | ||
s_cbcl113a | 113a. Problem 1 not listed above (describe below) | radio | ||
s_anxioustotal | Anxious / Depressed: Total score | text | ||
s_anxioustscore | Anxious / Depressed: T Score | text | ||
s_anxiouspercentile | Anxious / Depressed: Percentile | text | ||
s_withdrawntotal | Withdrawn / Depressed: Total Score | text | ||
s_withdrawntscore | Withdrawn / Depressed: T Score | text | ||
s_withdrawnpercentile | Withdrawn / Depressed: Percentile | text | ||
s_somatictotal | Somatic Complaints: Total Score | text | ||
s_somatictscore | Somatic Complaints: T Score | text | ||
s_somaticpercentile | Somatic Complaints: Percentile | text | ||
s_socialtotal | Social Problems: Total Score | text | ||
s_socialtscore | Social Problems: T Score | text | ||
s_socialpercentile | Social Problems: Percentile | text | ||
s_thoughttotal | Thought Problems: Total Score | text | ||
s_thoughttscore | Thought Problems: T Score | text | ||
s_thoughtpercentile | Thought Problems: Percentile | text | ||
s_attentiontotal | Attention Problems: Total score | text | ||
s_attentiontscore | Attention Problems: T Score | text | ||
s_attentionpercentile | Attention Problems: Percentile | text | ||
s_ruletotal | Rule-Breaking Behavior: Total Score | text | ||
s_ruletscore | Rule-Breaking Behavior: T Score | text | ||
s_rulepercentile | Rule-Breaking Behavior: Percentile | text | ||
s_aggressivetotal | Aggressive Behavior: Total Score | text | ||
s_aggressivetscore | Aggressive Behavior: T Score | text | ||
s_aggressivepercentile | Aggressive Behavior: Percentile | text | ||
s_internalizingtotal | Internalizing Problems: Total score | text | ||
s_internalizingtscore | Internalizing Problems: T Score | text | ||
s_internalizingpercentile | Internalizing Problems: Percentile | text | ||
s_externalizingtotal | Externalizing Problems: Total Score | text | ||
s_externalizingtscore | Externalizing Problems: T Score | text | ||
s_externalizingpercentile | Externalizing Problems: Percentile | text | ||
s_totaltotal | Total Problems: Total Score | text | ||
s_totaltscore | Total Problems: T Score | text | ||
s_totalpercentile | Total Problems: Percentile | text | ||
s_affectivetotal | Depressive Problems: Total Score | text | ||
s_affectivetscore | Depressive Problems: T Score | text | ||
s_affectivepercentile | Depressive Problems: Percentile | text | ||
s_anxietytotal | Anxiety Problems | text | ||
s_anxietytscore | Anxiety Problems: T Score | text | ||
s_anxietypercentile | Anxiety Problems: Percentile | text | ||
s_somatictotal2 | Somatic Problems: Total score | text | ||
s_somatictscore2 | Somatic Problems: T Score | text | ||
s_somaticpercentile2 | Somatic Problems: Percentile | text | ||
s_adhtotal | Attention Deficit/Hyperactivity Problems: Total Score | text | ||
s_adhtscore | Attention Deficit/Hyperactivity Problems: T Score | text | ||
s_adhpercentile | Attention Deficit/Hyperactivity Problems: Percentile | text | ||
s_odtotal | Oppositional Defiant Problems: Total Score | text | ||
s_odtscore | Oppositional Defiant Problems: T Score | text | ||
s_odpercentile | Oppositional Defiant Problems: Percentile | text | ||
s_conducttotal | Conduct Problems: Total Score | text | ||
s_conducttscore | Conduct Problems: T Score | text | ||
s_conductpercentile | Conduct Problems: Percentile | text |
5.12 CSHQ - Children’s Sleep Habit Questionnaire
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystocshq | Admit Days to CSHQ | calc | ||
a_cshqage | CSHQ Age | text | ||
a_cshq_problem | Does the child currently have significant sleeping problems? | yesno | ||
a_cshq_m1_01 |
|
radio | ||
a_cshq_m1_02 |
|
radio | ||
a_cshq_m1_03 |
|
radio | ||
a_cshq_wn_bed | wn bed | text | ||
a_cshq_wn_wake | wn wake | text | ||
a_cshq_we_bed | we bed | text | ||
a_cshq_we_wake | we wake | text | ||
a_cshq_01 |
|
radio | ||
a_cshq_02 |
|
radio | ||
a_cshq_03 |
|
radio | ||
a_cshq_04 |
|
radio | ||
a_cshq_05 |
|
radio | ||
a_cshq_06 |
|
radio | ||
a_cshq_07 |
|
radio | ||
a_cshq_08 |
|
radio | ||
a_cshq_09 |
|
radio | ||
a_cshq_10 |
|
radio | ||
a_cshq_11 |
|
radio | ||
a_cshq_12 |
|
radio | ||
a_cshq_13 |
| |||
a_cshq_14 |
| |||
a_cshq_15 |
| |||
a_cshq_16 |
| |||
a_cshq_17 |
| |||
a_cshq_18 |
| |||
a_cshq_19 |
| |||
a_cshq_20 |
| |||
a_cshq_21 |
| |||
a_cshq_22 |
| |||
a_cshq_23 |
| |||
a_cshq_24 |
| |||
a_cshq_25 |
|
radio | ||
a_cshq_26 |
|
radio | ||
a_cshq_27 |
|
radio | ||
a_cshq_28 |
| |||
a_cshq_29 |
| |||
a_cshq_30 |
|
radio | ||
a_cshq_31 |
| |||
a_cshq_m3_01 | Watching TV | radio | ||
a_cshq_m3_02 | Riding in the car | radio | ||
a_cshq_m1_04 |
|
radio | ||
a_cshq_m1_04_a | age 4 | text |
5.13 DBSES - Difficult Behavior Self-Efficacy Scale
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystodbss | Admit days to DBSES | calc | ||
a_dbssage | DBSES Age | text | ||
a_dbssrespondent | Please indicate your role as a caregiver for the child with autism in our program: | dropdown | ||
a_dbssstatus | DBSES Status | dropdown | ||
a_dbss1 |
|
radio | ||
a_dbss2 |
|
radio | ||
a_dbss3 |
|
radio | ||
a_dbss4 |
|
radio | ||
a_dbss5 |
|
radio | ||
d_dbssage | DBSES Discharge Age | |||
d_dbss1 |
|
radio | ||
d_dbss2 |
|
radio | ||
d_dbss3 |
|
radio | ||
d_dbss4 |
|
radio | ||
d_dbss5 |
|
radio | ||
fu_dbssstatus | DBSES Status | dropdown | ||
fu_dbssage | Followup DBSS Age | text | ||
fu_dcdaystodbss | Discharge Days to DBSS | calc | ||
fu_dbssrespondent | Please indicate your role as a caregiver for the child with autism in our program: | dropdown | ||
fu_dbss1 |
|
radio | ||
fu_dbss2 |
|
radio | ||
fu_dbss3 |
|
radio | ||
fu_dbss4 |
|
radio | ||
fu_dbss5 |
|
radio |
5.14 EDI - Emotion Dysregulation Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystoedi | Admit days to EDI | calc | ||
a_ediage | Age: | calc | ||
a_edi1s |
|
radio | ||
a_edi3s |
|
radio | ||
a_edi4s |
|
radio | ||
a_edi6s |
|
radio | ||
a_edi7s |
|
radio | ||
a_edi8s |
|
radio | ||
a_edi10s |
|
radio | ||
a_edi13s |
|
radio | ||
a_edi19s |
|
radio | ||
a_edi21s |
|
radio | ||
a_edi24s |
|
radio | ||
a_edi26s |
|
radio | ||
a_edi27s |
|
radio | ||
a_edi28s |
|
radio | ||
a_edi31s |
|
radio | ||
a_edi34s |
|
radio | ||
a_edi36s |
|
radio | ||
a_edi38s |
|
radio | ||
a_edi42s |
|
radio | ||
a_edi43s |
|
radio | ||
a_edi46s |
|
radio | ||
a_edi50s |
|
radio | ||
a_edi51s |
|
radio | ||
a_edi52s |
|
radio | ||
a_edi53s |
|
radio | ||
a_edi57s |
|
radio | ||
a_edi58s |
|
radio | ||
a_edi59s |
|
radio | ||
a_edi63s |
|
radio | ||
a_edi64s |
|
radio | ||
a_edi1c |
|
radio | ||
a_edi3c |
|
radio | ||
a_edi4c |
|
radio | ||
a_edi6c |
|
radio | ||
a_edi7c |
|
radio | ||
a_edi8c |
|
radio | ||
a_edi10c |
|
radio | ||
a_edi13c |
|
radio | ||
a_edi19c |
|
radio | ||
a_edi21c |
|
radio | ||
a_edi24c |
|
radio | ||
a_edi26c |
|
radio | ||
a_edi27c |
|
radio | ||
a_edi28c |
|
radio | ||
a_edi31c |
|
radio | ||
a_edi34c |
|
radio | ||
a_edi36c |
|
radio | ||
a_edi38c |
|
radio | ||
a_edi42c |
|
radio | ||
a_edi43c |
|
radio | ||
a_edi46c |
|
radio | ||
a_edi50c |
|
radio | ||
a_edi51c |
|
radio | ||
a_edi52c |
|
radio | ||
a_edi53c |
|
radio | ||
a_edi57c |
|
radio | ||
a_edi58c |
|
radio | ||
a_edi59c |
|
radio | ||
a_edi63c |
|
radio | ||
a_edi64c |
|
radio |
5.15 Leiter 3
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_leiterage | Patient’s age in years | calc | ||
s_attenscaled | A. Attention Scaled Score | text | ||
s_leiterscaledb | B. Organization / Impulse ControlScaled Score | text | ||
s_leiterscaledcog | Cognitive / SocialComposite Scaled Score | text | ||
s_leiterscalede | E. Energy and Feelings Scaled Score | text | ||
s_leiterscaledg | G. Anxiety Scaled Score | text | ||
s_leiterscaledemo | Emotions/Regulations Composite Scaled Score | text | ||
s_leiterrawfg | Figure Ground (FG) Raw Score | text | ||
s_leiterscaledfg | Figure Ground (FG) Scaled Score | text | ||
s_leiterrawfc | Form Completion (FC) Raw Score | text | ||
s_leiterscaledfc | Form Completion (FC) Scaled Score | text | ||
s_leiterrawca | Classification / Analogies (CA) Raw Score | text | ||
s_leiterscaledca | Classification / Analogies (CA) Scaled Score | text | ||
s_leiterrawso | Sequential Order (SO) Raw Score | text | ||
s_leiterscaledso | Sequential Order (SO) Scaled Score | text | ||
s_leiterscalediq | Nonverbal IQ - Sum of 4 Scaled Scores | text | ||
s_leiteriq | Corrected non-verbal IQ score | text | ||
s_leiteriqpercentile | Nonverbal IQ Percentile (See Appendix F) | text | ||
s_leitervalid | Leiter data validity | dropdown | ||
s_leiterrawvp | Visual Patterns (VP) Raw Score Optional | text | ||
s_leiterscaledvp | Visual Patterns (VP) Scaled Score Optional | text |
5.17 Parent Rated Anxiety Scale
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystopras | Admit Days to PRAS | calc | ||
a_prasage | PRAS Age | text | ||
a_pras_01 |
|
radio | ||
a_pras_02 |
|
radio | ||
a_pras_03 |
|
radio | ||
a_pras_04 |
|
radio | ||
a_pras_05 |
|
radio | ||
a_pras_06 |
|
radio | ||
a_pras_07 |
|
radio | ||
a_pras_08 |
|
radio | ||
a_pras_09 |
|
radio | ||
a_pras_10 |
|
radio | ||
a_pras_11 |
|
radio | ||
a_pras_12 |
|
radio | ||
a_pras_13 |
|
radio | ||
a_pras_14 |
|
radio | ||
a_pras_15 |
|
radio | ||
a_pras_16 |
|
radio | ||
a_pras_17 |
|
radio | ||
a_pras_18 |
|
radio | ||
a_pras_19 |
|
radio | ||
a_pras_20 |
|
radio | ||
a_pras_21 |
|
radio | ||
a_pras_22 |
|
radio | ||
a_pras_23 |
|
radio | ||
a_pras_24 |
|
radio | ||
a_pras_25 |
|
radio |
5.18 Parent Stress Index -4 (Short Form) (PSI-4-SF)
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystopsi | Admit Days to PSI | calc | ||
a_psiage | PSI Age | text | ||
a_psistatus | Parenting Stress Index data status | dropdown | ||
a_psirespondent | Caregiver status | dropdown | ||
a_psi1 | handle_well (full item description omitted due to copyright) | radio | ||
a_psi2 | giving_up (full item description omitted due to copyright) | radio | ||
a_psi3 | trapped (full item description omitted due to copyright) | radio | ||
a_psi4 | unable_do_new_things (full item description omitted due to copyright) | radio | ||
a_psi5 | do_things_i_like (full item description omitted due to copyright) | radio | ||
a_psi6 | unhappy_clothing (full item description omitted due to copyright) | radio | ||
a_psi7 | bothers_life (full item description omitted due to copyright) | radio | ||
a_psi8 | relationship_problems (full item description omitted due to copyright) | radio | ||
a_psi9 | without_friends (full item description omitted due to copyright) | radio | ||
a_psi10 | enjoy_party (full item description omitted due to copyright) | radio | ||
a_psi11 | interested_people (full item description omitted due to copyright) | radio | ||
a_psi12 | enjoy_things (full item description omitted due to copyright) | radio | ||
a_psi13 | child_things (full item description omitted due to copyright) | radio | ||
a_psi14 | efforts_appreciated (full item description omitted due to copyright) | radio | ||
a_psi15 | smile_expectation (full item description omitted due to copyright) | radio | ||
a_psi16 | like_or_close (full item description omitted due to copyright) | radio | ||
a_psi17 | emotional_and_upset (full item description omitted due to copyright) | radio | ||
a_psi18 | learn_quickly (full item description omitted due to copyright) | radio | ||
a_psi19 | smile_most_children (full item description omitted due to copyright) | radio | ||
a_psi20 | child_not_able (full item description omitted due to copyright) | radio | ||
a_psi21 | used_to_new_things (full item description omitted due to copyright) | radio | ||
a_psi22 | i_am (full item description omitted due to copyright) | radio | ||
a_psi23 | closer_feelings (full item description omitted due to copyright) | radio | ||
a_psi24 | child_mean (full item description omitted due to copyright) | radio | ||
a_psi25 | child_fuss (full item description omitted due to copyright) | radio | ||
a_psi26 | wakes_bad_mood (full item description omitted due to copyright) | radio | ||
a_psi27 | moody_upset (full item description omitted due to copyright) | radio | ||
a_psi28 | difficulty_schedules (full item description omitted due to copyright) | radio | ||
a_psi29 | reacts_strongly (full item description omitted due to copyright) | radio | ||
a_psi30 | giggle (full item description omitted due to copyright) | radio | ||
a_psi31 | establish_schedule (full item description omitted due to copyright) | radio | ||
a_psi32 | child_to_stop (full item description omitted due to copyright) | radio | ||
a_psi33 | count_bother (full item description omitted due to copyright) | radio | ||
a_psi34 | child_bothers (full item description omitted due to copyright) | radio | ||
a_psi35 | behavior_problem (full item description omitted due to copyright) | radio | ||
a_psi36 | demands (full item description omitted due to copyright) | radio | ||
d_psistatus | Parenting Stress Index data status | dropdown | ||
d_admitdaystopsi | Admit days to discharge PSI | calc | ||
d_psiage | Discharge PSI Age | text | ||
d_dcdaystopsi | Discharge days to PSI | calc | ||
d_psirespondent | Caregiver status | dropdown | ||
d_psi1 | handle_well (full item description omitted due to copyright) | radio | ||
d_psi2 | giving_up (full item description omitted due to copyright) | radio | ||
d_psi3 | trapped (full item description omitted due to copyright) | radio | ||
d_psi4 | unable_do_new_things (full item description omitted due to copyright) | radio | ||
d_psi5 | do_things_i_like (full item description omitted due to copyright) | radio | ||
d_psi6 | unhappy_clothing (full item description omitted due to copyright) | radio | ||
d_psi7 | bothers_life (full item description omitted due to copyright) | radio | ||
d_psi8 | relationship_problems (full item description omitted due to copyright) | radio | ||
d_psi9 | without_friends (full item description omitted due to copyright) | radio | ||
d_psi10 | enjoy_party (full item description omitted due to copyright) | radio | ||
d_psi11 | interested_people (full item description omitted due to copyright) | radio | ||
d_psi12 | enjoy_things (full item description omitted due to copyright) | radio | ||
d_psi13 | child_things (full item description omitted due to copyright) | radio | ||
d_psi14 | efforts_appreciated (full item description omitted due to copyright) | radio | ||
d_psi15 | smile_expectation (full item description omitted due to copyright) | radio | ||
d_psi16 | like_or_close (full item description omitted due to copyright) | radio | ||
d_psi17 | emotional_and_upset (full item description omitted due to copyright) | radio | ||
d_psi18 | learn_quickly (full item description omitted due to copyright) | radio | ||
d_psi19 | smile_most_children (full item description omitted due to copyright) | radio | ||
d_psi20 | child_not_able (full item description omitted due to copyright) | radio | ||
d_psi21 | used_to_new_things (full item description omitted due to copyright) | radio | ||
d_psi22 | i_am (full item description omitted due to copyright) | radio | ||
d_psi23 | closer_feelings (full item description omitted due to copyright) | radio | ||
d_psi24 | child_mean (full item description omitted due to copyright) | radio | ||
d_psi25 | child_fuss (full item description omitted due to copyright) | radio | ||
d_psi26 | wakes_bad_mood (full item description omitted due to copyright) | radio | ||
d_psi27 | moody_upset (full item description omitted due to copyright) | radio | ||
d_psi28 | difficulty_schedules (full item description omitted due to copyright) | radio | ||
d_psi29 | reacts_strongly (full item description omitted due to copyright) | radio | ||
d_psi30 | giggle (full item description omitted due to copyright) | radio | ||
d_psi31 | establish_schedule (full item description omitted due to copyright) | radio | ||
d_psi32 | child_to_stop (full item description omitted due to copyright) | radio | ||
d_psi33 | count_bother (full item description omitted due to copyright) | radio | ||
d_psi34 | child_bothers (full item description omitted due to copyright) | radio | ||
d_psi35 | behavior_problem (full item description omitted due to copyright) | radio | ||
d_psi36 | demands (full item description omitted due to copyright) | radio | ||
fu_psistatus | Parenting Stress Index data status | dropdown | ||
fu_admitdaystopsi | Admit days to followup PSI | calc | ||
fu_dcdaystopsi | Discharge days to followup PSI | calc | ||
fu_psiage | Followup PSI Age | text | ||
fu_psirespondent | Caregiver status | dropdown | ||
fu_psi1 |
|
radio | ||
fu_psi2 |
|
radio | ||
fu_psi3 |
|
radio | ||
fu_psi4 |
|
radio | ||
fu_psi5 |
|
radio | ||
fu_psi6 |
|
radio | ||
fu_psi7 |
|
radio | ||
fu_psi8 |
|
radio | ||
fu_psi9 |
|
radio | ||
fu_psi10 |
|
radio | ||
fu_psi11 |
|
radio | ||
fu_psi12 |
|
radio | ||
fu_psi13 |
|
radio | ||
fu_psi14 |
|
radio | ||
fu_psi15 |
|
radio | ||
fu_psi16 |
|
radio | ||
fu_psi17 |
|
radio | ||
fu_psi18 |
|
radio | ||
fu_psi19 |
|
radio | ||
fu_psi20 |
|
radio | ||
fu_psi21 |
|
radio | ||
fu_psi22 |
|
radio | ||
fu_psi23 |
|
radio | ||
fu_psi24 |
|
radio | ||
fu_psi25 |
|
radio | ||
fu_psi26 |
|
radio | ||
fu_psi27 |
|
radio | ||
fu_psi28 |
|
radio | ||
fu_psi29 |
|
radio | ||
fu_psi30 |
|
radio | ||
fu_psi31 |
|
radio | ||
fu_psi32 |
|
radio | ||
fu_psi33 |
|
radio | ||
fu_psi34 |
|
radio | ||
fu_psi35 |
|
radio | ||
fu_psi36 |
|
radio |
5.19 PPVT - Peabody Picture Vocabulary Test
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_ppvtage | PPVT Age | text | ||
s_ppvtrawscore | PPVT Raw Score | text | ||
s_ppvtstandardscore | PPVT Standard Score | text | ||
s_ppvtpercentile | PPVT Percentile | text |
5.20 Puberty Questionnaire
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_pubertyage | Age at puberty questionnaire | text | ||
s_pub_01 |
|
radio | ||
s_pub_02 |
|
radio | ||
s_pub_03 |
|
radio | ||
s_pub_04 |
|
radio | ||
s_pub_05 |
|
radio | ||
s_pub_06 |
|
radio | ||
s_pub_07 |
|
yesno | ||
s_pub_7a | 07a. If yes, how old were they when it started: | text |
5.21 RBS Caregiver - Repetitive Behaviors Scale
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystorbsr | Admit Days to RBSR | calc | ||
a_rbsrage | RBSR Age | text | ||
a_rbsrrespondent | Informant completing test | dropdown | ||
a_rbsr1 |
|
radio | ||
a_rbsr2 |
|
radio | ||
a_rbsr3 |
|
radio | ||
a_rbsr4 |
|
radio | ||
a_rbsr5 |
|
radio | ||
a_rbsr6 |
|
radio | ||
a_rbsr7 |
|
radio | ||
a_rbsr8 |
|
radio | ||
a_selfendorsed |
|
text | ||
a_selftotal |
|
text |
5.22 RBS Staff - Repetitive Behaviors Scale
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_admitdaystorbs_2 | Admit days to RBS-S | text | ||
a_rbsstatus | RBS-R data status | dropdown | ||
s_rbsrespondent_2 | RBSR Staff Informant | dropdown | ||
s_rbssage | RBSS Age | text | ||
s_rbs1_2 |
|
radio | ||
s_rbs2_2 |
|
radio | ||
s_rbs3_2 |
|
radio | ||
s_rbs4_2 |
|
radio | ||
s_rbs5_2 |
|
radio | ||
s_rbs6_2 |
|
radio | ||
s_rbs7_2 |
|
radio | ||
s_rbs8_2 |
|
radio | ||
s_selfendorsed_2 |
|
text | ||
s_selftotal_2 |
|
text |
5.24 Vineland 2
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_vinestatus | Vineland II data status | 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact | dropdown | |
s_vinenote | Vineland record note for [admission_arm_1][familyid] | notes | ||
s_vinedate | Test Date | text | date_mdy | |
s_vineage | Years of age | if([vinedate]=‘09-09-9999’ or [admission_arm_1][cdob]=‘09-09-9999’,9999,if([vinedate]=‘08-08-8888’ or [admission_arm_1][cdob]=‘08-08-8888’,8888,round(datediff( [admission_arm_1][cdob],[vinedate],"y","mdy"),1))) | calc | |
s_vinerespondent | Relationship to Individual | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | |
s_vinereceptraw | Receptive raw score: | text | number | |
s_vinereceptv | Receptive v-scale score: | text | number | |
s_vineexpraw | Expressive raw score: | text | number | |
s_vineexpv | Expressive v-scale score: | text | number | |
s_vinewritraw | Written raw score: | text | number | |
s_vinewritv | Written v-scale score: | text | number | |
s_commsum | Communication sum | text | number | |
s_vinecommstand | Communication domain standard score: | text | number | |
s_vinepersraw | Personal raw score: | text | number | |
s_vinepersv | Personal v-scale score: | text | number | |
s_vinedomraw | Domestic raw score: | text | number | |
s_vinedomv | Domestic v-scale score: | text | number | |
s_vinecommraw | Community raw score: | text | number | |
s_vinecommv | Community v-scale score: | text | number | |
s_vinelivingsum | Daily Living Skills: Sum | text | number | |
s_vinelivingstand | Daily living skills domain standard score: | text | number | |
s_vineinterrelraw | Interpersonal relationships raw score: | text | number | |
s_vineinterrelv | Interpersonal relationships v-scale score: | text | number | |
s_vineplayraw | Play and leisure time raw score: | text | number | |
s_vineplayv | Play and leisure time v-scale score: | text | number | |
s_vinecopingraw | Coping skills raw score: | text | number | |
s_vinecopingv | Coping skills v-scale score: | text | number | |
s_socialsum | Socialization sum | text | number | |
s_vinesocialstand | Socialization domain standard score: | text | number | |
s_vinegrossraw | Gross raw score: | text | number | |
s_vinegrossv | Gross v-scale score: | text | number | |
s_vinefineraw | Fine raw score: | text | number | |
s_vinefinev | Fine v-scale score: | text | number | |
s_motorsum | Motor Skills sum | text | number | |
s_vinemotorstand | Motor skills domain standard score: | text | number | |
s_domainsum |
Adaptive Behavior Composite Sum (was "Sum of Domain Standard scores") |
text | number | |
s_vinecomposite | Adaptive behavior composite standard score | text | number | |
s_internalraw | Internalizing raw score | text | number | |
s_internalv | Internalizing v-Scale Score | text | number | |
s_externalraw | Externalizing raw score | text | number | |
s_externalv | Externalizing v-Scale Score | text | number | |
s_malraw | Maladaptive Behavior Index Raw Score | text | number | |
s_malv | Maladaptive Behavioral Index v-Scale Score | text | number |
5.25 Vineland 3
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_v3_vineage | Years of age | calc | ||
s_v3_vinecomposite | Adaptive behavior composite standard score | text | ||
s_v3_vinecommstand | Communication domain standard score: | text | ||
s_v3_vinelivingstand | Daily living skills domain standard score: | text | ||
s_v3_vinesocialstand | Socialization domain standard score: | text | ||
s_v3_vinereceptraw | Receptive raw score: | text | ||
s_v3_vinereceptv | Receptive v-scale score: | text | ||
s_v3_vineexpraw | Expressive raw score: | text | ||
s_v3_vineexpv | Expressive v-scale score: | text | ||
s_v3_vinewritraw | Written raw score: | text | ||
s_v3_vinewritv | Written v-scale score: | text | ||
s_v3_vinepersraw | Personal raw score: | text | ||
s_v3_vinepersv | Personal v-scale score: | text | ||
s_v3_vinedomraw | Domestic raw score: | text | ||
s_v3_vinedomv | Domestic v-scale score: | text | ||
s_v3_vinecommraw | Community raw score: | text | ||
s_v3_vinecommv | Community v-scale score: | text | ||
s_v3_vineinterrelraw | Interpersonal relationships raw score: | text | ||
s_v3_vineinterrelv | Interpersonal relationships v-scale score: | text | ||
s_v3_vineplayraw | Play and leisure time raw score: | text | ||
s_v3_vineplayv | Play and leisure time v-scale score: | text | ||
s_v3_vinecopingraw | Coping skills raw score: | text | ||
s_v3_vinecopingv | Coping skills v-scale score: | text | ||
s_v3_internalraw | Internalizing raw score | text | ||
s_v3_internalv | Internalizing v-Scale Score | text | ||
s_v3_externalraw | Externalizing raw score | text | ||
s_v3_externalv | Externalizing v-Scale Score | text | ||
s_v3_vinemotorstand |
Motor skills domain standard score: (If child is 7 years or older, Motor Skills domain is not applicable. Enter 8888.) |
text | ||
s_v3_vinegrossraw | Gross raw score: | text | ||
s_v3_vinegrossv | Gross v-scale score: | text | ||
s_v3_vinefineraw | Fine raw score: | text | ||
s_v3_vinefinev | Fine v-scale score: | text |
5.26 AIC 2-Month Followup
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
fu_fustatus | ADDIRC 2 month follow up data status | dropdown | ||
fu_fuage | Age at 2month followup | text | ||
fu_fura | Research Assistant: | dropdown | ||
fu_furespondent | Parent/Caregiver: (in relation to child) | dropdown | ||
fu_fucaresame | Same caregiver as at admission and discharge? | dropdown | ||
fu_furxname1 |
|
dropdown | ||
fu_furxdose1 |
|
text | ||
fu_furxdoseunit1 |
|
dropdown | ||
fu_furxname2 |
|
dropdown | ||
fu_furxdose2 |
|
text | ||
fu_furxdoseunit2 |
|
dropdown | ||
fu_furxname3 |
|
dropdown | ||
fu_furxdose3 |
|
text | ||
fu_furxdoseunit3 |
|
dropdown | ||
fu_furxname4 |
|
dropdown | ||
fu_furxdose4 |
|
text | ||
fu_furxdoseunit4 |
|
dropdown | ||
fu_furxname5 |
|
dropdown | ||
fu_furxname6 |
|
dropdown | ||
fu_furxname7 |
|
dropdown | ||
fu_furxname8 |
|
dropdown | ||
fu_furxname9 |
|
dropdown | ||
fu_furxname10 |
|
dropdown | ||
fu_fusetting |
|
dropdown | ||
fu_fudcsame | Same as discharge? | dropdown | ||
fu_fuadmit | Number of psychiatric hospitalizations in the past 2 months (since discharge): | text | ||
fu_fucrisis | Number of in-home crisis evaluations in the past 2 months: | text | ||
fu_fuer | Number of ER visits for behavioral crisis in the past 2 months: | text | ||
fu_fupolice | Number of police contacts for behavioral crisis in the past 2 months? | text | ||
fu_furxdose5 |
|
text | ||
fu_furxdoseunit5 |
|
dropdown | ||
fu_furxdose6 |
|
text | ||
fu_furxdoseunit6 |
|
dropdown | ||
fu_furxdose7 |
|
text | ||
fu_furxdoseunit7 |
|
dropdown | ||
fu_furxdose8 |
|
text | ||
fu_furxdoseunit8 |
|
dropdown | ||
fu_furxdose9 |
|
text | ||
fu_furxdoseunit9 |
|
dropdown | ||
fu_furxdose10 |
|
text | ||
fu_furxdoseunit10 |
|
dropdown |
5.27 Sleep Variables
In this dataset, we include sleep data tracked over a maximum of 180 nights, with each night containing four variables: (1) days between admission and the sleep night, (2) total minutes of sleep, (3) total minutes awake between sleep onset and last awakening, and (4) total number of nighttime awakenings. Rather than listing all variable names individually, we provide the variable names for the first night, which are repeated for each subsequent night up to 180 times.
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_admitdaystosleep1 | Admit Days to First Sleep Night | text | ||
s_sleepmin1 | Total minutes of sleep | text | ||
s_sleepawake1 | Total minutes of being awake between onset of sleep and last awakening | text | ||
s_sleepnight1 | Total number of night time awakenings | text |