ID

19509

Descripción

Study part: Household Screener National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Palabras clave

Versiones (1)
  1. 6/1/17 6/1/17 -
Subido en

6 de enero de 2017

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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NSCH 2016 Household Screener

Inglés

Household Screener

1 formularios  
  1. StudyEvent: ODM
    1. Household Screener
In Your Home
Descripción

In Your Home

Alias
UMLS CUI-1
C0020052
Are there any children 0-17 years old who usually live or stay at this address?
Descripción

Resident children

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2347958
UMLS CUI [1,2]
C0008059
How many children 0-17 years old usually live or stay at this address?
Descripción

number of children Resident

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2229974
UMLS CUI [1,2]
C2347958
What is the primary language spoken in the household?
Descripción

Language primary

Tipo de datos

text

Alias
UMLS CUI [1]
C1717991
If other, please mention
Descripción

Other

Tipo de datos

text

Alias
UMLS CUI [1]
C0205394
CHILD 1 (Youngest)
Descripción

CHILD 1 (Youngest)

Alias
UMLS CUI-1
C0728834
First name, initials, or nickname of the youngest child
Descripción

first name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
1. Is this child of Hispanic, Latino, or Spanish origin?
Descripción

National origin

Tipo de datos

text

Alias
UMLS CUI [1]
C0079946
2. What is this child’s race? White?
Descripción

Caucasoid Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007457
UMLS CUI [1,2]
C0008059
2. What is this child’s race?Black or African American?
Descripción

race child African American

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0085756
2. What is this child’s race? American Indian or Alaska Native?
Descripción

race child American Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0002460
2. What is this child’s race?Asian Indian?
Descripción

race child Asian Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C1524069
2. What is this child’s race? Chinese?
Descripción

race child Chinese

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0008121
2. What is this child’s race? Filipino ?
Descripción

Filipino child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556093
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Japanese ?
Descripción

Japanese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556094
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Korean?
Descripción

Korean child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556095
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Vietnamese?
Descripción

Vietnamese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1561452
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Asian?
Descripción

race child Asian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0078988
2. What is this child’s race? Native Hawaiian?
Descripción

race child Native Hawaiian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0337920
2. What is this child’s race? Guamanian or Chamorro?
Descripción

Guamanian child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1553342
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Samoan?
Descripción

Samoan child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556103
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Pacific Islander?
Descripción

race child Pacific Islander

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0242191
2. What is this child’s race? Some other race?
Descripción

Other Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0425379
UMLS CUI [1,2]
C0008059
3. How old is this child? If the child is less than one month old, round age in months to 1.
Descripción

age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
4. What is this child’s sex?
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
Descripción

english speaking

Tipo de datos

text

Alias
UMLS CUI [1]
C0376245
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
Descripción

drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013227
UMLS CUI [2]
C0242295
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
Descripción

medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0496675
UMLS CUI [2]
C0587721
UMLS CUI [3]
C0025353
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
Descripción

medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
Descripción

ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0439801
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
Descripción

physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0949766
UMLS CUI [2]
C0037831
UMLS CUI [3]
C1318464
9. If yes, is this because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
Descripción

treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0010210
UMLS CUI [1,3]
C0008073
UMLS CUI [1,4]
C0004930
UMLS CUI [1,5]
C0233459
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
Descripción

duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0010210
UMLS CUI [1,4]
C0008073
UMLS CUI [1,5]
C0004930
UMLS CUI [1,6]
C0233459
CHILD 2 (Next oldest)
Descripción

CHILD 2 (Next oldest)

Alias
UMLS CUI-1
C0037047
UMLS CUI-2
C1533716
First name, initials, or nickname of the next oldest child
Descripción

first name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
1. Is this child of Hispanic, Latino, or Spanish origin?
Descripción

National origin

Tipo de datos

text

Alias
UMLS CUI [1]
C0079946
2. What is this child’s race? White?
Descripción

Caucasoid Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007457
UMLS CUI [1,2]
C0008059
2. What is this child’s race?Black or African American?
Descripción

race child African American

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0085756
2. What is this child’s race? American Indian or Alaska Native?
Descripción

race child American Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0002460
2. What is this child’s race?Asian Indian?
Descripción

race child Asian Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C1524069
2. What is this child’s race? Chinese?
Descripción

race child Chinese

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0008121
2. What is this child’s race? Filipino ?
Descripción

Filipino child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556093
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Japanese ?
Descripción

Japanese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556094
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Korean?
Descripción

Korean child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556095
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Vietnamese?
Descripción

Vietnamese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1561452
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Asian?
Descripción

race child Asian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0078988
2. What is this child’s race? Native Hawaiian?
Descripción

race child Native Hawaiian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0337920
2. What is this child’s race? Guamanian or Chamorro?
Descripción

Guamanian child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1553342
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Samoan?
Descripción

Samoan child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556103
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Pacific Islander?
Descripción

race child Pacific Islander

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0242191
2. What is this child’s race? Some other race?
Descripción

Other Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0425379
UMLS CUI [1,2]
C0008059
3. How old is this child? If the child is less than one month old, round age in months to 1.
Descripción

age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
4. What is this child’s sex?
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
Descripción

english speaking

Tipo de datos

text

Alias
UMLS CUI [1]
C0376245
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
Descripción

drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013227
UMLS CUI [2]
C0242295
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
Descripción

medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0496675
UMLS CUI [2]
C0587721
UMLS CUI [3]
C0025353
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
Descripción

medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
Descripción

ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0439801
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
Descripción

physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0949766
UMLS CUI [2]
C0037831
UMLS CUI [3]
C1318464
9. If yes, is this because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
Descripción

treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0010210
UMLS CUI [1,3]
C0008073
UMLS CUI [1,4]
C0004930
UMLS CUI [1,5]
C0233459
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
Descripción

duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0010210
UMLS CUI [1,4]
C0008073
UMLS CUI [1,5]
C0004930
UMLS CUI [1,6]
C0233459
CHILD 3 (Next oldest)
Descripción

CHILD 3 (Next oldest)

Alias
UMLS CUI-1
C0037047
UMLS CUI-2
C1533716
First name, initials, or nickname of the next oldest child
Descripción

first name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
1. Is this child of Hispanic, Latino, or Spanish origin?
Descripción

National origin

Tipo de datos

text

Alias
UMLS CUI [1]
C0079946
2. What is this child’s race? White?
Descripción

Caucasoid Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007457
UMLS CUI [1,2]
C0008059
2. What is this child’s race?Black or African American?
Descripción

race child African American

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0085756
2. What is this child’s race? American Indian or Alaska Native?
Descripción

race child American Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0002460
2. What is this child’s race?Asian Indian?
Descripción

race child Asian Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C1524069
2. What is this child’s race? Chinese?
Descripción

race child Chinese

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0008121
2. What is this child’s race? Filipino ?
Descripción

Filipino child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556093
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Japanese ?
Descripción

Japanese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556094
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Korean?
Descripción

Korean child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556095
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Vietnamese?
Descripción

Vietnamese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1561452
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Asian?
Descripción

race child Asian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0078988
2. What is this child’s race? Native Hawaiian?
Descripción

race child Native Hawaiian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0337920
2. What is this child’s race? Guamanian or Chamorro?
Descripción

Guamanian child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1553342
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Samoan?
Descripción

Samoan child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556103
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Pacific Islander?
Descripción

race child Pacific Islander

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0242191
2. What is this child’s race? Some other race?
Descripción

Other Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0425379
UMLS CUI [1,2]
C0008059
3. How old is this child? If the child is less than one month old, round age in months to 1.
Descripción

age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
4. What is this child’s sex?
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
Descripción

english speaking

Tipo de datos

text

Alias
UMLS CUI [1]
C0376245
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
Descripción

drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013227
UMLS CUI [2]
C0242295
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
Descripción

medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0496675
UMLS CUI [2]
C0587721
UMLS CUI [3]
C0025353
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
Descripción

medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
Descripción

ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0439801
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
Descripción

physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0949766
UMLS CUI [2]
C0037831
UMLS CUI [3]
C1318464
9. If yes, is this because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
Descripción

treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0010210
UMLS CUI [1,3]
C0008073
UMLS CUI [1,4]
C0004930
UMLS CUI [1,5]
C0233459
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
Descripción

duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0010210
UMLS CUI [1,4]
C0008073
UMLS CUI [1,5]
C0004930
UMLS CUI [1,6]
C0233459
CHILD 4 (Next oldest)
Descripción

CHILD 4 (Next oldest)

Alias
UMLS CUI-1
C0037047
UMLS CUI-2
C1533716
First name, initials, or nickname of the next oldest child
Descripción

first name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
1. Is this child of Hispanic, Latino, or Spanish origin?
Descripción

National origin

Tipo de datos

text

Alias
UMLS CUI [1]
C0079946
2. What is this child’s race? White?
Descripción

Caucasoid Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007457
UMLS CUI [1,2]
C0008059
2. What is this child’s race?Black or African American?
Descripción

race child African American

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0085756
2. What is this child’s race? American Indian or Alaska Native?
Descripción

race child American Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0002460
2. What is this child’s race?Asian Indian?
Descripción

race child Asian Indian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C1524069
2. What is this child’s race? Chinese?
Descripción

race child Chinese

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0008121
2. What is this child’s race? Filipino ?
Descripción

Filipino child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556093
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Japanese ?
Descripción

Japanese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556094
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Korean?
Descripción

Korean child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556095
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Vietnamese?
Descripción

Vietnamese child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1561452
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Asian?
Descripción

race child Asian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0078988
2. What is this child’s race? Native Hawaiian?
Descripción

race child Native Hawaiian

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0337920
2. What is this child’s race? Guamanian or Chamorro?
Descripción

Guamanian child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1553342
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Samoan?
Descripción

Samoan child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1556103
UMLS CUI [1,2]
C0008059
2. What is this child’s race? Other Pacific Islander?
Descripción

race child Pacific Islander

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0034510
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0242191
2. What is this child’s race? Some other race?
Descripción

Other Race child

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0425379
UMLS CUI [1,2]
C0008059
3. How old is this child? If the child is less than one month old, round age in months to 1.
Descripción

age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
4. What is this child’s sex?
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
Descripción

english speaking

Tipo de datos

text

6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
Descripción

drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013227
UMLS CUI [2]
C0242295
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; drugs; supplements

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0013227
UMLS CUI [3]
C0242295
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
Descripción

medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0496675
UMLS CUI [2]
C0587721
UMLS CUI [3]
C0025353
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
Descripción

medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; medical care; educational services; mental health

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0496675
UMLS CUI [3]
C0587721
UMLS CUI [4]
C0025353
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
Descripción

ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0439801
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; ability limited

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0439801
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
Descripción

physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0949766
UMLS CUI [2]
C0037831
UMLS CUI [3]
C1318464
9. If yes, is this because of ANY medical, behavioral, or other health condition?
Descripción

medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
Descripción

Duration medical condition; physical therapy; speech therapy; occupational therapy

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C0949766
UMLS CUI [3]
C0037831
UMLS CUI [4]
C1318464
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
Descripción

treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0010210
UMLS CUI [1,3]
C0008073
UMLS CUI [1,4]
C0004930
UMLS CUI [1,5]
C0233459
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
Descripción

duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0010210
UMLS CUI [1,4]
C0008073
UMLS CUI [1,5]
C0004930
UMLS CUI [1,6]
C0233459
If there are more than four children 0-17 years old who usually live or stay at this address, list the age and sex for each. Do not repeat information for children already included for Child 1 through Child 4.
Descripción

If there are more than four children 0-17 years old who usually live or stay at this address, list the age and sex for each. Do not repeat information for children already included for Child 1 through Child 4.

Alias
UMLS CUI-1
C0037047
UMLS CUI-2
C1533716
Child 5 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 5 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 5 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Child 6 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 6 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 6 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Child 7 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 7 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 7 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Child 8 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 8 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 8 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Child 9 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 9 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 9 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Child 10 (Next oldest) First name, initials, or nickname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Child 10 (Next oldest) Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Child 10 (Next oldest) Sex
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
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Similar models

Household Screener

1 formularios
  1. StudyEvent: ODM
    1. Household Screener
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
In Your Home
C0020052 (UMLS CUI-1)
Item
Are there any children 0-17 years old who usually live or stay at this address?
text
C2347958 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Resident children
Code List
Are there any children 0-17 years old who usually live or stay at this address?
CL Item
NoIf No, STOP HERE after marking “No” and return this survey to us in the enclosed envelope. It is important that we receive a response from every household selected for this study (1)
CL Item
Yes (2)
number of children Resident
Item
How many children 0-17 years old usually live or stay at this address?
integer
C2229974 (UMLS CUI [1,1])
C2347958 (UMLS CUI [1,2])
Item
What is the primary language spoken in the household?
text
C1717991 (UMLS CUI [1])
Language primary
Code List
What is the primary language spoken in the household?
CL Item
English (1)
CL Item
Spanish (2)
CL Item
Other (3)
Other
Item
If other, please mention
text
C0205394 (UMLS CUI [1])
Item Group
CHILD 1 (Youngest)
C0728834 (UMLS CUI-1)
first name
Item
First name, initials, or nickname of the youngest child
text
C1443235 (UMLS CUI [1])
Item
1. Is this child of Hispanic, Latino, or Spanish origin?
text
C0079946 (UMLS CUI [1])
National origin
Code List
1. Is this child of Hispanic, Latino, or Spanish origin?
CL Item
No, not of Hispanic, Latino, or Spanish origin (1)
CL Item
Yes, Mexican, Mexican American, Chicano (2)
CL Item
Yes, Puerto Rican (3)
CL Item
Yes, Cuban (4)
CL Item
Yes, another Hispanic, Latino, or Spanish origin (5)
Caucasoid Race child
Item
2. What is this child’s race? White?
boolean
C0007457 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child African American
Item
2. What is this child’s race?Black or African American?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0085756 (UMLS CUI [1,3])
race child American Indian
Item
2. What is this child’s race? American Indian or Alaska Native?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0002460 (UMLS CUI [1,3])
race child Asian Indian
Item
2. What is this child’s race?Asian Indian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C1524069 (UMLS CUI [1,3])
race child Chinese
Item
2. What is this child’s race? Chinese?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0008121 (UMLS CUI [1,3])
Filipino child
Item
2. What is this child’s race? Filipino ?
boolean
C1556093 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Japanese child
Item
2. What is this child’s race? Japanese ?
boolean
C1556094 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Korean child
Item
2. What is this child’s race? Korean?
boolean
C1556095 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Vietnamese child
Item
2. What is this child’s race? Vietnamese?
boolean
C1561452 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Asian
Item
2. What is this child’s race? Other Asian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0078988 (UMLS CUI [1,3])
race child Native Hawaiian
Item
2. What is this child’s race? Native Hawaiian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0337920 (UMLS CUI [1,3])
Guamanian child
Item
2. What is this child’s race? Guamanian or Chamorro?
boolean
C1553342 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Samoan child
Item
2. What is this child’s race? Samoan?
boolean
C1556103 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Pacific Islander
Item
2. What is this child’s race? Other Pacific Islander?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0242191 (UMLS CUI [1,3])
Other Race child
Item
2. What is this child’s race? Some other race?
boolean
C0425379 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
age
Item
3. How old is this child? If the child is less than one month old, round age in months to 1.
integer
C0001779 (UMLS CUI [1])
Item
4. What is this child’s sex?
text
C0079399 (UMLS CUI [1])
gender
Code List
4. What is this child’s sex?
CL Item
Male  (1)
CL Item
Female (2)
Item
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
text
C0376245 (UMLS CUI [1])
english speaking
Code List
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
CL Item
Very well (1)
CL Item
Not well (2)
CL Item
Well (3)
CL Item
Not at all (4)
drugs; supplements
Item
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
boolean
C0013227 (UMLS CUI [1])
C0242295 (UMLS CUI [2])
medical condition; drugs; supplements
Item
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
Duration medical condition; drugs; supplements
Item
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
medical care; educational services; mental health
Item
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
boolean
C0496675 (UMLS CUI [1])
C0587721 (UMLS CUI [2])
C0025353 (UMLS CUI [3])
medical condition; medical care; educational services; mental health
Item
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
boolean
C0012634 (UMLS CUI [1])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
Duration medical condition; medical care; educational services; mental health
Item
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
ability limited
Item
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
boolean
C0085732 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
medical condition; ability limited
Item
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
Duration medical condition; ability limited
Item
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
physical therapy; speech therapy; occupational therapy
Item
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
boolean
C0949766 (UMLS CUI [1])
C0037831 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
Duration medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
boolean
C0087111 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
C0008073 (UMLS CUI [1,3])
C0004930 (UMLS CUI [1,4])
C0233459 (UMLS CUI [1,5])
duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,3])
C0008073 (UMLS CUI [1,4])
C0004930 (UMLS CUI [1,5])
C0233459 (UMLS CUI [1,6])
Item Group
CHILD 2 (Next oldest)
C0037047 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
first name
Item
First name, initials, or nickname of the next oldest child
text
C1443235 (UMLS CUI [1])
Item
1. Is this child of Hispanic, Latino, or Spanish origin?
text
C0079946 (UMLS CUI [1])
National origin
Code List
1. Is this child of Hispanic, Latino, or Spanish origin?
CL Item
No, not of Hispanic, Latino, or Spanish origin (1)
CL Item
Yes, Mexican, Mexican American, Chicano (2)
CL Item
Yes, Puerto Rican (3)
CL Item
Yes, Cuban (4)
CL Item
Yes, another Hispanic, Latino, or Spanish origin (5)
Caucasoid Race child
Item
2. What is this child’s race? White?
boolean
C0007457 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child African American
Item
2. What is this child’s race?Black or African American?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0085756 (UMLS CUI [1,3])
race child American Indian
Item
2. What is this child’s race? American Indian or Alaska Native?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0002460 (UMLS CUI [1,3])
race child Asian Indian
Item
2. What is this child’s race?Asian Indian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C1524069 (UMLS CUI [1,3])
race child Chinese
Item
2. What is this child’s race? Chinese?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0008121 (UMLS CUI [1,3])
Filipino child
Item
2. What is this child’s race? Filipino ?
boolean
C1556093 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Japanese child
Item
2. What is this child’s race? Japanese ?
boolean
C1556094 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Korean child
Item
2. What is this child’s race? Korean?
boolean
C1556095 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Vietnamese child
Item
2. What is this child’s race? Vietnamese?
boolean
C1561452 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Asian
Item
2. What is this child’s race? Other Asian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0078988 (UMLS CUI [1,3])
race child Native Hawaiian
Item
2. What is this child’s race? Native Hawaiian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0337920 (UMLS CUI [1,3])
Guamanian child
Item
2. What is this child’s race? Guamanian or Chamorro?
boolean
C1553342 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Samoan child
Item
2. What is this child’s race? Samoan?
boolean
C1556103 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Pacific Islander
Item
2. What is this child’s race? Other Pacific Islander?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0242191 (UMLS CUI [1,3])
Other Race child
Item
2. What is this child’s race? Some other race?
boolean
C0425379 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
age
Item
3. How old is this child? If the child is less than one month old, round age in months to 1.
integer
C0001779 (UMLS CUI [1])
Item
4. What is this child’s sex?
text
C0079399 (UMLS CUI [1])
gender
Code List
4. What is this child’s sex?
CL Item
Male  (1)
CL Item
Female (2)
Item
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
text
C0376245 (UMLS CUI [1])
english speaking
Code List
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
CL Item
Very well (1)
CL Item
Not well (2)
CL Item
Well (3)
CL Item
Not at all (4)
drugs; supplements
Item
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
boolean
C0013227 (UMLS CUI [1])
C0242295 (UMLS CUI [2])
medical condition; drugs; supplements
Item
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
Duration medical condition; drugs; supplements
Item
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
medical care; educational services; mental health
Item
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
boolean
C0496675 (UMLS CUI [1])
C0587721 (UMLS CUI [2])
C0025353 (UMLS CUI [3])
medical condition; medical care; educational services; mental health
Item
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
boolean
C0012634 (UMLS CUI [1])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
Duration medical condition; medical care; educational services; mental health
Item
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
ability limited
Item
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
boolean
C0085732 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
medical condition; ability limited
Item
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
Duration medical condition; ability limited
Item
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
physical therapy; speech therapy; occupational therapy
Item
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
boolean
C0949766 (UMLS CUI [1])
C0037831 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
Duration medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
boolean
C0087111 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
C0008073 (UMLS CUI [1,3])
C0004930 (UMLS CUI [1,4])
C0233459 (UMLS CUI [1,5])
duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,3])
C0008073 (UMLS CUI [1,4])
C0004930 (UMLS CUI [1,5])
C0233459 (UMLS CUI [1,6])
Item Group
CHILD 3 (Next oldest)
C0037047 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
first name
Item
First name, initials, or nickname of the next oldest child
text
C1443235 (UMLS CUI [1])
Item
1. Is this child of Hispanic, Latino, or Spanish origin?
text
C0079946 (UMLS CUI [1])
National origin
Code List
1. Is this child of Hispanic, Latino, or Spanish origin?
CL Item
No, not of Hispanic, Latino, or Spanish origin (1)
CL Item
Yes, Mexican, Mexican American, Chicano (2)
CL Item
Yes, Puerto Rican (3)
CL Item
Yes, Cuban (4)
CL Item
Yes, another Hispanic, Latino, or Spanish origin (5)
Caucasoid Race child
Item
2. What is this child’s race? White?
boolean
C0007457 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child African American
Item
2. What is this child’s race?Black or African American?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0085756 (UMLS CUI [1,3])
race child American Indian
Item
2. What is this child’s race? American Indian or Alaska Native?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0002460 (UMLS CUI [1,3])
race child Asian Indian
Item
2. What is this child’s race?Asian Indian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C1524069 (UMLS CUI [1,3])
race child Chinese
Item
2. What is this child’s race? Chinese?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0008121 (UMLS CUI [1,3])
Filipino child
Item
2. What is this child’s race? Filipino ?
boolean
C1556093 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Japanese child
Item
2. What is this child’s race? Japanese ?
boolean
C1556094 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Korean child
Item
2. What is this child’s race? Korean?
boolean
C1556095 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Vietnamese child
Item
2. What is this child’s race? Vietnamese?
boolean
C1561452 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Asian
Item
2. What is this child’s race? Other Asian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0078988 (UMLS CUI [1,3])
race child Native Hawaiian
Item
2. What is this child’s race? Native Hawaiian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0337920 (UMLS CUI [1,3])
Guamanian child
Item
2. What is this child’s race? Guamanian or Chamorro?
boolean
C1553342 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Samoan child
Item
2. What is this child’s race? Samoan?
boolean
C1556103 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Pacific Islander
Item
2. What is this child’s race? Other Pacific Islander?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0242191 (UMLS CUI [1,3])
Other Race child
Item
2. What is this child’s race? Some other race?
boolean
C0425379 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
age
Item
3. How old is this child? If the child is less than one month old, round age in months to 1.
integer
C0001779 (UMLS CUI [1])
Item
4. What is this child’s sex?
text
C0079399 (UMLS CUI [1])
gender
Code List
4. What is this child’s sex?
CL Item
Male  (1)
CL Item
Female (2)
Item
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
text
C0376245 (UMLS CUI [1])
english speaking
Code List
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
CL Item
Very well (1)
CL Item
Not well (2)
CL Item
Well (3)
CL Item
Not at all (4)
drugs; supplements
Item
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
boolean
C0013227 (UMLS CUI [1])
C0242295 (UMLS CUI [2])
medical condition; drugs; supplements
Item
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
Duration medical condition; drugs; supplements
Item
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
medical care; educational services; mental health
Item
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
boolean
C0496675 (UMLS CUI [1])
C0587721 (UMLS CUI [2])
C0025353 (UMLS CUI [3])
medical condition; medical care; educational services; mental health
Item
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
boolean
C0012634 (UMLS CUI [1])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
Duration medical condition; medical care; educational services; mental health
Item
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
ability limited
Item
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
boolean
C0085732 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
medical condition; ability limited
Item
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
Duration medical condition; ability limited
Item
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
physical therapy; speech therapy; occupational therapy
Item
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
boolean
C0949766 (UMLS CUI [1])
C0037831 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
Duration medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
boolean
C0087111 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
C0008073 (UMLS CUI [1,3])
C0004930 (UMLS CUI [1,4])
C0233459 (UMLS CUI [1,5])
duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,3])
C0008073 (UMLS CUI [1,4])
C0004930 (UMLS CUI [1,5])
C0233459 (UMLS CUI [1,6])
Item Group
CHILD 4 (Next oldest)
C0037047 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
first name
Item
First name, initials, or nickname of the next oldest child
text
C1443235 (UMLS CUI [1])
Item
1. Is this child of Hispanic, Latino, or Spanish origin?
text
C0079946 (UMLS CUI [1])
National origin
Code List
1. Is this child of Hispanic, Latino, or Spanish origin?
CL Item
No, not of Hispanic, Latino, or Spanish origin (1)
CL Item
Yes, Mexican, Mexican American, Chicano (2)
CL Item
Yes, Puerto Rican (3)
CL Item
Yes, Cuban (4)
CL Item
Yes, another Hispanic, Latino, or Spanish origin (5)
Caucasoid Race child
Item
2. What is this child’s race? White?
boolean
C0007457 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child African American
Item
2. What is this child’s race?Black or African American?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0085756 (UMLS CUI [1,3])
race child American Indian
Item
2. What is this child’s race? American Indian or Alaska Native?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0002460 (UMLS CUI [1,3])
race child Asian Indian
Item
2. What is this child’s race?Asian Indian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C1524069 (UMLS CUI [1,3])
race child Chinese
Item
2. What is this child’s race? Chinese?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0008121 (UMLS CUI [1,3])
Filipino child
Item
2. What is this child’s race? Filipino ?
boolean
C1556093 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Japanese child
Item
2. What is this child’s race? Japanese ?
boolean
C1556094 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Korean child
Item
2. What is this child’s race? Korean?
boolean
C1556095 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Vietnamese child
Item
2. What is this child’s race? Vietnamese?
boolean
C1561452 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Asian
Item
2. What is this child’s race? Other Asian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0078988 (UMLS CUI [1,3])
race child Native Hawaiian
Item
2. What is this child’s race? Native Hawaiian?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0337920 (UMLS CUI [1,3])
Guamanian child
Item
2. What is this child’s race? Guamanian or Chamorro?
boolean
C1553342 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
Samoan child
Item
2. What is this child’s race? Samoan?
boolean
C1556103 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
race child Pacific Islander
Item
2. What is this child’s race? Other Pacific Islander?
boolean
C0034510 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0242191 (UMLS CUI [1,3])
Other Race child
Item
2. What is this child’s race? Some other race?
boolean
C0425379 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
age
Item
3. How old is this child? If the child is less than one month old, round age in months to 1.
integer
C0001779 (UMLS CUI [1])
Item
4. What is this child’s sex?
text
C0079399 (UMLS CUI [1])
gender
Code List
4. What is this child’s sex?
CL Item
Male  (1)
CL Item
Female (2)
Item
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
text
english speaking
Code List
5. If this child is YOUNGER THAN 4 YEARS OLD, please SKIP to question 6. How well does this child speak English?
CL Item
Very well (1)
CL Item
Not well (2)
CL Item
Well (3)
CL Item
Not at all (4)
drugs; supplements
Item
6. Does this child CURRENTLY need or use medicine prescribed by a doctor, other than vitamins?
boolean
C0013227 (UMLS CUI [1])
C0242295 (UMLS CUI [2])
medical condition; drugs; supplements
Item
6. If yes, is this child’s need for prescription medicine because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
Duration medical condition; drugs; supplements
Item
6. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0013227 (UMLS CUI [2])
C0242295 (UMLS CUI [3])
medical care; educational services; mental health
Item
7. Does this child need or use more medical care, mental health, or educational services than is usual for most children of the same age?
boolean
C0496675 (UMLS CUI [1])
C0587721 (UMLS CUI [2])
C0025353 (UMLS CUI [3])
medical condition; medical care; educational services; mental health
Item
7. If yes, is this child’s need for medical care, mental health, or educational services because of ANY medical, behavioral, or health condition?
boolean
C0012634 (UMLS CUI [1])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
Duration medical condition; medical care; educational services; mental health
Item
7. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0496675 (UMLS CUI [2])
C0587721 (UMLS CUI [3])
C0025353 (UMLS CUI [4])
ability limited
Item
8. Is this child limited or prevented in any way in his or her ability to do the things most children of the same age can do?
boolean
C0085732 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
medical condition; ability limited
Item
8. If yes, is this child’s limitation in abilities because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
Duration medical condition; ability limited
Item
8. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0085732 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
physical therapy; speech therapy; occupational therapy
Item
9. Does this child need or get special therapy, such as physical, occupational, or speech therapy?
boolean
C0949766 (UMLS CUI [1])
C0037831 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this because of ANY medical, behavioral, or other health condition?
boolean
C0012634 (UMLS CUI [1])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
Duration medical condition; physical therapy; speech therapy; occupational therapy
Item
9. If yes, is this a condition that has lasted or is expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0949766 (UMLS CUI [2])
C0037831 (UMLS CUI [3])
C1318464 (UMLS CUI [4])
treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. Does this child have any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling?
boolean
C0087111 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
C0008073 (UMLS CUI [1,3])
C0004930 (UMLS CUI [1,4])
C0233459 (UMLS CUI [1,5])
duration treatment counseling Developmental Disabilities Behavior Disorders Emotional disorder
Item
10. If yes, has his or her emotional, developmental, or behavioral problem lasted or is it expected to last 12 months or longer?
boolean
C0449238 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,3])
C0008073 (UMLS CUI [1,4])
C0004930 (UMLS CUI [1,5])
C0233459 (UMLS CUI [1,6])
Item Group
If there are more than four children 0-17 years old who usually live or stay at this address, list the age and sex for each. Do not repeat information for children already included for Child 1 through Child 4.
C0037047 (UMLS CUI-1)
C1533716 (UMLS CUI-2)
First name
Item
Child 5 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 5 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 5 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 5 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
First name
Item
Child 6 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 6 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 6 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 6 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
First name
Item
Child 7 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 7 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 7 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 7 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
First name
Item
Child 8 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 8 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 8 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 8 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
First name
Item
Child 9 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 9 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 9 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 9 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
First name
Item
Child 10 (Next oldest) First name, initials, or nickname
text
C1443235 (UMLS CUI [1])
Age
Item
Child 10 (Next oldest) Age
integer
C0001779 (UMLS CUI [1])
Item
Child 10 (Next oldest) Sex
text
C0079399 (UMLS CUI [1])
gender
Code List
Child 10 (Next oldest) Sex
CL Item
Male  (1)
CL Item
Female (2)
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