Item
Do any of your children’) currently need or use medicine prescribed by a doctor, other than vitamins?
integer
C2347852 (UMLS CUI [1])
Code List
Do any of your children’) currently need or use medicine prescribed by a doctor, other than vitamins?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Is [his/her] need for prescription medicine because of ANY medical, behavioral or other health condition?
integer
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0348080 (UMLS CUI [1,3])
Code List
Is [his/her] need for prescription medicine because of ANY medical, behavioral or other health condition?
CL Item
8th GRADE OR LESS (01)
CL Item
9th-12th GRADE NO DIPLOMA (02)
CL Item
HIGH SCHOOL GRADUATE OR GED COMPLETED (03)
CL Item
COMPLETED A VOCATIONAL TRADE, OR BUSINESS SCHOOL PROGRAM (04)
CL Item
SOME COLLEGE CREDIT BUT NO DEGREE (05)
CL Item
ASSOCIATE DEGREE (AA, AS) (06)
CL Item
BACHELOR'S DEGREE (BA, BS, AB) (07)
CL Item
MASTER'S DEGREE (MA, MSW, MBA) (08)
CL Item
DOCTORATE (PhD, EdD) OR PROFESSIONAL DEGREE (MD, DDS, DVM, JD) (09)
Item
Is this a condition that has lasted or is expected to last 12 months or longer?
integer
C2347852 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0348080 (UMLS CUI [1,3])
C2826184 (UMLS CUI [1,4])
Code List
Is this a condition that has lasted or is expected to last 12 months or longer?
CL Item
8th GRADE OR LESS (01)
CL Item
9th-12th GRADE NO DIPLOMA (02)
CL Item
HIGH SCHOOL GRADUATE OR GED COMPLETED (03)
CL Item
COMPLETED A VOCATIONAL TRADE, OR BUSINESS SCHOOL PROGRAM (04)
CL Item
SOME COLLEGE CREDIT BUT NO DEGREE (05)
CL Item
ASSOCIATE DEGREE (AA, AS) (06)
CL Item
BACHELOR'S DEGREE (BA, BS, AB) (07)
CL Item
MASTER'S DEGREE (MA, MSW, MBA) (08)
CL Item
DOCTORATE (PhD, EdD) OR PROFESSIONAL DEGREE (MD, DDS, DVM, JD) (09)
Item
Does [CHILD'S NAME] need or use more medical care, mental health or educational services than is usual for most children of the same age?
integer
C0496675 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
Code List
Does [CHILD'S NAME] need or use more medical care, mental health or educational services than is usual for most children of the same age?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Is [his/her] need for medical care, mental health, or educational services because of ANY medical, behavioral or other health condition?
integer
C0496675 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0348080 (UMLS CUI [1,5])
Code List
Is [his/her] need for medical care, mental health, or educational services because of ANY medical, behavioral or other health condition?
CL Item
8th GRADE OR LESS (01)
CL Item
9th-12th GRADE NO DIPLOMA (02)
CL Item
HIGH SCHOOL GRADUATE OR GED COMPLETED (03)
CL Item
COMPLETED A VOCATIONAL TRADE, OR BUSINESS SCHOOL PROGRAM (04)
CL Item
SOME COLLEGE CREDIT BUT NO DEGREE (05)
CL Item
ASSOCIATE DEGREE (AA, AS) (06)
CL Item
BACHELOR'S DEGREE (BA, BS, AB) (07)
CL Item
MASTER'S DEGREE (MA, MSW, MBA) (08)
CL Item
DOCTORATE (PhD, EdD) OR PROFESSIONAL DEGREE (MD, DDS, DVM, JD) (09)
Item
Is this a condition that has lasted or is expected to last 12 months or longer?
integer
C0496675 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0348080 (UMLS CUI [1,5])
C0392360 (UMLS CUI [1,6])
C0348080 (UMLS CUI [1,7])
C2826184 (UMLS CUI [1,8])
Code List
Is this a condition that has lasted or is expected to last 12 months or longer?
CL Item
8th GRADE OR LESS (01)
CL Item
9th-12th GRADE NO DIPLOMA (02)
CL Item
HIGH SCHOOL GRADUATE OR GED COMPLETED (03)
CL Item
COMPLETED A VOCATIONAL TRADE, OR BUSINESS SCHOOL PROGRAM (04)
CL Item
SOME COLLEGE CREDIT BUT NO DEGREE (05)
CL Item
ASSOCIATE DEGREE (AA, AS) (06)
CL Item
BACHELOR'S DEGREE (BA, BS, AB) (07)
CL Item
MASTER'S DEGREE (MA, MSW, MBA) (08)
CL Item
DOCTORATE (PhD, EdD) OR PROFESSIONAL DEGREE (MD, DDS, DVM, JD) (09)
Item
Is [CHILD'S NAME] limited or prevented in any way in [his/her] ability to do the things most children of the same age can do?
integer
C0449295 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
Code List
Is [CHILD'S NAME] limited or prevented in any way in [his/her] ability to do the things most children of the same age can do?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Is [his/her]’s limitation in abilities because of ANY medical, behavioral or other health condition?
integer
C0449295 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0348080 (UMLS CUI [1,5])
Code List
Is [his/her]’s limitation in abilities because of ANY medical, behavioral or other health condition?
Item
Is this a condition that has lasted or is expected to last 12 months or longer?
integer
C0449295 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0030767 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0348080 (UMLS CUI [1,5])
C2826184 (UMLS CUI [1,6])
Code List
Is this a condition that has lasted or is expected to last 12 months or longer?
CL Item
Black or African American (2)
CL Item
American Indian (3)
CL Item
Alaska Native (4)
CL Item
Native Hawaiian (6)
CL Item
other Pacific Islander (7)
Item
Does [CHILD'S NAME] need or get special therapy, such as physical, occupational, or speech therapy?
integer
C0949766 (UMLS CUI [1])
Code List
Does [CHILD'S NAME] need or get special therapy, such as physical, occupational, or speech therapy?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Is [his/her]’s limitation in abilities because of ANY medical, behavioral or other health condition?
integer
C0949766 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0348080 (UMLS CUI [1,3])
Code List
Is [his/her]’s limitation in abilities because of ANY medical, behavioral or other health condition?
CL Item
ANY OTHER LANGUAGE (03)
Item
Is this a condition that has lasted or is expected to last 12 months or longer?
integer
C0949766 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C0348080 (UMLS CUI [1,3])
C2826184 (UMLS CUI [1,4])
Code List
Is this a condition that has lasted or is expected to last 12 months or longer?
CL Item
OWNED OR BEING BOUGHT (01)
CL Item
SOME OTHER ARRANGEMENT (03)
Item
Do any of your children have any kind of emotional, developmental, or behavioral problem for which they need treatment or counseling?
integer
C0848067 (UMLS CUI [1])
Code List
Do any of your children have any kind of emotional, developmental, or behavioral problem for which they need treatment or counseling?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
CSHCN5_A_X
Item
Has [his/her]’s emotional, developmental, or behavioral problem lasted or expected to last for 12 months or longer?
integer
C0848067 (UMLS CUI [1,1])
C2826184 (UMLS CUI [1,2])