ID

43543

Description

Study part: Children Ages 0-5 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

Keywords

Versions (2)
  1. 1/6/17 1/6/17 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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NSCH 2016 Children Ages 0-5

English

C. Health Care Services

11 forms  
Health Care Services
Description

Health Care Services

Alias
UMLS CUI-1
C0086388
1. DURING THE PAST 12 MONTHS, did this child see a doctor, nurse, or other health care professional for sick-child care, well-child check-ups, physical exams, hospitalizations or any other kind of medical care?
Description

If No ➔ SKIP to question C4

Data type

boolean

Alias
UMLS CUI [1,1]
C0086388
UMLS CUI [1,2]
C0031809
2. If yes, DURING THE PAST 12 MONTHS, how many times did this child visit a doctor, nurse, or other health care professional to receive a PREVENTIVE check-up?
Description

Health Care Medical Examination Prophylactic measure

Data type

text

Alias
UMLS CUI [1,1]
C0086388
UMLS CUI [1,2]
C0582103
UMLS CUI [1,3]
C0481566
3. Thinking about the LAST TIME you took this child for a preventive check-up, about how long was the doctor or health care provider who examined this child in the room with you? Your best estimate is fine.
Description

duration Health Care Medical Examination Prophylactic measure

Data type

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0086388
UMLS CUI [1,3]
C0582103
UMLS CUI [1,4]
C0481566
4. What is this child’s CURRENT height?
Description

in feet and inches or meters and centimeters

Data type

text

Alias
UMLS CUI [1]
C0005890
5. How much does this child currently weigh?
Description

in pound and ounces or kilograms and grams

Data type

text

Alias
UMLS CUI [1]
C0005910
6. Are you concerned about this child’s weight?
Description

weight

Data type

text

Alias
UMLS CUI [1]
C0005910
7. DURING THE PAST 12 MONTHS, did this child’s doctors or other health care providers ask if you have concerns about this child’s learning, development, or behavior?
Description

Learning problems Behavioral disorder Developmental Delay

Data type

boolean

Alias
UMLS CUI [1,1]
C0851265
UMLS CUI [1,2]
C0004930
UMLS CUI [1,3]
C0424605
8 DURING THE PAST 12 MONTHS, did a doctor or other health care provider have you or another caregiver fill out a questionnaire about specific concerns or observations you may have about this child’s development, communication, or social behaviors?
Description

If this child is YOUNGER THAN 9 MONTHS, please SKIP to question C9 Sometimes a child’s doctor or other health care provider will ask a parent to do this at home or during a child’s visit.

Data type

boolean

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0004930
UMLS CUI [1,3]
C0424605
8. If yes, and this child is 9-23 Months:Did the questionnaire ask about your concerns or observations about how this child talks or makes speech sounds?
Description

questionnaire Speech

Data type

boolean

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0037817
8. If yes, and this child is 9-23 Months:Did the questionnaire ask about your concerns or observations about how this child interacts with you and others?
Description

questionnaire Behavior Disorders

Data type

boolean

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0004930
8. If yes and this child is 2-5 Years: Did the questionnaire ask about your concerns or observations about Words and phrases this child uses and understands?
Description

questionnaire Abnormal words or word usage

Data type

boolean

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0855216
8. If yes and this child is 2-5 Years: Did the questionnaire ask about how this child behaves and gets along with you and others?
Description

questionnaire Behavior Disorders

Data type

boolean

Alias
UMLS CUI [1,1]
C0034394
UMLS CUI [1,2]
C0004930
9. Is there a place that this child USUALLY goes when he or she is sick or you or another caregiver needs advice about his or her health?
Description

If No ➔ SKIP to question C11

Data type

boolean

Alias
UMLS CUI [1]
C0018747
UMLS CUI [2]
C0085537
10. If yes, where does this child USUALLY go?
Description

Health Services; Caregiver

Data type

text

Alias
UMLS CUI [1]
C0018747
UMLS CUI [2]
C0085537
11 Is there a place that this child USUALLY goes when he or she needs routine preventive care, such as a physical examination or well-child check-up?
Description

If No ➔ SKIP to question C13

Data type

boolean

Alias
UMLS CUI [1,1]
C0442504
UMLS CUI [1,2]
C0031809
12. If yes, is this the same place this child goes when he or she is sick?
Description

place Health Services

Data type

boolean

Alias
UMLS CUI [1,1]
C0442504
UMLS CUI [1,2]
C0018747
13. Has this child EVER had his or her vision tested with pictures, shapes, or letters?
Description

If No ➔ SKIP to question C15

Data type

boolean

Alias
UMLS CUI [1]
C0042793
14. If yes, what kind of place or places did this child have his or her vision tested?
Description

place Vision Tests

Data type

text

Alias
UMLS CUI [1,1]
C0442504
UMLS CUI [1,2]
C0042793
14. Specify other
Description

other

Data type

text

Alias
UMLS CUI [1]
C0205394
15. DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for any kind of dental or oral health care?
Description

dentist

Data type

text

Alias
UMLS CUI [1]
C0011441
16. If yes, DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for preventive dental care, such as check-ups, dental cleanings, dental sealants, or fluoride treatments?
Description

dentist; Dental cleaning; Dental fluoride treatment

Data type

text

Alias
UMLS CUI [1]
C0011441
UMLS CUI [2]
C0919867
UMLS CUI [3]
C0204175
17. If yes, DURING THE PAST 12 MONTHS, what preventive dental services did this child receive?
Description

Prophylactic treatment dental care

Data type

text

Alias
UMLS CUI [1,1]
C0199176
UMLS CUI [1,2]
C0237078
18. DURING THE PAST 12 MONTHS, has this child received any treatment or counseling from a mental health professional?
Description

Referral for mental health counseling; mental treatment

Data type

text

Alias
UMLS CUI [1]
C0584086
UMLS CUI [2]
C0184647
19. How much of a problem was it to get the mental health treatment or counseling that this child needed?
Description

Referral for mental health counseling; mental treatment

Data type

text

Alias
UMLS CUI [1]
C0584086
UMLS CUI [2]
C0184647
20. DURING THE PAST 12 MONTHS, has this child taken any medication because of difficulties with his or her emotions, concentration, or behavior?
Description

medication concentration difficulty behavior difficulty

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0235198
UMLS CUI [1,3]
C0582141
21. DURING THE PAST 12 MONTHS, did this child see a specialist other than a mental health professional?
Description

Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and others who specialize in one area of health care.

Data type

text

Alias
UMLS CUI [1]
C2348234
22. How much of a problem was it to get the specialist care that this child needed?
Description

Specialist Physician

Data type

text

Alias
UMLS CUI [1]
C2348234
23. DURING THE PAST 12 MONTHS, did this child use any type of alternative health care or treatment?
Description

Alternative health care can include acupuncture, chiropractic care, relaxation therapies, herbal supplements, and others. Some therapies involve seeing a health care provider, while others can be done on your own.

Data type

boolean

Alias
UMLS CUI [1,1]
C0002346
UMLS CUI [1,2]
C0394664
UMLS CUI [1,3]
C0344217
24. DURING THE PAST 12 MONTHS, was there any time when this child needed health care but it was not received?
Description

y health care, we mean medical care as well as other kinds of care like dental care, vision care, and mental health services.

Data type

text

Alias
UMLS CUI [1,1]
C0086388
UMLS CUI [1,2]
C0237078
UMLS CUI [1,3]
C0184643
25. If yes, which types of care were not received? Medical Care?
Description

Medical Care

Data type

boolean

Alias
UMLS CUI [1]
C0496675
25. If yes, which types of care were not received? Dental Care?
Description

Dental Care

Data type

boolean

Alias
UMLS CUI [1]
C0237078
25. If yes, which types of care were not received? Vision Care?
Description

Vision Care

Data type

boolean

Alias
UMLS CUI [1]
C0150177
25. If yes, which types of care were not received? Hearing Care?
Description

Hearing Care

Data type

boolean

Alias
UMLS CUI [1]
C0200310
25. If yes, which types of care were not received? Mental Health Services?
Description

Mental Health Services

Data type

boolean

Alias
UMLS CUI [1]
C0025355
25. If yes, which types of care were not received? Other, specify:
Description

other

Data type

text

Alias
UMLS CUI [1]
C0205394
26a. Which of the following contributed to this child not receiving needed health services: This child was not eligible for the services?
Description

Health Care receive Not Eligible

Data type

boolean

Alias
UMLS CUI [1,1]
C0086388
UMLS CUI [1,2]
C1514756
UMLS CUI [1,3]
C1555471
26b. Which of the following contributed to this child not receiving needed health services: The services this child needed were not available in your area?
Description

Health Services Not available

Data type

boolean

Alias
UMLS CUI [1,1]
C0018747
UMLS CUI [1,2]
C0686905
26c. Which of the following contributed to this child not receiving needed health services: There were problems getting an appointment when this child needed one?
Description

Appointment not available

Data type

boolean

Alias
UMLS CUI [1]
C1688628
26d. Which of the following contributed to this child not receiving needed health services: There were problems with getting transportation or child care?
Description

Transport unavailable

Data type

boolean

Alias
UMLS CUI [1]
C2364112
26e. Which of the following contributed to this child not receiving needed health services: The (clinic/doctor’s) office wasn’t open when this child needed care?
Description

Doctor_s Office Closed

Data type

boolean

Alias
UMLS CUI [1]
C1547234
26f. Which of the following contributed to this child not receiving needed health services: There were issues related to cost?
Description

Cost aspects

Data type

boolean

Alias
UMLS CUI [1]
C0220812
27. DURING THE PAST 12 MONTHS, how often were you frustrated in your efforts to get services for this child?
Description

Frustration Health Services

Data type

text

Alias
UMLS CUI [1,1]
C0016770
UMLS CUI [1,2]
C0018747
28. DURING THE PAST 12 MONTHS, how many times did this child visit a hospital emergency room?
Description

hospital emergency department

Data type

text

Alias
UMLS CUI [1]
C3840745
29. Has this child EVER had a special education or early intervention plan?
Description

special education; Early intervention

Data type

text

Alias
UMLS CUI [1]
C0013649
UMLS CUI [2]
C1144883
30. If yes, how old was this child at the time of the FIRST plan?
Description

Age in years and months

Data type

text

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0013649
UMLS CUI [2]
C1144883
31.Is this child CURRENTLY receiving services under one of these plans?
Description

Receive special education; Early intervention

Data type

boolean

Alias
UMLS CUI [1,1]
C1514756
UMLS CUI [1,2]
C0013649
UMLS CUI [2]
C1144883
32. Has this child EVER received special services to meet his or her developmental needs such as speech, occupational, or behavioral therapy?
Description

speech therapy; behavioral therapy; occupational therapy

Data type

text

Alias
UMLS CUI [1]
C0037831
UMLS CUI [2]
C0004933
UMLS CUI [3]
C1318464
33. If yes, how old was this child when he or she began receiving these special services?
Description

in years and months

Data type

text

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0037831
UMLS CUI [2]
C0004933
UMLS CUI [3]
C1318464
34. Is this child CURRENTLY receiving these special services?
Description

Receive speech therapy; behavioral therapy; occupational therapy

Data type

boolean

Alias
UMLS CUI [1,1]
C1514756
UMLS CUI [1,2]
C0037831
UMLS CUI [2]
C0004933
UMLS CUI [3]
C1318464
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Similar models

C. Health Care Services

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Health Care Services
C0086388 (UMLS CUI-1)
Health Care Physical Examination
Item
1. DURING THE PAST 12 MONTHS, did this child see a doctor, nurse, or other health care professional for sick-child care, well-child check-ups, physical exams, hospitalizations or any other kind of medical care?
boolean
C0086388 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
2. If yes, DURING THE PAST 12 MONTHS, how many times did this child visit a doctor, nurse, or other health care professional to receive a PREVENTIVE check-up?
text
C0086388 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
C0481566 (UMLS CUI [1,3])
Health Care Medical Examination Prophylactic measure
Code List
2. If yes, DURING THE PAST 12 MONTHS, how many times did this child visit a doctor, nurse, or other health care professional to receive a PREVENTIVE check-up?
CL Item
0 visits ➔ SKIP to question C4 (1)
CL Item
1 visit (2)
CL Item
2 or more visits (3)
Item
3. Thinking about the LAST TIME you took this child for a preventive check-up, about how long was the doctor or health care provider who examined this child in the room with you? Your best estimate is fine.
text
C0449238 (UMLS CUI [1,1])
C0086388 (UMLS CUI [1,2])
C0582103 (UMLS CUI [1,3])
C0481566 (UMLS CUI [1,4])
duration Health Care Medical Examination Prophylactic measure
Code List
3. Thinking about the LAST TIME you took this child for a preventive check-up, about how long was the doctor or health care provider who examined this child in the room with you? Your best estimate is fine.
CL Item
Less than 10 minutes (1)
CL Item
10-20 minutes (2)
CL Item
More than 20 minutes (3)
height
Item
4. What is this child’s CURRENT height?
text
C0005890 (UMLS CUI [1])
weight
Item
5. How much does this child currently weigh?
text
C0005910 (UMLS CUI [1])
Item
6. Are you concerned about this child’s weight?
text
C0005910 (UMLS CUI [1])
weight
Code List
6. Are you concerned about this child’s weight?
CL Item
Yes, it’s too high (1)
CL Item
Yes, it’s too low (2)
CL Item
No, I am not concerned (3)
Learning problems Behavioral disorder Developmental Delay
Item
7. DURING THE PAST 12 MONTHS, did this child’s doctors or other health care providers ask if you have concerns about this child’s learning, development, or behavior?
boolean
C0851265 (UMLS CUI [1,1])
C0004930 (UMLS CUI [1,2])
C0424605 (UMLS CUI [1,3])
questionnaire Behavioral disorder Developmental Delay
Item
8 DURING THE PAST 12 MONTHS, did a doctor or other health care provider have you or another caregiver fill out a questionnaire about specific concerns or observations you may have about this child’s development, communication, or social behaviors?
boolean
C0034394 (UMLS CUI [1,1])
C0004930 (UMLS CUI [1,2])
C0424605 (UMLS CUI [1,3])
questionnaire Speech
Item
8. If yes, and this child is 9-23 Months:Did the questionnaire ask about your concerns or observations about how this child talks or makes speech sounds?
boolean
C0034394 (UMLS CUI [1,1])
C0037817 (UMLS CUI [1,2])
questionnaire Behavior Disorders
Item
8. If yes, and this child is 9-23 Months:Did the questionnaire ask about your concerns or observations about how this child interacts with you and others?
boolean
C0034394 (UMLS CUI [1,1])
C0004930 (UMLS CUI [1,2])
questionnaire Abnormal words or word usage
Item
8. If yes and this child is 2-5 Years: Did the questionnaire ask about your concerns or observations about Words and phrases this child uses and understands?
boolean
C0034394 (UMLS CUI [1,1])
C0855216 (UMLS CUI [1,2])
questionnaire Behavior Disorders
Item
8. If yes and this child is 2-5 Years: Did the questionnaire ask about how this child behaves and gets along with you and others?
boolean
C0034394 (UMLS CUI [1,1])
C0004930 (UMLS CUI [1,2])
Health Services; Caregiver
Item
9. Is there a place that this child USUALLY goes when he or she is sick or you or another caregiver needs advice about his or her health?
boolean
C0018747 (UMLS CUI [1])
C0085537 (UMLS CUI [2])
Item
10. If yes, where does this child USUALLY go?
text
C0018747 (UMLS CUI [1])
C0085537 (UMLS CUI [2])
undefined item
Code List
10. If yes, where does this child USUALLY go?
CL Item
Doctor’s Office (1)
C0031834 (UMLS CUI-1)
CL Item
Hospital Emergency Room  (2)
C0562508 (UMLS CUI-1)
CL Item
Hospital Outpatient Department  (3)
C0557824 (UMLS CUI-1)
CL Item
Clinic or Health Center (4)
C0475309 (UMLS CUI-1)
CL Item
Retail Store Clinic or “Minute Clinic” (5)
CL Item
School (Nurse’s Office, Athletic Trainer’s Office) (6)
CL Item
Some other place (7)
place physical examination
Item
11 Is there a place that this child USUALLY goes when he or she needs routine preventive care, such as a physical examination or well-child check-up?
boolean
C0442504 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
place Health Services
Item
12. If yes, is this the same place this child goes when he or she is sick?
boolean
C0442504 (UMLS CUI [1,1])
C0018747 (UMLS CUI [1,2])
Vision Tests
Item
13. Has this child EVER had his or her vision tested with pictures, shapes, or letters?
boolean
C0042793 (UMLS CUI [1])
Item
14. If yes, what kind of place or places did this child have his or her vision tested?
text
C0442504 (UMLS CUI [1,1])
C0042793 (UMLS CUI [1,2])
place Vision Tests
Code List
14. If yes, what kind of place or places did this child have his or her vision tested?
CL Item
Eye doctor or eye specialist (ophthalmologist,optometrist) office (1)
C1704292 (UMLS CUI-1)
CL Item
Pediatrician or other general doctor’s office (2)
C0237433 (UMLS CUI-1)
C0017319 (UMLS CUI-3)
CL Item
Clinic or health center (3)
C0475309 (UMLS CUI-1)
CL Item
School (4)
C0036375 (UMLS CUI-1)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
other
Item
14. Specify other
text
C0205394 (UMLS CUI [1])
Item
15. DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for any kind of dental or oral health care?
text
C0011441 (UMLS CUI [1])
dentist
Code List
15. DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for any kind of dental or oral health care?
CL Item
Yes, saw a dentist (1)
CL Item
Yes, saw other oral health care provider (2)
CL Item
No ➔ SKIP to question C18 (3)
Item
16. If yes, DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for preventive dental care, such as check-ups, dental cleanings, dental sealants, or fluoride treatments?
text
C0011441 (UMLS CUI [1])
C0919867 (UMLS CUI [2])
C0204175 (UMLS CUI [3])
undefined item
Code List
16. If yes, DURING THE PAST 12 MONTHS, did this child see a dentist or other oral health care provider for preventive dental care, such as check-ups, dental cleanings, dental sealants, or fluoride treatments?
CL Item
Yes, 1 visit (1)
CL Item
Yes, 2 or more visits (2)
CL Item
No preventive visits in the past 12 months ➔ C18 (3)
Item
17. If yes, DURING THE PAST 12 MONTHS, what preventive dental services did this child receive?
text
C0199176 (UMLS CUI [1,1])
C0237078 (UMLS CUI [1,2])
Prophylactic treatment dental care
Code List
17. If yes, DURING THE PAST 12 MONTHS, what preventive dental services did this child receive?
CL Item
Check-up (1)
C0598836 (UMLS CUI-1)
CL Item
Cleaning (2)
C0919867 (UMLS CUI-1)
CL Item
Instruction on tooth brushing and oral health care (3)
C0086388 (UMLS CUI-1)
C0442027 (UMLS CUI-2)
CL Item
X-Rays (4)
C0850567 (UMLS CUI-1)
CL Item
Fluoride treatment (5)
C0204175 (UMLS CUI-1)
CL Item
Sealant (plastic coatings on back teeth) (6)
C0036490 (UMLS CUI-1)
CL Item
Don’t know (7)
Item
18. DURING THE PAST 12 MONTHS, has this child received any treatment or counseling from a mental health professional?
text
C0584086 (UMLS CUI [1])
C0184647 (UMLS CUI [2])
Referral for mental health counseling; mental treatment
Code List
18. DURING THE PAST 12 MONTHS, has this child received any treatment or counseling from a mental health professional?
CL Item
yes (1)
CL Item
no, but this child needed to see a mental health professional (2)
CL Item
no, this child did not need to see a mental health professional➔ SKIP to question C20 (3)
Item
19. How much of a problem was it to get the mental health treatment or counseling that this child needed?
text
C0584086 (UMLS CUI [1])
C0184647 (UMLS CUI [2])
Referral for mental health counseling; mental treatment
Code List
19. How much of a problem was it to get the mental health treatment or counseling that this child needed?
CL Item
Big problem (1)
CL Item
Small problem (2)
CL Item
Not a problem (3)
medication concentration difficulty behavior difficulty
Item
20. DURING THE PAST 12 MONTHS, has this child taken any medication because of difficulties with his or her emotions, concentration, or behavior?
boolean
C0013227 (UMLS CUI [1,1])
C0235198 (UMLS CUI [1,2])
C0582141 (UMLS CUI [1,3])
Item
21. DURING THE PAST 12 MONTHS, did this child see a specialist other than a mental health professional?
text
C2348234 (UMLS CUI [1])
specialist
Code List
21. DURING THE PAST 12 MONTHS, did this child see a specialist other than a mental health professional?
CL Item
Yes (1)
CL Item
No, but this child needed to see a specialist (2)
CL Item
No, this child did not need to see a specialist ➔ SKIP to question C23 (3)
Item
22. How much of a problem was it to get the specialist care that this child needed?
text
C2348234 (UMLS CUI [1])
Referral for mental health counseling; mental treatment
Code List
22. How much of a problem was it to get the specialist care that this child needed?
CL Item
Big problem (1)
CL Item
Small problem (2)
CL Item
Not a problem (3)
Alternative Medicine acupuncture Acupuncture Chiropractic
Item
23. DURING THE PAST 12 MONTHS, did this child use any type of alternative health care or treatment?
boolean
C0002346 (UMLS CUI [1,1])
C0394664 (UMLS CUI [1,2])
C0344217 (UMLS CUI [1,3])
Item
24. DURING THE PAST 12 MONTHS, was there any time when this child needed health care but it was not received?
text
C0086388 (UMLS CUI [1,1])
C0237078 (UMLS CUI [1,2])
C0184643 (UMLS CUI [1,3])
Health Care medical dental care Mental health care
Code List
24. DURING THE PAST 12 MONTHS, was there any time when this child needed health care but it was not received?
CL Item
Yes (1)
CL Item
No ➔ SKIP to question C27 (2)
Medical Care
Item
25. If yes, which types of care were not received? Medical Care?
boolean
C0496675 (UMLS CUI [1])
Dental Care
Item
25. If yes, which types of care were not received? Dental Care?
boolean
C0237078 (UMLS CUI [1])
Vision Care
Item
25. If yes, which types of care were not received? Vision Care?
boolean
C0150177 (UMLS CUI [1])
Hearing Care
Item
25. If yes, which types of care were not received? Hearing Care?
boolean
C0200310 (UMLS CUI [1])
Mental Health Services
Item
25. If yes, which types of care were not received? Mental Health Services?
boolean
C0025355 (UMLS CUI [1])
other
Item
25. If yes, which types of care were not received? Other, specify:
text
C0205394 (UMLS CUI [1])
Health Care receive Not Eligible
Item
26a. Which of the following contributed to this child not receiving needed health services: This child was not eligible for the services?
boolean
C0086388 (UMLS CUI [1,1])
C1514756 (UMLS CUI [1,2])
C1555471 (UMLS CUI [1,3])
Health Services Not available
Item
26b. Which of the following contributed to this child not receiving needed health services: The services this child needed were not available in your area?
boolean
C0018747 (UMLS CUI [1,1])
C0686905 (UMLS CUI [1,2])
Appointment not available
Item
26c. Which of the following contributed to this child not receiving needed health services: There were problems getting an appointment when this child needed one?
boolean
C1688628 (UMLS CUI [1])
Transport unavailable
Item
26d. Which of the following contributed to this child not receiving needed health services: There were problems with getting transportation or child care?
boolean
C2364112 (UMLS CUI [1])
Doctor_s Office Closed
Item
26e. Which of the following contributed to this child not receiving needed health services: The (clinic/doctor’s) office wasn’t open when this child needed care?
boolean
C1547234 (UMLS CUI [1])
Cost aspects
Item
26f. Which of the following contributed to this child not receiving needed health services: There were issues related to cost?
boolean
C0220812 (UMLS CUI [1])
Item
27. DURING THE PAST 12 MONTHS, how often were you frustrated in your efforts to get services for this child?
text
C0016770 (UMLS CUI [1,1])
C0018747 (UMLS CUI [1,2])
Frustration Health Services
Code List
27. DURING THE PAST 12 MONTHS, how often were you frustrated in your efforts to get services for this child?
CL Item
Never (1)
CL Item
Sometimes (2)
CL Item
Usually (3)
CL Item
Always (4)
Item
28. DURING THE PAST 12 MONTHS, how many times did this child visit a hospital emergency room?
text
C3840745 (UMLS CUI [1])
hospital emergency department
Code List
28. DURING THE PAST 12 MONTHS, how many times did this child visit a hospital emergency room?
CL Item
No visits (1)
CL Item
1 visit (2)
CL Item
2 or more visits (3)
Item
29. Has this child EVER had a special education or early intervention plan?
text
C0013649 (UMLS CUI [1])
C1144883 (UMLS CUI [2])
special education; Early intervention
Code List
29. Has this child EVER had a special education or early intervention plan?
CL Item
yes (1)
CL Item
no, skip to question C32 (2)
age special education; Early intervention
Item
30. If yes, how old was this child at the time of the FIRST plan?
text
C0001779 (UMLS CUI [1,1])
C0013649 (UMLS CUI [1,2])
C1144883 (UMLS CUI [2])
Receive special education; Early intervention
Item
31.Is this child CURRENTLY receiving services under one of these plans?
boolean
C1514756 (UMLS CUI [1,1])
C0013649 (UMLS CUI [1,2])
C1144883 (UMLS CUI [2])
Item
32. Has this child EVER received special services to meet his or her developmental needs such as speech, occupational, or behavioral therapy?
text
C0037831 (UMLS CUI [1])
C0004933 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
speech therapy; behavioral therapy; occupational therapy
Code List
32. Has this child EVER received special services to meet his or her developmental needs such as speech, occupational, or behavioral therapy?
CL Item
Yes (1)
CL Item
No ➔ SKIP to question D1 (2)
age speech therapy; behavioral therapy; occupational therapy
Item
33. If yes, how old was this child when he or she began receiving these special services?
text
C0001779 (UMLS CUI [1,1])
C0037831 (UMLS CUI [1,2])
C0004933 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
Receive speech therapy; behavioral therapy; occupational therapy
Item
34. Is this child CURRENTLY receiving these special services?
boolean
C1514756 (UMLS CUI [1,1])
C0037831 (UMLS CUI [1,2])
C0004933 (UMLS CUI [2])
C1318464 (UMLS CUI [3])
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