CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Assessing Comorbidities
CRF: Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV)

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CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C13315 Longitudinal Interval Follow-Up Evaluation (LIFE) - obsessive-compulsive disorder indicator LIFEOCDInd Obsessive-compulsive disorder (OCD) indicator, using the Longitudinal Interval Follow-Up Evaluation (LIFE) instrument Obsessive-Compulsive disorder (OCD) indicator, as part of the Longitudinal Interval Follow Up (LIFE) Obsessive-Compulsive disorder (OCD) 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13326 Longitudinal Interval Follow-Up Evaluation (LIFE) - alcohol abuse indicator LIFEAlcAbusInd Alcohol abuse indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Alcohol abuse indicator, as part of the Longitudinal Interval Follow Up (LIFE) Alcohol abuse 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17656 Longitudinal Interval Follow-Up Evaluation (LIFE) - time of evaluation status LIFETimeOfEvaluationStatus Status of the subject at the time of the Longitudinal Interval Follow-Up Evaluation (LIFE) Status of the subject at the time of the Longitudinal Interval Follow-Up Evaluation (LIFE), as part of the Longitudinal Interval Follow Up (LIFE). Status at Time of Evaluation 0;1;2;3;4 Unknown;Not in treatment;Outpatient;Day treatment;Inpatient Numeric Values Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13305 Longitudinal Interval Follow-Up Evaluation (LIFE) - hypomanic episode indicator LIFEHypoManicEpisInd Hypomanic episode indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Hypomanic episode indicator, as part of the Longitudinal Interval Follow Up (LIFE) Hypomanic episode 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13316 Longitudinal Interval Follow-Up Evaluation (LIFE) - post-traumatic stress disorder indicator LIFEPTSDInd Post-traumatic stress disorder (PTSD) indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Post-traumatic stress disorder (PTSD) indicator, using the Longitudinal Interval Follow Up (LIFE) Post-traumatic stress disorder (PTSD) 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13327 Longitudinal Interval Follow-Up Evaluation (LIFE) - substance dependence indicator LIFESubDependInd Substance dependence indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Substance dependence indicator, as part of the Longitudinal Interval Follow Up (LIFE) Substance dependence 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17657 Longitudinal Interval Follow-Up Evaluation (LIFE) - death date LIFEDeathDate Date of subject's death as captured by the Longitudinal Interval Follow-Up Evaluation (LIFE) Date of subject's death, as part of the Longitudinal Interval Follow-Up Evaluation (LIFE) Date of death Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Free-Form Entry

C13306 Longitudinal Interval Follow-Up Evaluation (LIFE) - cyclothymic disorder indicator LIFECyclothymInd Cyclothymic disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Cyclothymic disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Cyclothymic disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13317 Longitudinal Interval Follow-Up Evaluation (LIFE) - other anxiety disorder indicator LIFEOthAnxDisordInd Anxiety disorder NOS indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Anxiety disorder NOS indicator, as part of the Longitudinal Interval Follow Up (LIFE) Anxiety disorder NOS 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13328 Longitudinal Interval Follow-Up Evaluation (LIFE) - substance abuse indicator LIFESubAbusInd Substance abuse indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Substance abuse indicator, as part of the Longitudinal Interval Follow Up (LIFE) Substance abuse 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17658 Longitudinal Interval Follow-Up Evaluation (LIFE) - follow-up interval LIFEFollowupIntrvl Interval(s) in months of follow-up for the Longitudinal Interval Follow-Up Evaluation (LIFE) Interval(s) in months of follow-up for the Longitudinal Interval Follow-Up Evaluation (LIFE), as part of the Longitudinal Interval Follow Up (LIFE) Follow-up Interval(s) 6;12;18;24;30;36;42;48;54;60;66;72;78;84;90;96 6;12;18;24;30;36;42;48;54;60;66;72;78;84;90;96 Numeric Values

Circle all that apply

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Multiple Pre-Defined Values Selected

C13307 Longitudinal Interval Follow-Up Evaluation (LIFE) - schizophrenia indicator LIFESchizophInd Schizophrenia indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Schizophrenia indicator, as part of the Longitudinal Interval Follow Up (LIFE) Schizophrenia 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13318 Longitudinal Interval Follow-Up Evaluation (LIFE) - somatization disorder indicator indicator LIFESomatDisordInd Somatization disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Somatization disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Somatization disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13329 Longitudinal Interval Follow-Up Evaluation (LIFE) - other psychiatric disorder indicator LIFEOthrPyschDisordInd Other psychiatric disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Other psychiatric disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Other psychotic disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13297 Longitudinal Interval Follow-Up Evaluation (LIFE) - week number LIFEWeekNum Week number when the Longitudinal Interval Follow Up Evaluation (LIFE) assessment was performed Week number when the Longitudinal Interval Follow Up (LIFE) assessment was performed, as part of the Longitudinal Interval Follow Up (LIFE) Week number 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26 Week 1;Week 2;Week 3;Week 4;Week 5;Week 6;Week7;Week 8;Week 9;Week 10;Week 11;Week 12;Week 13;Week 14;Week 15;Week 16;Week 17;Week 18;Week 19;Week 20;Week 21;Week 22;Week 23;Week 24;Week 25;Week 26 Numeric Values

No instructions available

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17659 Longitudinal Interval Follow-Up Evaluation (LIFE) - follow-up beyond window duration LIFEFollowUpBeyondWindowDur Indicator as to how long the Longitudinal Interval Follow-Up Evaluation (LIFE) is out of range for the subject, if out of range at all Indicator as to how long the Longitudinal Interval Follow-Up Evaluation (LIFE) is out of range for the subject, if out of range at all, as part of the Longitudinal Interval Follow Up (LIFE). If out of range, How long? 1;2;3;4;5;6 Not out of range;Less than one month;1 month;2 months;3 months;4 months or more Numeric Values

Circle one

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13308 Longitudinal Interval Follow-Up Evaluation (LIFE) - psychotic disorder indicator LIFEPsychotDisordInd Psychotic disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Psychotic disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Pyschotic disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13319 Longitudinal Interval Follow-Up Evaluation (LIFE) - undifferentiated somatoform disorder indicator LIFEUndifferSomatofDisordInd Undifferentiated somatoform disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Undifferentiated somatoform disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Undifferentiated somatoform disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13330 Longitudinal Interval Follow-Up Evaluation (LIFE) - delusions indicator LIFEDelusInd Delusions indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Delusions indicator, as part of the Longitudinal Interval Follow Up (LIFE) Delusions 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13298 Longitudinal Interval Follow-Up Evaluation (LIFE) - diagnosis code LIFEDiagnosCode Diagnosis code for Longitudinal Interval Follow Up Evaluation (LIFE) assessment Diagnosis code for LIFE assessment, as part of Longitudinal Interval Follow Up (LIFE) Psychiatric Status Rating 0;1;2;3 Weekly status ratings prior to the introductions of a new diagnosis should be coded "0";Previously was full criteria DSM-IV for this disorder, but currently there is no evidence of the disorder;Previously was full criteria DSM-IV for this disorder and now has only enough symptoms to remain in the episode at less than full criteria;Currently meets full criteria DSM-IV for this disorder Numeric Values

Code the PSR score for each week

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17660 Longitudinal Interval Follow-Up Evaluation (LIFE) - information source LIFEInformationSource Source of information used during the Longitudinal Interval Follow-Up Evaluation (LIFE) Source of information used, as part of the Longitudinal Interval Follow-Up Evaluation (LIFE) Sources of Information Face to face with subject;With relatives/friend;Phone with subject;Letter from subject;Hospital/clinic records;Mail questionnaire;Research notes/records;Other;Check if subject died Face to face with subject;With relatives/friend;Phone with subject;Letter from subject;Hospital/clinic records;Mail questionnaire;Research notes/records;Other;Check if subject died Alphanumeric

Check all that apply

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13309 Longitudinal Interval Follow-Up Evaluation (LIFE) - panic disorder without agoraphobia indicator LIFEPanicDisordWithoutAgorInd Panic disorder without agoraphobia indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Panic disorder without agoraphobia indicator, as part of the Longitudinal Interval Follow Up (LIFE) Panic disorder without agoraphobia 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13320 Longitudinal Interval Follow-Up Evaluation (LIFE) - pain disorder indicator LIFEPainDisordInd Pain disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Pain disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Pain disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13331 Longitudinal Interval Follow-Up Evaluation (LIFE) - hallucinations indicator LIFEHallucInd Hallucinations indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Hallucinations indicator, as part of the Longitudinal Interval Follow Up (LIFE) Hallucinations 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13299 Longitudinal Interval Follow-Up Evaluation (LIFE) - major depressive episode indicator LIFEMajorDepressEpisInd Major depressive episode indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Major depressive episode indicator, as part of the Longitudinal Interval Follow Up (LIFE) Major depressive episode 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17661 Longitudinal Interval Follow-Up Evaluation (LIFE) - reason for gap text LIFERsnForGapTxt Indicator as to why the subject did not participate in the Longitudinal Interval Follow-Up Evaluation (LIFE) according to schedule Indicator as to why the subject did not participate in the Longitudinal Interval Follow-Up Evaluation (LIFE) according to schedule, as part of the Longitudinal Interval Follow Up (LIFE). Reason for Gap Alphanumeric

Check all that apply

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points 255

Free-Form Entry

C13310 Longitudinal Interval Follow-Up Evaluation (LIFE) - panic disorder with agoraphobia indicator LIFEPanicDisordWithAgorInd Panic disorder with agoraphobia indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Panic disorder with agoraphobia indicator, as part of the Longitudinal Interval Follow Up (LIFE) Panic disorder with agoraphobia 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13321 Longitudinal Interval Follow-Up Evaluation (LIFE) - hypochondriasis indicator LIFEHypochonInd Hypochondriasis indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Hypochondriasis indicator, as part of the Longitudinal Interval Follow Up (LIFE) Hypochondriasis 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13332 Longitudinal Interval Follow-Up Evaluation (LIFE) - treatment status LIFETreatmtStatus Treatment status indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Treatment status indicator, using the Longitudinal Interval Follow Up (LIFE), as part of the Longitudinal Interval Follow Up (LIFE). Treatment Status 0;1;2;3;4;5 Unknown;Not in tx;Outpatient;day tx;Inpatient;Residential tx Numeric Values

Record the treatment status for each week

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13300 Longitudinal Interval Follow-Up Evaluation (LIFE) - schizoaffective disorder depressed indicator LIFESchizoAffecDeprInd Schizoaffective disorder, depressed indicator using the Longitudinal Interval Follow Up Evaluation (LIFE) Schizoaffective disorder, depressed indicator as part of the Longitudinal Interval Follow Up (LIFE) Schizoaffective disorder, depressed 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13311 Longitudinal Interval Follow-Up Evaluation (LIFE) - agoraphobia without history panic disorder indicator LIFEAgorWoutHistPanicDisordInd Agoraphobia without history of panic disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Agoraphobia without history of panic disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Agoraphobia without history of panic disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13322 Longitudinal Interval Follow-Up Evaluation (LIFE) - body dysmorphic disorder indicator LIFEBodyDysmorDisordInd Body dysmorphic disorder indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Body dysmorphic disorder indicator, as part of the Longitudinal Interval Follow Up (LIFE) Body dysmorphic disorder 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13333 Longitudinal Interval Follow-Up Evaluation (LIFE) - other psychiatric diagnosis code LIFEOthPsychiatrDxCode The DSM-IV code for other psychiatric disorder diagnosed The DSM-IV code for other psychiatric disorder diagnosed, as part of the Longitudinal Interval Follow Up (LIFE) DSM-IV code for Other Psychiatric Disorder Numeric Values

Refer to the Appendix for DSM-IV codes

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Free-Form Entry

C13301 Longitudinal Interval Follow-Up Evaluation (LIFE) - dysthymic indicator LIFEDysthInd Dysthymic disorder and features indicator using the Longitudinal Interval Follow Up Evaluation (LIFE) Dysthymic disorder and features indicator, as part of the Longitudinal Interval Follow Up (LIFE) Dysthymic disorder and features 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13312 Longitudinal Interval Follow-Up Evaluation (LIFE) - specific phobia indicator LIFESpecifPhobInd Specific phobia indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Specific phobia indicator, as part of the Longitudinal Interval Follow Up (LIFE) Specific phobia 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13323 Longitudinal Interval Follow-Up Evaluation (LIFE) - anorexia nervosa indicator LIFEAnorexNervosInd Anorexia nervosa indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Anorexia nervosa indicator, as part of the Longitudinal Interval Follow Up (LIFE) Anorexia nervosa 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13334 Longitudinal Interval Follow-Up Evaluation (LIFE) - other psychiatric diagnosis name LIFEOthPsychiatrDxNm The condition name of the other psychiatric disorder diagnosed The condition name of the other psychiatric disorder diagnosed, as part of the Longitudinal Interval Follow Up (LIFE) Condition Alphanumeric

No instructions available

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points 255

Free-Form Entry

C13302 Longitudinal Interval Follow-Up Evaluation (LIFE) - other depressive disorder indicator LIFEOtherDepressDisInd Depressive disorder NOS indicator using the Longitudinal Interval Follow Up Evaluation (LIFE) Depressive disorder NOS indicator, as part of the Longitudinal Interval Follow Up (LIFE) Depressieve disorder NOS 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13313 Longitudinal Interval Follow-Up Evaluation (LIFE) - social phobia indicator LIFESoclPhobInd Social phobia indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Social phobia indicator, as part of the Longitudinal Interval Follow Up (LIFE) Social phobia 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13324 Longitudinal Interval Follow-Up Evaluation (LIFE) - bulimia nervosa indicator LIFEBulimNervosInd Bulimia nervosa indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Bulimia nervosa indicator, as part of the Longitudinal Interval Follow Up (LIFE) Bulimia nervosa 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17654 Longitudinal Interval Follow-Up Evaluation (LIFE) - follow-up date LIFEFollowupDate Date of the subject's Longitudinal Interval Follow-Up Evaluation (LIFE) Date of the subject's Longitudinal Interval Follow-Up Evaluation (LIFE), as part of Longitudinal Interval Follow Up (LIFE). Date of Follow-up Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Free-Form Entry

C13303 Longitudinal Interval Follow-Up Evaluation (LIFE) - manic episode indicator LIFEManicEpisInd Manic episode indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Manic episode indicator, as part of the Longitudinal Interval Follow Up (LIFE) Manic episode 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13314 Longitudinal Interval Follow-Up Evaluation (LIFE) - generalized anxiety disorder indicator LIFEGenAnxDisordInd Generalized anxiety disorder or features indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Generalized anxiety disorder or features indicator, as part of the Longitudinal Interval Follow Up (LIFE) Generalized anxiety disorder or features 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C13325 Longitudinal Interval Follow-Up Evaluation (LIFE) - alcohol dependence indicator LIFEAlcDependInd Alcohol dependence indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Alcohol dependence indicator, as part of the Longitudinal Interval Follow Up (LIFE) Alcohol dependence 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C17655 Longitudinal Interval Follow-Up Evaluation (LIFE) - intake date LIFEIntakeDate Date of the subject's Longitudinal Interval Follow-Up Evaluation (LIFE) intake Date of the subject's Longitudinal Interval Follow-Up Evaluation (LIFE) intake Date of Intake Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Free-Form Entry

C13304 Longitudinal Interval Follow-Up Evaluation (LIFE) - schizoaffective disorder manic indicator LIFESchizoAffecManInd Schizoaffective, manic indicator, using the Longitudinal Interval Follow Up Evaluation (LIFE) Schiz-aff, manic indicator, as part of the Longitudinal Interval Follow Up (LIFE) Schizoaffective disorder, manic 1;2 No;Yes Numeric Values

If Yes is answered, code the diagnosis, not the probe. "Yes" means the participant/subject was in an episode of the diagnosis at some point during the PSR sheet(s) submitted with this booklet.

Keller MB, Lavori PW, Friedman B, Nielsen E, Endicott J, McDonald-Scott P, Andreason NC. The Longitudinal Interval Follow-up Evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Arch Gen Psychiatry. 1987; 44: 540-548. Warshaw MG, Dyck I, Allsworth J, Stout RL, Keller MB. Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation. J Psychiatr Res. 2001; 35(5): 297-305. Adult Supplemental 3.00 2013-08-28 16:08:00.453 Longitudinal Interval Follow-Up Evaluation DSM-IV VERSION (LIFE DSM-IV) Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

CSV