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. 2019 Apr 12;68(2):1–19. doi: 10.15585/mmwr.ss6802a1
DSM-5 behavioral criteria
A. Persistent deficits in social communication and social interaction
A1: Deficits in social emotional reciprocity
A2. Deficits in nonverbal communicative behaviors
A3. Deficits in developing, maintaining, and understanding relationships
B. Restricted, repetitive patterns of behavior, interests, or activities, currently or by history
B1: Stereotyped or repetitive motor movements, use of objects or speech
B2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior
B3. Highly restricted interests that are abnormal in intensity or focus
B4. Hyperreactivity or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment
Historical pervasive developmental disorder diagnosis
Any ASD diagnosis documented in a comprehensive evaluation, including a DSM-IV diagnosis of autistic disorder, Asperger disorder, or pervasive developmental disorder–not otherwise specified
DSM-5 surveillance case definition
All three behavioral criteria coded under part A, and at least two behavioral criteria coded under part B
OR
Any ASD diagnosis documented in a comprehensive evaluation, whether based on DSM-IV-TR or DSM-5 diagnostic criteria

Note: A child might be disqualified from meeting the DSM-5 surveillance case definition for ASD if, based on the clinical judgment of one or more reviewers, there is insufficient or conflicting information in support of ASD, sufficient information to rule out ASD, or if one or more other diagnosed conditions better account for the child’s symptoms.

Abbreviations: ASD = autism spectrum disorder; DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; DSM-IV-TR = Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; DSM-V = Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.

*DSM-5 also includes a previous DSM-IV diagnosis of ASD as a sole criterion for a clinical diagnosis.