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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Medical History Form

114 Shared Subjects

N/A
Clinical Assessments
Med History
08/24/2012
medhist_ucsf01
10/05/2017
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project SexSpecificGenAut_medicalhist_src_Subject_ID
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY SexSpecificGenAut_medicalhist_interview_date
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month. SexSpecificGenAut_medicalhist_interview_age, child_age
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported SexSpecificGenAut_medicalhist_gender, child_gender, gender
ethnic_group String 255 Recommended Ethnic group SexSpecificGenAut_dem_ethnicity_subject
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data SexSpecificGenAut_medicalhist_comments_misc
Query height_std Float Recommended Height - Standard Unit -1 = Not known; 999 = Missing SexSpecificGenAut_interview_height
Query weight_std Float Recommended Weight - Standard Unit -1 = Not known; 999 = Missing SexSpecificGenAut_interview_weight
Query diag_diagnosis String 4,000 Required Diagnosis Autism; PDD-NOS; Asperger's; ADHD; Language Disorder; Other; None SexSpecificGenAut_diag_diagnosis
Query diag_diagnosismadeby String 50 Required Diagnosis made by Physician;Psychologist;Other; NK NK = Not known SexSpecificGenAut_diag_madeby
Query preg_numberof Integer Recommended Total number of pregnancies by biological mother SexSpecificGenAut_preg_numberof
Query preg_numberofdeliv Integer Recommended Number of deliveries by biological mother SexSpecificGenAut_preg_numberofdeliv
Query preg_numberofmiscarr Integer Recommended Number of miscarriages by biological mother SexSpecificGenAut_preg_numberofmiscarr
Query preg_numberofabortions Integer Recommended Number of abortions by biological mother SexSpecificGenAut_preg_numberofabortions
Query preg_diffconcv String 50 Required Was there difficulty conceiving? Yes; No;999 SexSpecificGenAut_preg_diffconcv
Query preg_diffconcv_note String 255 Recommended Note regarding difficulty conceiving SexSpecificGenAut_preg_diffconcv_note
Query fertilitydrugs_at_contracep String 200 Recommended were fertility drugs used to help conceive subject Yes; No SexSpecificGenAut_preg_fertmed
Query preg_asstrep String 255 Recommended Was any other assisted reproduction used? If so, specify SexSpecificGenAut_preg_asstrep
Query preg_asstrep_note String 255 Recommended Note regarding assisted reproduction used SexSpecificGenAut_preg_asstrep_note
Query preg_ivf String 50 Required Was in vitro fertilization attempted to conceive? Yes; No;999 SexSpecificGenAut_preg_IVF
Query preg_surrogate String 50 Required Was surrogacy attempted to conceive? Yes; No;999 SexSpecificGenAut_preg_surrogate
Query preg_comp String 50 Required Were there complications during pregnancy? Yes; No;999 SexSpecificGenAut_preg_comp
Query preg_comp_note String 300 Recommended Note regarding complications during pregnancy SexSpecificGenAut_preg_comp_note
Query preg_nausea String 50 Required Did mother experience nausea during pregnancy? Yes; No;999 SexSpecificGenAut_preg_nausea
Query preg_anemia String 50 Required Did mother experience anemia during pregnancy? Yes; No;999 SexSpecificGenAut_preg_anemia
Query quesmoth_probclamp String 50 Recommended Preeclampsia
Yes;No;Don't Know; -999
SexSpecificGenAut_preg_preeclampsia
Query preg_eclampsia String 50 Required Did mother experience eclampsia during pregnancy? Yes; No;999 SexSpecificGenAut_preg_eclampsia
Query quesmoth_probhighbp String 50 Recommended Hypertension (High blood pressure)
Yes;No;Don't Know
SexSpecificGenAut_preg_hypertension
Query preg_hyperglycemia String 50 Required Did mother have hyperglycemia during pregnancy? Yes; No;999 SexSpecificGenAut_preg_hyperglycemia
Query preg_bleeding String 50 Required Did mother experience excessive bleeding during pregnancy? Yes; No;999 SexSpecificGenAut_preg_bleeding
Query preg_infection String 50 Required Did infection occur during pregnancy? Yes; No;999 SexSpecificGenAut_preg_infection
Query preg_infection_note String 255 Recommended Note regarding infection during pregnancy SexSpecificGenAut_preg_infection_note
Query preg_fever String 50 Required Did fever occur during pregnancy? Yes; No;999 SexSpecificGenAut_preg_fever
Query preg_bleeding_ft String 50 Recommended Did bleeding after the first trimester occur during pregnancy? Yes; No SexSpecificGenAut_preg_bleeding_ft
Query illness_pregnancy String 200 Recommended did the mother experience any illnesses during pregnancy Yes; No SexSpecificGenAut_preg_illness
Query preg_sti String 50 Required Did a sexually transmitted infection occur during pregnancy? Yes; No;999 SexSpecificGenAut_preg_STI
Query preg_abntsh String 50 Required Was there abnormal TSH level during pregnancy? Yes; No;999 SexSpecificGenAut_preg_abnTSH
Query preg_trauma String 50 Recommended Did mother experience trauma during pregnancy?
Yes; No; 99; -999
-999=missing; 99=DK SexSpecificGenAut_preg_trauma
Query preg_preexist_cond String 50 Recommended Were there any pre-existing chronic maternal conditions during pregnancy? Yes; No SexSpecificGenAut_preg_preexisting_condition
Query preg_preexist_cond_note String 255 Recommended Note regarding pre-existing maternal conditions during pregnancy SexSpecificGenAut_preg_preexisting_condition_note
Query presmed_alcohol String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Drink alcohol
Yes;No;999
999 = Don't Know SexSpecificGenAut_preg_alcohol, alcohol
Query preg_alcohol_note String 255 Recommended Note regarding alcohol used during pregnancy SexSpecificGenAut_preg_alcohol_note
Query presmed_smoke String 50 Required In this pregnancy, did the birth mother do any of the following activities - Smoke cigarettes or other tobacco products
Yes;No;999
999=NA/missing SexSpecificGenAut_preg_tobacco, smoke
Query preg_tobacco_note String 255 Recommended Note regarding tobacco used during pregnancy SexSpecificGenAut_preg_tobacco_note
Query presmed_drugs String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Use recreational drugs (e.g. marijuana, cocaine, etc)
Yes;No
SexSpecificGenAut_preg_drugs
preg_drugs_note String 255 Recommended Note regarding street or "recreational" drugs used during pregnancy SexSpecificGenAut_preg_drugs_note
Query preg_chemorad String 50 Required Was there exposure to chemicals or radiation during pregnancy? Yes; No;999 SexSpecificGenAut_preg_chemorad
Query preg_vit_supp_meds String 50 Required Were there any vitamins, supplements or medications used during pregnancy? Yes; No;999 SexSpecificGenAut_preg_vit_supp_meds
preg_vit_supp_meds_note String 255 Recommended Note regarding vitamins, supplements or medications used during pregnancy SexSpecificGenAut_preg_vit_supp_meds_note
Query preg_age_mom Integer Recommended Age of mother at the time of birth In years; 999=Unknown SexSpecificGenAut_preg_age_mom
Query preg_age_dad Integer Recommended Age of father at the time of birth In years; 999=Unknown SexSpecificGenAut_preg_age_dad
Query preg_studies String 255 Required Which studies were performed during pregnancy: none, prenatal screen, ultrasound, amniocentesis, CVS None; Prenatal screen; Ultrasound; Amniocentesis; CVS;999 SexSpecificGenAut_preg_studies
Query preg_studies_note String 255 Recommended Note regarding studies performed during pregnancy SexSpecificGenAut_preg_studies_note
Query preg_delivery_location String 50 Recommended Place of birth: Hospital, Home, or other Hospital; Home; Other SexSpecificGenAut_preg_delivery_location
preg_delivery_location_note String 255 Recommended Note regarding place of birth SexSpecificGenAut_preg_delivery_location_note
Query info_gest String 50 Recommended No. Weeks Gestation (G.A.) SexSpecificGenAut_preg_gestation_weeks
Query preg_gestation_term String 50 Recommended Period of Gestation Pre-term; Term; Post-term SexSpecificGenAut_preg_gestation_term
Query preg_mode_deliv String 225 Required What was the mode of delivery? 999=DK/NA SexSpecificGenAut_preg_mode_deliv
Query birth_weight_lbs Float Recommended Birth weight pounds SexSpecificGenAut_neo_birthwt, birth_weight
Query ldnb_lgthin Float Recommended What was the babys length at birth(inches) -1 = Not known SexSpecificGenAut_neo_birthlen
Query ldnb_headcircumcm Float Recommended What was the babys head circumference at birth (cm)
Query info_apgar1 String 50 Recommended Apgars 1 min. SexSpecificGenAut_neo_APGAR_1min
Query info_apgar5 String 50 Recommended Apgars 5 min. SexSpecificGenAut_neo_APGAR_5min
Query neo_cyanosis String 50 Required Did cyanosis occur after delivery? Yes; No;999 SexSpecificGenAut_neo_cyanosis
Query neo_apnea String 50 Required Did apnea occur after delivery? Yes; No;999 SexSpecificGenAut_neo_apnea
Query neo_resp String 50 Required Did a respiratory complication occur after delivery? Yes; No;999 SexSpecificGenAut_neo_resp
Query neo_cardiac String 50 Required Did a cardiac complication occur after delivery? Yes; No;999 SexSpecificGenAut_neo_cardiac
Query neo_jaundice String 50 Required Did jaundice occur after delivery? Yes; No;999 SexSpecificGenAut_neo_jaundice
Query neo_seizure String 50 Required Did seizures occur after delivery? Yes; No;999 SexSpecificGenAut_neo_seizure
Query neo_infection String 50 Required Did infections occur after delivery? Yes; No;999 SexSpecificGenAut_neo_infection
Query neo_stroke String 50 Required Did a stroke occur after delivery? Yes; No;999 SexSpecificGenAut_neo_stroke
Query neo_neuro String 50 Required Did neurologic complications occur after delivery? Yes; No;999 SexSpecificGenAut_neo_neuro
Query nb_feeddifficult String 50 Recommended Did the baby have any difficulty with feeding (breast or bottle
No;Yes;Don't Know
SexSpecificGenAut_neo_feed
Query child_congenitaldef String 50 Recommended Does the Child have a Congenital Defect (Cleft palate, cleft lip, other)?
Yes; No; NK; NS
NK= Not known; NS = Not sure SexSpecificGenAut_neo_congendef
Query child_congenitaldef_cmt String 255 Recommended Specify Child's Congenital Defect type SexSpecificGenAut_neo_congendef_note
Query neo_sp_assistance_meds String 50 Required Following delivery, was special assistance or medication used? Yes; No;999
Query neo_sp_assistance_meds_note String 255 Recommended Note regarding special assistance of medication used following delivery?
Query dev_rollover String 255 Recommended Achievement status of developmental milestone of rolling over Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_rollover
Query dev_sit String 255 Recommended Achievement status of developmental milestone of sitting Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_sit
Query dev_crawl String 255 Recommended Achievement status of developmental milestone of crawling Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_crawl
Query dev_walk String 255 Recommended Achievement status of developmental milestone of walking Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_walk
Query dev_run String 255 Recommended Achievement status of developmental milestone of running Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_run
Query dev_ridetrike String 255 Recommended Achievement status of developmental milestone of riding tricycle Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_ridetrike
Query dev_reachtoy String 255 Recommended Achievement status of developmental milestone of reaching for toy Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_reachtoy
Query dev_scribble String 255 Recommended Achievement status of developmental milestone of scribbling Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_scribble
Query dev_feedself String 255 Recommended Achievement status of developmental milestone of feeding self with hands Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_feedself
Query dev_drawshape String 255 Recommended Achievement status of developmental milestone of drawing a shape Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_drawshape
Query dev_simpleinstruction String 255 Recommended Achievement status of developmental milestone of responding to simple instruction Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_simpleinstruction
Query dev_putonshoe String 255 Recommended Achievement status of developmental milestone of putting on a shoe Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_putonshoe
Query dev_stand String 255 Recommended Achievement status of developmental milestone of pulling to stand Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_stand
Query dev_hopskip String 255 Recommended Achievement status of developmental milestone of hopping or skipping Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_hopskip
Query dev_firstword String 255 Recommended Achievement status of developmental milestone of saying first word Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_firstword
Query dev_twowords String 255 Recommended Achievement status of developmental milestone of saying two words together Reached on time; Delayed; Not reached; Reached and then lost SexSpecificGenAut_dev_twowords
Query dev_fsiq Integer Recommended Full Scale IQ SexSpecificGenAut_dev_fsiq
Query therapy_physical String 50 Recommended Has the subject received physical therapy?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not apply SexSpecificGenAut_therapy_physical
Query therapy_occupational String 50 Recommended Has the subject received occupational therapy?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not apply SexSpecificGenAut_therapy_occupational
Query therapy_speechandlanguage String 50 Recommended Has the subject received speech and language therapy?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not apply SexSpecificGenAut_therapy_speechandlanguage
Query therapy_vision String 50 Recommended Has the subject received vision therapy? Yes; No SexSpecificGenAut_therapy_vision
Query therapy_psych String 50 Recommended Has the subject received psychological therapy? Yes; No SexSpecificGenAut_therapy_psych
Query therapy_spec_ed String 50 Recommended Is the subject enrolled in any special educational classes or learning environments? Yes; No SexSpecificGenAut_therapy_spec_ed
Query neuro_scoliosis String 50 Recommended Does subject have scoliosis? Yes; No SexSpecificGenAut_neuro_scoliosis
Query neuro_spasticity_hyper String 50 Recommended Does subject have spasticity/hypertonia? Yes; No SexSpecificGenAut_neuro_spasticity_hyper
Query neuro_hypotonia String 50 Recommended Does subject have hypotonia? Yes; No SexSpecificGenAut_neuro_hypotonia
Query neuro_insensitivepain String 50 Recommended Does subject have insensitivity to pain? Yes; No SexSpecificGenAut_neuro_insensitivepain
Query neuro_tempdysreg String 50 Recommended Does subject have temperature dysregulation? Yes; No SexSpecificGenAut_neuro_tempdysreg
Query neuro_headaches String 50 Recommended Does subject have headaches? Yes; No SexSpecificGenAut_neuro_headaches
Query neuro_tics String 50 Recommended Does subject have tics? Yes; No SexSpecificGenAut_neuro_tics
Query neuro_tremor String 50 Recommended Does subject have tremors? Yes; No SexSpecificGenAut_neuro_tremor
Query neuro_dizzy String 50 Recommended Does subject have dizziness? Yes; No SexSpecificGenAut_neuro_dizzy
Query neuro_numb String 50 Recommended Does subject have numbness? Yes; No SexSpecificGenAut_neuro_numb
Query neuro_involmov String 50 Recommended Does subject have involuntary movements? Yes; No SexSpecificGenAut_neuro_involmov
neuro_note String 255 Recommended Notes regarding neurologic issues SexSpecificGenAut_neuro_note
Query gastro_reflux String 50 Required Does subject have gastroesophageal reflux? Yes; No;999 SexSpecificGenAut_gastro_reflux
Query gastro_diarrhea String 50 Recommended Does subject have diarrhea problems?
Yes; No; NK; NS
NK= Not known; NS = Not sure SexSpecificGenAut_gastro_diarrhea
Query gastro_constipation String 50 Recommended Does subject have issue of constipation?
Yes; No; NK; NS
NK= Not known; NS = Not sure SexSpecificGenAut_gastro_constipation
Query gastro_spec_diet String 50 Required Does subject have a special diet? Yes; No; NK NK = Not known SexSpecificGenAut_gastro_spec_diet
Query gastro_other String 50 Recommended Does subject have any other gastrointestinal issues?
Yes; No
SexSpecificGenAut_gastro_other
gastro_note String 255 Recommended Note regarding gastrointestinal issues? SexSpecificGenAut_gastro_note
Query medhx_sleep_prob String 50 Recommended Does subject have sleep problems?
Yes; No
SexSpecificGenAut_medhx_sleep_prob
medhx_sleep_prob_note String 255 Recommended Note regarding sleep problems SexSpecificGenAut_medhx_sleep_prob_note
Query medhx_behavior_prob String 50 Recommended Does subject have behavioral problem other then ASD? Yes; No SexSpecificGenAut_medhx_behavior_prob
Query medhx_behavior_prob_note String 255 Recommended Note regarding behavioral issue SexSpecificGenAut_medhx_behavior_prob_note
Query child_seizure String 50 Required Has she/he ever been to a doctor for any of these things…Epilepsy or Seizures /Epilepsia o convulsiones
Yes;No;999
Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life. SexSpecificGenAut_seizure_history
Query seizure_age Integer Recommended Age of first seizure in years In years SexSpecificGenAut_seizure_age
Query seizure_frequency String 255 Recommended How often do the seizures happen (per day or per month)? SexSpecificGenAut_seizure_frequency
Query seizure_time_of_day String 50 Recommended What time of day do the seizures usually occur? AM; PM; During sleep SexSpecificGenAut_seizure_time_of_day
Query seizure_med String 500 Recommended List of current medications for seizures including dosage and side effects SexSpecificGenAut_seizure_med
Query rev_headeegresult String 255 Recommended EEG: Results SexSpecificGenAut_seizure_EEG_results
Query famhx_parents_related String 50 Recommended Are the biologic mother and father related? Yes; No SexSpecificGenAut_famhx_parents_related
famhx_autism String 500 Recommended Indicate which relatives have autism or autism spectrum disorder. SexSpecificGenAut_famhx_Autism
Query famhx_aspergers String 500 Recommended Indicate which relatives have Asperger's syndrome. SexSpecificGenAut_famhx_Aspergers
Query famhx_pdd String 500 Recommended Indicate which relatives have pervasive developmental disorder. SexSpecificGenAut_famhx_PDD
Query famhx_ocd String 500 Recommended Indicate which relatives have obsessive compulsive disorder. SexSpecificGenAut_famhx_OCD
Query famhx_adhd String 500 Recommended Indicate which relatives have attention deficit/hyperactivity disorder. SexSpecificGenAut_famhx_ADHD
Query famhx_anxiety String 500 Recommended Indicate which relatives have anxiety disorder SexSpecificGenAut_famhx_anxiety
Query famhx_bipolar String 500 Recommended Indicate which relatives have bipolar disorder. SexSpecificGenAut_famhx_bipolar
Query famhx_depression String 500 Recommended Indicate which relatives have depression and/or have made suicide attempts. SexSpecificGenAut_famhx_depression
Query famhx_personality String 500 Recommended Indicate which relatives have a personality disorder. SexSpecificGenAut_famhx_personality
Query famhx_schizophrenia String 500 Recommended Indicate which relatives have schizophrenia. SexSpecificGenAut_famhx_schizophrenia
Query famhx_ld String 500 Recommended Indicate which relatives have a learning disability. SexSpecificGenAut_famhx_LD
Query famhx_reading String 500 Recommended Indicate which relatives have a reading difficulty. SexSpecificGenAut_famhx_reading
famhx_speech String 500 Recommended Indicate which relatives have a speech problem or speech delay. SexSpecificGenAut_famhx_speech
Query famhx_selfinjure String 500 Recommended Indicate which relatives have self injuring behavior. SexSpecificGenAut_famhx_tuberous_seizureselfinjure
Query famhx_seizure_epilepsy String 500 Recommended Indicate which relatives have a seizure disorder or epilepsy. SexSpecificGenAut_famhx_tuberous_seizure_epilepsy
Query famhx_mr String 500 Recommended Indicate which relatives have mental retardation. SexSpecificGenAut_famhx_MR
Query famhx_obesity String 500 Recommended Indicate which relatives have obesity. SexSpecificGenAut_famhx_obesity
Query famhx_gi String 500 Recommended Indicate which relatives hava a gastrointestinal disorder. SexSpecificGenAut_famhx_GI
famhx_allergy_asthma String 500 Recommended Indicate which relatives have allergy and/or asthma. SexSpecificGenAut_famhx_allergy_asthma
Query famhx_autoimmune String 500 Recommended Indicate which relatives have an autoimmune disease. SexSpecificGenAut_famhx_autoimmune
Query famhx_endocrine String 500 Recommended Indicate which relatives have an endocrine or hormonal disorder. SexSpecificGenAut_famhx_endocrine
famhx_retts String 500 Recommended Indicate which relatives have Rett's syndrome. SexSpecificGenAut_famhx_Retts
famhx_fragilex String 500 Recommended Indicate which relatives have Fragile X syndrome. SexSpecificGenAut_famhx_fragileX
Query famhx_nf String 500 Recommended Indicate which relatives have neurofibromatosis. SexSpecificGenAut_famhx_tuberous_NF
Query famhx_tuberous_schleroris String 500 Recommended Indicate which relatives have tuberous schlerosis. SexSpecificGenAut_famhx_tuberous_schlerosis
Query famhx_birthdefect String 500 Recommended Indicate which relatives have a birth defect. SexSpecificGenAut_famhx_birthdefect
Query famhx_other String 500 Recommended Indicate which relatives have another inheritable condition SexSpecificGenAut_famhx_other
Query dem_marital_mother String 255 Recommended What is the marital status of subject's biological mother? Married/ Domestic partners; Single; Divorced; Widowed SexSpecificGenAut_dem_marital_mother
Query dem_marital_father String 255 Recommended What is the marital status of subject's biological father? Married/ Domestic partners; Single; Divorced; Widowed SexSpecificGenAut_dem_marital_father
bio_mother_occupation String 100 Recommended Biological Mother Occupation SexSpecificGenAut_dem_occupation_mother
bio_father_occupation String 100 Recommended Biological Father Occupation SexSpecificGenAut_dem_occupation_father
Query bio_mother_ethnicity String 50 Recommended Biological Mother Ethnicity
Hispanic or Latino;Not Hispanic or Latino; No Answer
SexSpecificGenAut_dem_ethnicity_mother
Query bio_father_ethnicity String 50 Recommended Biological Father ethnicity (Hispanic or Latino, Not Hispanic or Latino, No Answer)
Hispanic or Latino; Not Hispanic or Latino; No Answer
SexSpecificGenAut_dem_ethnicity_father
Query bio_mother_education String 75 Recommended Biological Mother Highest level of education Less than High School;High School Degree;GED; Less than 7th Grade; Jr. High School; Some High School; Some College;Associates Degree;Bachelors Degree;Some Graduate Work;Graduate Degree; Never attended school ; Primary/all age/ Jnr. Secondary ; Secondary/High/Technical ; H.E.A.R.T/ Vocational ; Tertiary College/University ; Other tertiary- specify ; Other education-specify;99= D/K ; 77= N/A; 999= Missing SexSpecificGenAut_dem_education_mother
Query bio_father_education String 75 Recommended Biological Father Highest level of education Less than High School;High School Degree;GED; Less than 7th Grade; Jr. High School; Some High School; Some College;Associates Degree;Bachelors Degree;Some Graduate Work;Graduate Degree; Never attended school ; Primary/all age/ Jnr. Secondary ; Secondary/High/Technical ; H.E.A.R.T/ Vocational ; Tertiary College/University ; Other tertiary- specify ; Other education-specify;99= D/K ; 77= N/A; 999= Missing SexSpecificGenAut_dem_education_father
Query respondent String 20 Recommended Respondent
Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
relationship, resp_rel
Query childgen String 2 Recommended Child gender M;F M=Male; F= Female resp_gender
Query child_race String 55 Recommended Child's Race
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query family_bio_parent_rep_coi_ethn String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IC2 Parent Report of Child of Interest (COI) ethnicity (Hispanic or Latino, Not Hispanic or Latino, No Answer)
Hispanic or Latino;Not Hispanic or Latino;No Answer
stay_with String 100 Recommended Who does child stay with at home? 777=Not applicable
Query father_race String 55 Recommended Father's race
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query father_ethnicity String 30 Recommended Father ethnicity (choices are Hispanic/Latino or Not Hispanic/Latino)
Hispanic or Latino;Not Hispanic or Latino;Not Provided
Query mother_race String 55 Recommended Mother's race
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query mother_ethnicity String 30 Recommended Mother ethnicity (choices are Hispanic/Latino or Not Hispanic/Latino)
Hispanic or Latino;Not Hispanic or Latino;Not Provided
Query dem_47_compl Integer Recommended Were there any birth complications with this child? 0;1;-999 0=No; 1=Yes; -999=Prefer not to answer birth_complications
Query demo_preg_meds Integer Recommended Did the biological mother use prescription medications during pregnancy? 0;1;3 1=Yes; 0=No; 3=Don't Know medications
fatherocup String 100 Recommended Father' occupation
momoccuc String 100 Recommended mother's current occupation
com_childcare String 10 Recommended What type of childcare does your child attend? Check all that apply 1= In home with other family member ;2= In home with babysitter ;3= At a home-based daycare ;4= At Headstart ;5= At a private nursery school / preschool ;6= At a school district preschool; 7 = Day Care Center; 8 = Home Day Care; 9 = Nanny or Au-Pair daycare_type
Query fsprels Integer Recommended Which category best describes your current relationship status? 1::9;777 1= Single/never married; 2= Married; 3= Living together; 4= Domestic partnership; 5= Separated; 6= Divorced; 7= Widowed; 8= Engaged; 9=Other; 777=Not applicable resp_relstatus
Query annincome Integer Recommended What is the gross (before taxes) annual income including child support and any other financial aid household? 0= $4999 or less ; 1= $5000-$9999 ; 2= $1000-$14999 ; 3= $15000-$19000 ; 4= $20000-$24999 ; 5= $25000-29999 ; 6= $30000-$39999 ; 7= $40000-$49999 ; 8= $50000-$59999 ; 9= $60000-$69999 ; 10=0 $70000-$79999; 11=1 $80000-$89000 ; 12=2 $90000 or more ; -99= N/A; 77= Refused ; 88= Missing resp_income_other
Query resp_rel_biological Integer Recommended Is your child Biological 1::4 1 = biologcal, 2 = adopted, 3 = foster, 4 = other
lstc String 10 Recommended Language(s) spoken to child (select all that apply) 1 = English; 2 = Spanish; 3 = Other language
Query born_within_3weeks Integer Recommended Was your child born within 3 weeks of his or her due date? 0::1 0 = No; 1 = Yes
resp_duedate Date Recommended What is/was your child's due date MM/DD/YYYY In the format of Month/Day/Year. The childs due date is defined as the predicted date of birth given to the parents by a doctor.
major_miles_stones String 200 Recommended Please specify at what age your child was first able to do the following: Sit Unsupported; Crawl; Pull up to standing; stand momentarily; show stepping movements; walk independently Ages in months
Query schooling_mother Integer Recommended Number of years of formal schooling/education Mother 8::18; 20 8 = Grade School; 9-11= some high school; 12= High School Graduate; 12-15 = Trade, technical or some college; 16 = College graduate; 17-18 = Graduate Training; 20 = Graduate degree (M.D., J.D., D.D.S., Ph.D.)
Query schooling_father Integer Recommended Number of years of formal schooling/education Father 8::18; 20 8 = Grade School; 9-11= some high school; 12= High School Graduate; 12-15 = Trade, technical or some college; 16 = College graduate; 17-18 = Graduate Training; 20 = Graduate degree (M.D., J.D., D.D.S., Ph.D.)
Query visitation Integer Recommended Does your child have visitation with both parents?
0;1;3
1 = yes; 0 = no; 3 = N/A
Query marital_status_change Integer Recommended Has your marital status changed since your last visit?
0;1;3
1 = yes; 0 = no; 3 = N/A marital_status
Query daycare_yn Integer Recommended Does your child attend daycare or some type of child care? 0::1 0 = No; 1 = Yes daycare
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

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