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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Peds - Family Biographical History Form (0:0 - 4:5 y:m)

554 Shared Subjects

Family Biographical History Form (0:0 to 4:5 y:m) as defined by the NIH Pediatric MRI Project
Clinical Assessments
Med History
03/08/2010
peds_family_bio01
12/16/2022
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 Subject_ID
Query timepoint_label String 50 Recommended Timepoint/visit label
Query admin_status String 20 Recommended Instrument administration status Complete;Partial;Not Administered;Not Applicable Family_Bio_Administration_Status
Query family_bio_relation_resp_coi String 10 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Relationship, to the Child of Interest (COI), of the person filling out the form (Mother, Father, Other, No Answer) Mother;Father;Other;No Answer Family_Bio_Relationship_of_Respondent_to_COI
Query family_bio_coi_biol_mother_age Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA1 Child of Interest (COI) Biological Mother current age in years at brain scan timepoint Family_Bio_IA1_COI_Biol_Mother_Current_Age_in_Years
Query family_bio_coi_biol_mothr_hand String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA2 Child of Interest (COI) Biological Mother hand preference (Right, Left, No Preference, No Answer) Right;Left;No Preference;No Answer Family_Bio_IA2_COI_Biol_Mother_Hand_Preference
Query family_bio_coi_biol_mothr_ethn String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA3 Child of Interest (COI) Biological Mother Ethnicity (Hispanic or Latino, Not Hispanic or Latino, No Answer) Hispanic or Latino;Not Hispanic or Latino;No Answer Family_Bio_IA3_COI_Biol_Mother_Ethnicity
Query family_bio_coi_biol_mothr_race String 50 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA4 Child of Interest (COI) Biological Mother Race (American Indian or Alaska Native, African American or Black, Asian, Native Hawaiian or Other Pacific Islander, White, No Answer) American Indian or Alaska Native;African American or Black;Asian;Native Hawaiian or Other Pacific Islander;White;No Answer Family_Bio_IA4_COI_Biol_Mother_Race
Query family_bio_coi_biol_mother_ed String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA5 Child of Interest (COI) Biological Mother education at brain scan timepoint Less than High School;High School Degree;Some College;College Degree;Some Graduate Work;Graduate Degree;No Answer Family_Bio_IA5_COI_Biol_Mother_Education
Query family_bio_coi_biol_mother_ms String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IA6 Child of Interest (COI) Biological Mother marital status at brain scan timepoint (Single, Married, Widowed, Divorced, No Answer) Single;Married;Widowed;Divorced;No Answer Family_Bio_IA6_COI_Biol_Mother_Marital_Status
Query family_bio_coi_biol_father_age Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB1 Child of Interest (COI) Biological Father current age in years at brain scan timepoint Family_Bio_IB1_COI_Biol_Father_Current_Age_in_Years
Query family_bio_coi_biol_fathr_hand String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB3 Child of Interest (COI) Biological Father hand preference (Right, Left, No Preference, No Answer) Right;Left;No Preference;No Answer Family_Bio_IB3_COI_Biol_Father_Hand_Preference
Query family_bio_coi_biol_fathr_ethn String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB4 Child of Interest (COI) Biological Father ethnicity (Hispanic or Latino, Not Hispanic or Latino, No Answer) Hispanic or Latino;Not Hispanic or Latino;No Answer Family_Bio_IB4_COI_Biol_Father_Ethnicity
Query family_bio_coi_biol_fathr_race String 50 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB5 Child of Interest (COI) Biological Father Race (American Indian or Alaska Native, African American or Black, Asian, Native Hawaiian or Other Pacific Islander, White, No Answer) American Indian or Alaska Native;African American or Black;Asian;Native Hawaiian or Other Pacific Islander;White;No Answer Family_Bio_IB5_COI_Biol_Father_Race
Query family_bio_coi_biol_father_ed String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB6 Child of Interest (COI) Biological Father education at brain scan timepoint Less than High School;High School Degree;Some College;College Degree;Some Graduate Work;Graduate Degree;No Answer Family_Bio_IB6_COI_Biol_Father_Education
Query family_bio_coi_biol_father_ms String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IB7 Child of Interest (COI) Biological Father marital status at brain scan timepoint (Single, Married, Widowed, Divorced, No Answer) Single;Married;Widowed;Divorced;No Answer Family_Bio_IB7_COI_Biol_Father_Marital_Status
Query family_bio_parent_rep_coi_hand String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IC1 Parent Report of Child of Interest (COI) hand preference at brain scan timepoint (Right, Left, No Preference, No Answer) Right;Left;No Preference;No Answer Family_Bio_IC1_Parent_Report_COI_Hand_Preference
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 Family_Bio_IC2_Parent_Report_COI_Ethnicity
Query family_bio_coi_biol_child_race String 50 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IC3 Child of Interest Race (American Indian or Alaska Native, African American or Black, Asian, Native Hawaiian or Other Pacific Islander, White, No Answer) American Indian or Alaska Native;African American or Black;Asian;Native Hawaiian or Other Pacific Islander;White;No Answer Family_Bio_IC3_COI_Biol_Child_Race
Query family_bio_coi_lives_bio_mothr String 2 Recommended Family Biographical History Form (0:0 to 4:5 yrs:mo): Question ID1a Child of Interest (COI) lives with Biological Mother (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_ID1a_COI_Lives_with_Biol_Mother
Query family_bio_coi_lives_bio_fathr String 2 Recommended Family Biographical History Form (0:0 to 4:5 yrs:mo): Question ID1b Child of Interest (COI) lives with Biological Father (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_ID1b_COI_Lives_with_Biol_Father
Query family_bio_coi_lives_stepmothr String 2 Recommended Family Biographical History Form (0:0 to 4:5 yrs:mo): Question ID1c Child of Interest (COI) lives with Stepmother (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_ID1c_COI_Lives_with_Stepmother
Query family_bio_coi_lives_stepfathr String 2 Recommended Family Biographical History Form (0:0 to 4:5 yrs:mo): Question ID1d Child of Interest (COI) lives with Stepfather (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_ID1d_COI_Lives_with_Stepfather
Query family_bio_coi_total_house_inc String 30 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question ID2 Total Income for Child of Interest (COI) Household at brain scan timepoint Zero to 5000;5001 to 10000;10001 to 15000;15001 to 25000;25001 to 35000;35001 to 50000;50001 to 75000;75001 to 100000;100001 to 150000;over 150000;No Answer In dollars Family_Bio_ID2_COI_Family_Total_Household_Income
Query family_bio_coi_tot_depend_head String 5 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question ID3 Total Number of Dependents in the Child of Interest (COI) Household (i.e., Total Number of Dependents Plus Head of Household (as per tax declaration)) at the brain scan timepoint. 2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;NA NA = No answer Family_Bio_ID3_COI_Family_Total_Dependents_Plus_Head
Query family_bio_coi_born_in_hosp String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIB1a Was Child of Interest (COI) born in a hospital? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_IIB1a_COI_Born_in_Hospital
Query family_bio_coi_birth_induced String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIB2a Was labor induced for Child of Interest (COI)? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_IIB2a_COI_Birth_Induced
Query family_bio_days_bio_mothr_hosp Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIB3a How many days did the Biological Mother spend in the hospital following the delivery of the Child of Interest (COI)? Family_Bio_IIB3a_Days_Biol_Mother_Hospitalized_at_Birth_of_COI
Query family_bio_days_coi_hosp_birth Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIB3b How many days did the Child of Interest (COI) spend in the hospital following delivery? Family_Bio_IIB3b_Days_COI_Hospitalized_at_Birth
Query family_bio_coi_breastfeeding String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC1 Did the Biological Mother breastfeed the Child of Interest (COI)? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_IIC1_COI_Breastfeeding
Query family_bio_coi_age_bf_began Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC2a How old, in days, was the Child of Interest (COI) when breast milk feeding began? Family_Bio_IIC2a_COI_Age_in_Days_Breastfeeding_Began
Query family_bio_coi_age_bf_frst_sup Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC2b How old, in days, was the Child of Interest (COI) when formula or other solid food was used to supplement breast milk? Family_Bio_IIC2a_COI_Age_in_Days_Breastfeeding_First_Suppl, Family_Bio_IIc2a_Age_in_Days_Breastfeeding_First_Suppl
Query family_bio_coi_still_breastfd String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC3a Was the Child of Interest (COI) still receiving breast milk at the brain scan timepoint? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_IIC3a_COI_Still_Breastfeeding
Query family_bio_coi_last_breastfeed Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC3b How old (in days) was the Child of Interest (COI) when the last (final) breast milk feeding was done? Family_Bio_IIC3b_COI_Age_in_Days_at_Last_Breastfeeding
Query family_bio_coi_smo_breastfeed String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC4a Did the Child of Interest (COI) Biological Mother ever smoke while the COI was receiving breast milk? (Yes, No, No Answer)
Y;N;NA;DK
Y = Yes; N = No; NA = No answer; DK = Don't Know Family_Bio_IIC4a_COI_Biol_Mother_Smoking_Breastfeeding
Query family_bio_num_cig_breastfeed Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC4b How many cigarettes were smoked by the Biological Mother per week while the Child of Interest (COI) was receiving breast milk? Family_Bio_IIC4b_Number_of_Cigarettes_Biol_Mother_Breastfeeding
Query family_bio_coi_alc_breastfeed String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC5a Did the Child of Interest (COI) Biological Mother ever drink alcohol while the COI was receving breast milk? (Yes, No, No Answer)
Y;N;NA;DK
Y = Yes; N = No; NA = No answer; DK = Don't Know Family_Bio_IIC5a_COI_Biol_Mother_Alcohol_Breastfeeding
Query family_bio_num_alc_breastfeed Float Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC5b How many alcoholic drinks were consumed per week by the Biological Mother while breastfeeding the Child of Interest (COI)? Family_Bio_IIC5b_Number_Alcohol_Drink_Biol_Mother_Breastfeeding
Query family_bio_coi_breastfeed_meds String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question IIC6a Did the Child of Interest (COI) Biological Mother use any medication (over-the-counter or prescription) while the child was on breast milk? (Yes, No, No Answer)
Y;N;NA;DK
Y = Yes; N = No; NA = No answer; DK = Don't Know Family_Bio_IIC6a_COI_Breastfeeding_Biol_Mother_Meds
Query family_bio_coi_ear_tubes String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III1a At the brain scan timepoint had the Child of Interest (COI) ever had ear tubes placed? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III1a_COI_Ear_Tubes
Query family_bio_coi_age_ear_tubes Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III1b Child of Interest (COI) age (in days) when ear tubes first placed. Family_Bio_III1b_COI_Age_in_Days_Ear_Tubes_Placed
Query family_bio_coi_gen_anesthesia String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III2a At the brain scan timepoint had the Child of Interest (COI) ever had general anesthesia? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III2a_COI_General_Anesthesia_Use
Query family_bio_coi_age_gen_anes Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III2b Child of Interest (COI) age (in days) when general anesthesia first used. Family_Bio_III2b_COI_Age_in_Days_General_Anesthesia_Used
Query family_bio_coi_lead_lvl_check String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III3a At the brain scan timepoint had the Child of Interest (COI) ever had their lead level checked? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III3a_COI_Lead_Level_Checked
Query family_bio_icoi_age_lead_check Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III3b Child of Interest (COI) age (in days) when screened for lead. Family_Bio_III3b_COI_Age_in_Days_Lead_Level_Checked
Query family_bio_coi_lead_level String 10 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III3c What was Child of Interest (COI) lead level, when screened? (High, Marginal, Normal (low), Unknown, No Answer) High;Marginal;Normal;Unknown;NA NA = No answer Family_Bio_III3c_COI_Lead_Level
Query family_bio_coi_hit_head_phys String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III4a At the brain scan timepoint had the Child of Interest (COI) ever hit their head seriously enough that a physician, clinic, or hospital was contacted or visited? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III4a_COI_Hit_Head_and_Physician_Contacted
Query family_bio_coi_hit_head_number Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III4b Number of occurrences where Child of Interest (COI) hit their head seriously enough that a phsycian, clinic, or hospital was contacted or visited. Family_Bio_III4b_COI_Hit_Head_Number_of_Occurrences
Query family_bio_coi_strep_throat String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III5a At the brain scan timepoint had the Child of Interest (COI) ever been diagnosed with strep throat? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III5a_COI_Strep_Throat
Query family_bio_coi_strep_num_times String 20 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III5b Number of times the Child of Interest (COI) has had Strep Throat (1-2 Times, 3-5 Times, 6 or More Times, No Answer) 1-2 Times;3-5 Times;6 or More Times;NA NA = No answer Family_Bio_III5b_COI_Strep_Throat_Number_of_Times
Query family_bio_coi_ever_childcare String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III6a At the brain scan timepoint had the Child of Interest (COI) ever participated in a child care program? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III6a_COI_Ever_Attended_Childcare
Query family_bio_coi_childcare_days Integer Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III6b On average, how many days per week of childcare did the Child of Interest (COI) participate in? Family_Bio_III6b_COI_Childcare_Number_of_Days_per_Week
Query family_bio_coi_preschool_prog String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III7 At the brain scan timepoint, had the Child of Interest (COI) ever participated in Parents as Teachers, Head Start, or any other type of Preschool program? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III7_COI_Participated_in_Preschool_Program
Query family_bio_coi_form_schl_prog String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III8 At the brain scan timepoint, had the Child of Interest (COI) ever attended a formal school program (e.g., Kindergarten)? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III8_COI_Attended_Formal_School_Programs
Query family_bio_coi_organized_sport String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III9 At the brain scan timepoint, had the Child of Interest (COI) participated in organized sports (T-Ball, soccer)? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III9_COI_Participated_in_Organized_Sports
Query family_bio_coi_part_music_prog String 2 Recommended Family Biographical History Form (0:0 to 4:5 y:m) Question III10 At the brain scan timepoint, had the Child of Interest (COI) ever had any music training or lessons? (Yes, No, No Answer)
Y;N;NA
Y = Yes; N = No; NA = No answer Family_Bio_III10_COI_Participated_in_Music_Programs
Data Structure

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