|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
|
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
Charge_familymedhist_interview_date |
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0 :: 1260
|
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.
|
Charge_familymedhist_interview_age |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
Charge_familymedhist_SRC_Subject_ID |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
Charge_familymedhist_comments_misc |
Query
|
child_foodallergy |
String |
50
|
Required |
Does the Child have a food allergy? |
|
999=NA/missing
|
Charge_familymedhist_child_foodallergy |
|
child_foodallergy_cmt |
String |
255
|
Recommended |
Specific food items the Child is allergic to |
|
|
Charge_familymedhist_child_foodallergy_cmt |
Query
|
child_skinallergy |
String |
50
|
Required |
Does the Child have a skin allergy? |
|
999=NA/missing
|
Charge_familymedhist_child_skinallergy |
|
child_allergy_skinallergy_cmt |
String |
255
|
Recommended |
Specific skin items the Child is allergic to |
|
|
Charge_familymedhist_child_allergy_skinallergy_cmt |
Query
|
child_eczema |
String |
50
|
Recommended |
Does the Child have Eczema? |
|
|
Charge_familymedhist_child_eczema |
Query
|
child_envallergy |
String |
50
|
Required |
Does the Child have an environmental allergy? |
|
999=NA/missing
|
Charge_familymedhist_child_envallergy |
|
child_envallergy_cmt |
String |
255
|
Recommended |
Specific environmental items the Child is allergic to |
|
|
Charge_familymedhist_child_envallergy_cmt |
Query
|
child_medallergy |
String |
50
|
Required |
Does the Child have a medication allergy? |
|
999=NA/missing
|
Charge_familymedhist_child_medallergy |
|
child_medallergy_cmt |
String |
255
|
Recommended |
Specific medication items the Child is allergic to |
|
|
Charge_familymedhist_child_medallergy_cmt |
Query
|
child_otherallergy |
String |
50
|
Required |
Does the Child have any other allergies? |
|
999=NA/missing
|
Charge_familymedhist_child_otherallergy |
|
child_otherallergy_cmt |
String |
255
|
Recommended |
Specific other items the Child is allergic to |
|
|
Charge_familymedhist_child_otherallergy_cmt |
Query
|
child_autism |
String |
50
|
Required |
Does the Child have Autism? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_autism |
Query
|
child_aspergers |
String |
50
|
Required |
Does the Child have Asperger's Syndrome? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_aspergers |
Query
|
child_retts |
String |
50
|
Required |
Does the Child have Rett's Syndrome? |
|
999=NA/missing
|
Charge_familymedhist_child_retts |
Query
|
child_pddnos |
String |
50
|
Required |
Does the Child have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_pddnos |
Query
|
child_speechdelay |
String |
50
|
Recommended |
Does (did) the Child have a Speech/Language Delay? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_speechdelay |
Query
|
child_devdelay |
String |
50
|
Recommended |
Does (did) the Child have a Developmental Delay? |
|
|
Charge_familymedhist_child_devdelay |
Query
|
child_learndis |
String |
50
|
Required |
Does (did) the Child have a Learning Disability? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_learndis |
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 |
|
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.
|
Charge_familymedhist_child_seizure |
Query
|
child_cerpalsy |
String |
50
|
Required |
Does (did) the Child have Cerebral Palsy? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_cerpalsy |
Query
|
child_downssynd |
String |
50
|
Required |
Does (did) the Child have Down's Syndrome? |
|
999=NA/missing
|
Charge_familymedhist_child_downssynd |
Query
|
child_mentalret |
String |
50
|
Recommended |
Does (did) the Child have Mental Retardation? |
|
|
Charge_familymedhist_child_mentalret |
Query
|
child_tuberscl |
String |
50
|
Required |
Does (did) the Child have Tuberous Sclerosis? |
Yes; No; NK; NS
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_tuberscl |
Query
|
child_fragilex |
String |
50
|
Required |
Does (did) the Child have Fragile X? |
|
999=NA/missing
|
Charge_familymedhist_child_fragilex |
Query
|
child_neuromuscdis |
String |
50
|
Recommended |
Does (did) the Child have a Neuromuscular Disorder? |
|
|
Charge_familymedhist_child_neuromuscdis |
Query
|
child_geneticdis |
String |
50
|
Recommended |
Does (did) the Child have a Genetic Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_geneticdis |
Query
|
child_geneticdis_cmt |
String |
255
|
Recommended |
Specify Child's Genetic Disorder |
|
|
Charge_familymedhist_child_geneticdis_cmt |
Query
|
child_geneticdistest |
String |
50
|
Recommended |
Was testing done for the Child's Genetic Disorder? |
|
|
Charge_familymedhist_child_geneticdistest |
|
child_geneticdistest_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_child_geneticdistest_cmt |
Query
|
child_visionimp |
String |
50
|
Recommended |
Does the Child have a vision impairment? |
|
NK = Not known
|
Charge_familymedhist_child_visionimp |
Query
|
child_visioncor |
String |
50
|
Recommended |
Has the child's vision impairment been corrected? |
|
|
Charge_familymedhist_child_visioncor |
Query
|
child_hearingimp |
String |
50
|
Recommended |
Does the Child have a hearing impairment? |
|
NK = Not known
|
Charge_familymedhist_child_hearingimp |
Query
|
child_hearingcor |
String |
50
|
Recommended |
Has the child's hearing impairment been corrected? |
|
|
Charge_familymedhist_child_hearingcor |
Query
|
child_bipolar |
String |
50
|
Required |
Does (did) the Child have a Bipolar Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_bipolar |
Query
|
child_depression |
String |
50
|
Required |
Does (did) the Child have Depression? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_depression |
Query
|
child_anxiety |
String |
50
|
Recommended |
Does (did) the Child have an Anxiety Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_anxiety |
Query
|
child_ocd |
String |
50
|
Required |
Does (did) the Child have Obsessive Compulsive Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_ocd |
Query
|
child_schizophrenia |
String |
50
|
Required |
Does (did) the Child have Schizophrenia? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_schizophrenia |
Query
|
child_persondis |
String |
50
|
Recommended |
Does (did) the Child have a Personality Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_persondis |
Query
|
child_persondis_cmt |
String |
255
|
Recommended |
Specify Child's Personality Disorder |
|
|
Charge_familymedhist_child_persondis_cmt |
Query
|
child_selfinj |
String |
50
|
Recommended |
Does (did) the Child have Self-Injuring Behavior? |
|
|
Charge_familymedhist_child_selfinj |
Query
|
child_suicideatt |
String |
50
|
Recommended |
Has the Child Attempted Suicide? |
|
|
Charge_familymedhist_child_suicideatt |
Query
|
child_otherpsychdis |
String |
50
|
Recommended |
Does (did) the Child have a Psychiatric Disorder? |
|
|
Charge_familymedhist_child_otherpsychdis |
Query
|
child_otherpsychdis_cmt |
String |
255
|
Recommended |
Specify Child's Psychiatric Disorder |
|
|
Charge_familymedhist_child_otherpsychdis_cmt |
Query
|
child_adhd |
String |
50
|
Required |
Does (did) the Child have Attention Deficit Hyperactivity Disorder (ADHD)? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_adhd |
Query
|
child_eatingdis |
String |
50
|
Recommended |
Does (did) the Child have an Eating Disorder? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_eatingdis |
Query
|
child_eatingdis_cmt |
String |
255
|
Recommended |
Specify Child's Eating Disorder |
|
|
Charge_familymedhist_child_eatingdis_cmt |
Query
|
child_sleepdis |
String |
50
|
Recommended |
Does (did) the Child have a Sleep Disorder? |
|
|
Charge_familymedhist_child_sleepdis |
Query
|
child_sleepdis_cmt |
String |
255
|
Recommended |
Does (did) the Child have a Sleep Disorder?Specify Type |
|
|
Charge_familymedhist_child_sleepdis_cmt |
Query
|
child_abusevic |
String |
50
|
Recommended |
Is the Child a Victim of Abuse? |
|
|
Charge_familymedhist_child_abusevic |
Query
|
child_subabuse |
String |
50
|
Recommended |
Is the Child Substance of Abuse? |
|
|
Charge_familymedhist_child_subabuse |
Query
|
child_subabuse_cmt |
String |
255
|
Recommended |
Specify Child's Substance Abuse |
|
|
Charge_familymedhist_child_subabuse_cmt |
Query
|
child_migraine |
String |
50
|
Required |
Does the Child have Migraine Headaches? |
|
999=NA/missing
|
Charge_familymedhist_child_migraine |
Query
|
child_ibs |
String |
50
|
Required |
Does the Child have Irritable Bowel Syndrome? |
|
999=NA/missing
|
Charge_familymedhist_child_ibs |
Query
|
child_othergidis |
String |
50
|
Recommended |
Does the Child have any Other Gastrointestinal Disorders? |
|
|
Charge_familymedhist_child_othergidis |
Query
|
child_cancer |
String |
50
|
Recommended |
Does the Child have Cancer? |
|
|
Charge_familymedhist_child_cancer |
Query
|
child_cancer_cmt |
String |
255
|
Recommended |
Specify Child's Cancer type |
|
|
Charge_familymedhist_child_cancer_cmt |
Query
|
child_congenitaldef |
String |
50
|
Recommended |
Does the Child have a Congenital Defect (Cleft palate, cleft lip, other)? |
|
NK= Not known; NS = Not sure
|
Charge_familymedhist_child_congenitaldef |
|
child_congenitaldef_cmt |
String |
255
|
Recommended |
Specify Child's Congenital Defect type |
|
|
Charge_familymedhist_child_congenitaldef_cmt |
Query
|
child_obesity |
String |
50
|
Recommended |
Does the Child have Obesity? |
|
|
Charge_familymedhist_child_obesity |
Query
|
child_sicklecell |
String |
50
|
Recommended |
Does the Child have Sickle Cell Anemia? |
|
|
Charge_familymedhist_child_sicklecell |
Query
|
child_thyroiddis |
String |
50
|
Required |
Does the Child have Thyroid Disease? |
|
999=NA/missing
|
Charge_familymedhist_child_thyroiddis |
Query
|
child_othercond1 |
String |
50
|
Recommended |
Did the child have Other Condition - 1 |
|
|
Charge_familymedhist_child_othercond1, othercondname1 |
Query
|
child_othercond2 |
String |
50
|
Recommended |
Did the child have Other Condition - 2 |
|
|
Charge_familymedhist_child_othercond2 |
Query
|
child_othercond3 |
String |
50
|
Recommended |
Did the child have Other Condition - 3 |
|
|
Charge_familymedhist_child_othercond3 |
Query
|
child_othercond4 |
String |
50
|
Recommended |
Did the child have Other Condition - 4 |
|
|
Charge_familymedhist_child_othercond4 |
|
other_condname1 |
String |
255
|
Recommended |
Name Other Condition - 1 |
|
|
Charge_familymedhist_other_condname1 |
|
other_condname2 |
String |
255
|
Recommended |
Name Other Condition - 2 |
|
|
Charge_familymedhist_other_condname2 |
|
other_condname3 |
String |
255
|
Recommended |
Name Other Condition - 3 |
|
|
Charge_familymedhist_other_condname3 |
|
other_condname4 |
String |
255
|
Recommended |
Name Other Condition - 4 |
|
|
Charge_familymedhist_other_condname4 |
Query
|
mother_foodallergy |
String |
50
|
Recommended |
Does the Child's Mother have a food allergy? |
|
|
Charge_familymedhist_mother_foodallergy |
|
mother_foodallergy_cmt |
String |
255
|
Recommended |
Specific food items the Mother is allergic to |
|
|
Charge_familymedhist_mother_foodallergy_cmt |
Query
|
mother_foodallergy_age |
Integer |
|
Recommended |
Age at which the mother's food allergy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_foodallergy_age |
Query
|
mother_foodallergy_preg |
String |
50
|
Recommended |
Did the mother have the food allergy while pregnant with the child? |
|
|
Charge_familymedhist_mother_foodallergy_preg |
Query
|
mother_skinallergy |
String |
50
|
Recommended |
Does the Child's Mother have a skin allergy? |
|
|
Charge_familymedhist_mother_skinallergy |
|
mother_skinallergy_cmt |
String |
255
|
Recommended |
Specific skin items the Mother is allergic to |
|
|
Charge_familymedhist_mother_skinallergy_cmt |
Query
|
mother_skinallergy_age |
Integer |
|
Recommended |
Age at which the mother's skin allergy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_skinallergy_age |
Query
|
mother_skinallergy_preg |
String |
50
|
Recommended |
Did the mother have the skin allergy while pregnant with the child? |
|
|
Charge_familymedhist_mother_skinallergy_preg |
Query
|
mother_eczema |
String |
50
|
Recommended |
Does the Child's Mother have Eczema? |
|
|
Charge_familymedhist_mother_eczema |
Query
|
mother_eczema_age |
Integer |
|
Recommended |
Age at which the mother's eczema first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_eczema_age |
Query
|
mother_eczema_preg |
String |
50
|
Recommended |
Did the mother have eczema while pregnant with the child? |
|
|
Charge_familymedhist_mother_eczema_preg |
Query
|
mother_envallergy |
String |
50
|
Recommended |
Does the Child's Mother have an environmental allergy? |
|
|
Charge_familymedhist_mother_envallergy |
|
mother_envallergy_cmt |
String |
255
|
Recommended |
Specific environmental items the Mother is allergic to |
|
|
Charge_familymedhist_mother_envallergy_cmt |
Query
|
mother_envallergy_age |
Integer |
|
Recommended |
Age at which the mother's environmental allergy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_envallergy_age |
Query
|
mother_envallergy_preg |
String |
50
|
Recommended |
Did the mother have the environmental allergy while pregnant with the child? |
|
|
Charge_familymedhist_mother_envallergy_preg |
Query
|
mother_medallergy |
String |
50
|
Recommended |
Does the Child's Mother have a medication allergy? |
|
|
Charge_familymedhist_mother_medallergy |
|
mother_medallergy_cmt |
String |
255
|
Recommended |
Specific medication items the Mother is allergic to |
|
|
Charge_familymedhist_mother_medallergy_cmt |
Query
|
mother_medallergy_age |
Integer |
|
Recommended |
Age at which the mother's medication allergy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_medallergy_age |
Query
|
mother_medallergy_preg |
String |
50
|
Recommended |
Did the mother have the medication allergy while pregnant with the child? |
|
|
Charge_familymedhist_mother_medallergy_preg |
Query
|
mother_otherallergy |
String |
50
|
Recommended |
Does the Child's Mother have any other allergies? |
|
|
Charge_familymedhist_mother_otherallergy |
|
mother_otherallergy_cmt |
String |
255
|
Recommended |
Specific other items the Mother is allergic to |
|
|
Charge_familymedhist_mother_otherallergy_cmt |
Query
|
mother_otherallergy_age |
Integer |
|
Recommended |
Age at which the mother's other allergy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_otherallergy_age |
Query
|
mother_otherallergy_preg |
String |
50
|
Recommended |
Did the mother have the other allergy while pregnant with the child? |
|
|
Charge_familymedhist_mother_otherallergy_preg |
Query
|
mother_autism |
String |
50
|
Recommended |
Does the Child's Mother have Autism? |
|
|
Charge_familymedhist_mother_autism |
Query
|
mother_autism_age |
Integer |
|
Recommended |
Age at which the mother's Autism first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_autism_age |
Query
|
mother_autism_preg |
String |
50
|
Recommended |
Did the mother have Autism while pregnant with the child? |
|
|
Charge_familymedhist_mother_autism_preg |
Query
|
mother_aspergers |
String |
50
|
Recommended |
Does the Child's Mother have Asperger's Syndrome? |
|
|
Charge_familymedhist_mother_aspergers |
Query
|
mother_aspergers_age |
Integer |
|
Recommended |
Age at which the mother's Asperger's Syndrome first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_aspergers_age |
Query
|
mother_aspergers_preg |
String |
50
|
Recommended |
Did the mother have Asperger's Syndrome while pregnant with the child? |
|
|
Charge_familymedhist_mother_aspergers_preg |
Query
|
mother_retts |
String |
50
|
Recommended |
Does the Child's Mother have Rett's Syndrome? |
|
|
Charge_familymedhist_mother_retts |
Query
|
mother_retts_age |
Integer |
|
Recommended |
Age at which the mother's Rett's Syndrome first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_retts_age |
Query
|
mother_retts_preg |
String |
50
|
Recommended |
Did the mother have Rett's Syndrome while pregnant with the child? |
|
|
Charge_familymedhist_mother_retts_preg |
Query
|
mother_pddnos |
String |
50
|
Recommended |
Does the Child's Mother have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)? |
|
|
Charge_familymedhist_mother_pddnos |
Query
|
mother_pddnos_age |
Integer |
|
Recommended |
Age at which the mother's PDD-NOS first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_pddnos_age |
Query
|
mother_pddnos_preg |
String |
50
|
Recommended |
Did the mother have PDD-NOS while pregnant with the child? |
|
|
Charge_familymedhist_mother_pddnos_preg |
Query
|
mother_speechdelay |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Speech/Language Delay? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_speechdelay |
Query
|
mother_speechdelay_age |
Integer |
|
Recommended |
Age at which the mother's Speech/Language Delay first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_speechdelay_age |
Query
|
mother_speechdelay_preg |
String |
50
|
Recommended |
Did the mother have a Speech/Language Delay while pregnant with the child? |
|
|
Charge_familymedhist_mother_speechdelay_preg |
Query
|
mother_devdelay |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Developmental Delay? |
|
|
Charge_familymedhist_mother_devdelay |
Query
|
mother_devdelay_age |
Integer |
|
Recommended |
Age at which the mother's Developmental Delay first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_devdelay_age |
Query
|
mother_devdelay_preg |
String |
50
|
Recommended |
Did the mother have a Developmental Delay while pregnant with the child? |
|
|
Charge_familymedhist_mother_devdelay_preg |
Query
|
mother_learndis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Learning Disability? |
|
|
Charge_familymedhist_mother_learndis |
Query
|
mother_learndis_age |
Integer |
|
Recommended |
Age at which the mother's Learning Disability first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_learndis_age |
Query
|
mother_learndis_preg |
String |
50
|
Recommended |
Did the mother have a Learning Disability while pregnant with the child? |
|
|
Charge_familymedhist_mother_learndis_preg |
Query
|
mother_seizure |
String |
50
|
Recommended |
Does (did) the Child's Mother have Seizure Disorder/Epilepsy? |
|
|
Charge_familymedhist_mother_seizure |
Query
|
mother_seizure_age |
Integer |
|
Recommended |
Age at which the mother's Seizure Disorder/Epilepsy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_seizure_age |
Query
|
mother_seizure_preg |
String |
50
|
Recommended |
Did the mother have Seizure Disorder/Epilepsy while pregnant with the child? |
|
|
Charge_familymedhist_mother_seizure_preg |
Query
|
mother_cerpalsy |
String |
50
|
Recommended |
Does (did) the Child's Mother have Cerebral Palsy? |
|
|
Charge_familymedhist_mother_cerpalsy |
Query
|
mother_cerpalsy_age |
Integer |
|
Recommended |
Age at which the mother's Cerebral Palsy first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cerpalsy_age |
Query
|
mother_cerpalsy_preg |
String |
50
|
Recommended |
Did the mother have Cerebral Palsy while pregnant with the child? |
|
|
Charge_familymedhist_mother_cerpalsy_preg |
Query
|
mother_downssynd |
String |
50
|
Recommended |
Does (did) the Child's Mother have Down's Syndrome? |
|
|
Charge_familymedhist_mother_downssynd |
Query
|
mother_downssynd_age |
Integer |
|
Recommended |
Age at which the mother's Down's Syndrome first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_downssynd_age |
Query
|
mother_downssynd_preg |
String |
50
|
Recommended |
Did the mother have Down's Syndrome while pregnant with the child? |
|
|
Charge_familymedhist_mother_downssynd_preg |
Query
|
mother_mentalret |
String |
50
|
Recommended |
Does (did) the Child's Mother have Mental Retardation? |
|
|
Charge_familymedhist_mother_mentalret |
Query
|
mother_mentalret_age |
Integer |
|
Recommended |
Age at which the mother's Mental Retardation first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_mentalret_age |
Query
|
mother_mentalret_preg |
String |
50
|
Recommended |
Did the mother have Mental Retardation while pregnant with the child? |
|
|
Charge_familymedhist_mother_mentalret_preg |
Query
|
mother_tuberscl |
String |
50
|
Recommended |
Does (did) the Child's Mother have Tuberous Sclerosis? |
|
|
Charge_familymedhist_mother_tuberscl |
Query
|
mother_tuberscl_age |
Integer |
|
Recommended |
Age at which the mother's Tuberous Sclerosis first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_tuberscl_age |
Query
|
mother_tuberscl_preg |
String |
50
|
Recommended |
Did the mother have Tuberous Sclerosis while pregnant with the child? |
|
|
Charge_familymedhist_mother_tuberscl_preg |
Query
|
mother_fragilex |
String |
50
|
Recommended |
Does (did) the Child's Mother have Fragile X? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_fragilex |
Query
|
mother_fragilex_age |
Integer |
|
Recommended |
Age at which the mother's Fragile X first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_fragilex_age |
Query
|
mother_fragilex_preg |
String |
50
|
Recommended |
Did the mother have Fragile X while pregnant with the child? |
|
|
Charge_familymedhist_mother_fragilex_preg |
Query
|
mother_neuromuscdis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Neuromuscular Disorder? |
|
|
Charge_familymedhist_mother_neuromuscdis |
Query
|
mother_neuromuscdis_age |
Integer |
|
Recommended |
Age at which the mother's Neuromuscular Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_neuromuscdis_age |
Query
|
mother_neuromuscdis_preg |
String |
50
|
Recommended |
Did the mother have a Neuromuscular Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_neuromuscdis_preg |
Query
|
mother_geneticdis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Genetic Disorder? |
|
|
Charge_familymedhist_mother_geneticdis |
Query
|
mother_geneticdis_cmt |
String |
255
|
Recommended |
Specify mother's Genetic Disorder |
|
|
Charge_familymedhist_mother_geneticdis_cmt |
Query
|
mother_geneticdis_age |
Integer |
|
Recommended |
Age at which the mother's Genetic Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_geneticdis_age |
Query
|
mother_geneticdis_preg |
String |
50
|
Recommended |
Did the mother have a Genetic Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_geneticdis_preg |
Query
|
mother_geneticdistest |
String |
50
|
Recommended |
Was testing done for the mother's Genetic Disorder? |
|
|
Charge_familymedhist_mother_geneticdistest |
Query
|
mother_geneticdistest_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_mother_geneticdistest_cmt |
Query
|
mother_geneticdistest_age |
Integer |
|
Recommended |
Age at which the mother's tests were done(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_geneticdistest_age |
Query
|
mother_geneticdistest_preg |
String |
50
|
Recommended |
Did the mother get tests done while pregnant with the child? |
|
|
Charge_familymedhist_mother_geneticdistest_preg |
Query
|
mother_visionimp |
String |
50
|
Recommended |
Does the Child's Mother have a vision impairment? |
|
|
Charge_familymedhist_mother_visionimp |
Query
|
mother_visionimp_age |
Integer |
|
Recommended |
Age at which the mother's Vision Impairment first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_visionimp_age |
Query
|
mother_visionimp_preg |
String |
50
|
Recommended |
Did the mother have a Vision Impairment while pregnant with the child? |
|
|
Charge_familymedhist_mother_visionimp_preg |
Query
|
mother_visioncor |
String |
50
|
Recommended |
Has the mother's vision impairment been corrected? |
|
|
Charge_familymedhist_mother_visioncor |
Query
|
mother_visioncor_age |
Integer |
|
Recommended |
Age at which the mother's Vision Correction done(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_visioncor_age |
Query
|
mother_visioncor_preg |
String |
50
|
Recommended |
Did the mother have a Vision Correction while pregnant with the child? |
|
|
Charge_familymedhist_mother_visioncor_preg |
Query
|
mother_hearingimp |
String |
50
|
Recommended |
Does the Child's Mother have a hearing impairment? |
|
|
Charge_familymedhist_mother_hearingimp |
Query
|
mother_hearingimp_age |
Integer |
|
Recommended |
Age at which the mother's Hearing Impairment first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_hearingimp_age |
Query
|
mother_hearingimp_preg |
String |
50
|
Recommended |
Did the mother have a Hearing Impairment while pregnant with the child? |
|
|
Charge_familymedhist_mother_hearingimp_preg |
Query
|
mother_hearingcor |
String |
50
|
Recommended |
Has the mother's hearing impairment been corrected? |
|
|
Charge_familymedhist_mother_hearingcor |
Query
|
mother_hearingcor_age |
Integer |
|
Recommended |
Age at which the mother's Hearing Correction done(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_hearingcor_age |
Query
|
mother_hearingcor_preg |
String |
50
|
Recommended |
Did the mother have a Hearing Correction while pregnant with the child? |
|
|
Charge_familymedhist_mother_hearingcor_preg |
Query
|
mother_bipolar |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Bipolar Disorder? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_bipolar |
Query
|
mother_bipolar_age |
Integer |
|
Recommended |
Age at which the mother's Bipolar Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_bipolar_age |
Query
|
mother_bipolar_preg |
String |
50
|
Recommended |
Did the mother have Bipolar Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_bipolar_preg |
Query
|
mother_depression |
String |
50
|
Recommended |
Does (did) the Child's Mother have Depression? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_depression |
Query
|
mother_depression_age |
Integer |
|
Recommended |
Age at which the mother's Depression first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_depression_age |
Query
|
mother_depression_preg |
String |
50
|
Recommended |
Did the mother have Depression while pregnant with the child? |
|
|
Charge_familymedhist_mother_depression_preg |
Query
|
mother_anxiety |
String |
50
|
Recommended |
Does (did) the Child's Mother have an Anxiety Disorder? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_anxiety |
Query
|
mother_anxiety_age |
Integer |
|
Recommended |
Age at which the mother's Anxiety Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_anxiety_age |
Query
|
mother_anxiety_preg |
String |
50
|
Recommended |
Did the mother have an Anxiety Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_anxiety_preg |
Query
|
mother_ocd |
String |
50
|
Recommended |
Does (did) the Child's Mother have Obsessive Compulsive Disorder? |
|
|
Charge_familymedhist_mother_ocd |
Query
|
mother_ocd_age |
Integer |
|
Recommended |
Age at which the mother's Obsessive Compulsive Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_ocd_age |
Query
|
mother_ocd_preg |
String |
50
|
Recommended |
Did the mother have Obsessive Compulsive Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_ocd_preg |
Query
|
mother_schizophrenia |
String |
50
|
Recommended |
Does (did) the Child's Mother have Schizophrenia? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_schizophrenia |
Query
|
mother_schizophrenia_age |
Integer |
|
Recommended |
Age at which the mother's Schizophrenia first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_schizophrenia_age |
Query
|
mother_schizophrenia_preg |
String |
50
|
Recommended |
Did the mother have Schizophrenia while pregnant with the child? |
|
|
Charge_familymedhist_mother_schizophrenia_preg |
Query
|
mother_persondis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Personality Disorder? |
|
|
Charge_familymedhist_mother_persondis |
Query
|
mother_persondis_cmt |
String |
255
|
Recommended |
Specify mother's Personality Disorder |
|
|
Charge_familymedhist_mother_persondis_cmt |
Query
|
mother_persondis_age |
Integer |
|
Recommended |
Age at which the mother's Personality Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_persondis_age |
Query
|
mother_persondis_preg |
String |
50
|
Recommended |
Did the mother have a Personality Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_persondis_preg |
Query
|
mother_selfinj |
String |
50
|
Recommended |
Does (did) the Child's Mother have Self-Injuring Behavior? |
|
|
Charge_familymedhist_mother_selfinj |
Query
|
mother_selfinj_age |
Integer |
|
Recommended |
Age at which the mother's Self-Injuring Behavior first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_selfinj_age |
Query
|
mother_selfinj_preg |
String |
50
|
Recommended |
Did the mother have Self-Injuring Behavior while pregnant with the child? |
|
|
Charge_familymedhist_mother_selfinj_preg |
Query
|
mother_suicideatt |
String |
50
|
Recommended |
Has the Child's Mother Attempted Suicide? |
|
|
Charge_familymedhist_mother_suicideatt |
Query
|
mother_suicideatt_age |
Integer |
|
Recommended |
Age at which the mother first attempted suicide(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_suicideatt_age |
Query
|
mother_suicideatt_preg |
String |
50
|
Recommended |
Did the mother attempt suicide while pregnant with the child? |
|
|
Charge_familymedhist_mother_suicideatt_preg |
Query
|
mother_psychdis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Psychiatric Disorder? |
|
|
Charge_familymedhist_mother_psychdis |
Query
|
mother_psychdis_cmt |
String |
255
|
Recommended |
Specify mother's Psychiatric Disorder |
|
|
Charge_familymedhist_mother_psychdis_cmt |
Query
|
mother_psychdis_age |
Integer |
|
Recommended |
Age at which the mother's Psychiatric Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_psychdis_age |
Query
|
mother_psychdis_preg |
String |
50
|
Recommended |
Did the mother have a Psychiatric Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_psychdis_preg |
Query
|
mother_adhd |
String |
50
|
Recommended |
Does (did) the Child's Mother have Attention Deficit Hyperactivity Disorder (ADHD)? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_mother_adhd |
Query
|
mother_adhd_age |
Integer |
|
Recommended |
Age at which the mother's Attention Deficit Hyperactivity Disorder (ADHD) first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_adhd_age |
Query
|
mother_adhd_preg |
String |
50
|
Recommended |
Did the mother have Attention Deficit Hyperactivity Disorder (ADHD) while pregnant with the child? |
|
|
Charge_familymedhist_mother_adhd_preg |
Query
|
mother_eatingdis |
String |
50
|
Recommended |
Does (did) the Child's Mother have an Eating Disorder? |
|
|
Charge_familymedhist_mother_eatingdis |
Query
|
mother_eatingdis_cmt |
String |
255
|
Recommended |
Specify mother's Eating Disorder |
|
|
Charge_familymedhist_mother_eatingdis_cmt |
Query
|
mother_eatingdis_age |
Integer |
|
Recommended |
Age at which the mother's Eating Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_eatingdis_age |
Query
|
mother_eatingdis_preg |
String |
50
|
Recommended |
Did the mother have an Eating Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_eatingdis_preg |
Query
|
mother_sleepdis |
String |
50
|
Recommended |
Does (did) the Child's Mother have a Sleep Disorder? |
|
|
Charge_familymedhist_mother_sleepdis |
Query
|
mother_sleepdis_cmt |
String |
255
|
Recommended |
Specify mother's Sleep Disorder |
|
|
Charge_familymedhist_mother_sleepdis_cmt |
Query
|
mother_sleepdis_age |
Integer |
|
Recommended |
Age at which the mother's Sleep Disorder first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_sleepdis_age |
Query
|
mother_sleepdis_preg |
String |
50
|
Recommended |
Did the mother have a Sleep Disorder while pregnant with the child? |
|
|
Charge_familymedhist_mother_sleepdis_preg |
Query
|
mother_abusevic |
String |
50
|
Recommended |
Is the Child's Mother a Victim of Abuse? |
|
|
Charge_familymedhist_mother_abusevic |
Query
|
mother_abusevic_age |
Integer |
|
Recommended |
Age at which the mother's Abuse first occurred(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_abusevic_age |
Query
|
mother_abusevic_preg |
String |
50
|
Recommended |
Was the mother being abused while pregnant with the child? |
|
|
Charge_familymedhist_mother_abusevic_preg |
Query
|
mother_subabuse |
String |
50
|
Recommended |
Does the Child's Mother have a history of Substance Abuse? |
|
|
Charge_familymedhist_mother_subabuse |
|
mother_subabuse_cmt |
String |
255
|
Recommended |
Specify mother's Substance Abuse Type |
|
|
Charge_familymedhist_mother_subabuse_cmt |
Query
|
mother_subabuse_age |
Integer |
|
Recommended |
Age at which the mother's Substance Abuse first occurred(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_subabuse_age |
Query
|
mother_subabuse_preg |
String |
50
|
Recommended |
Did the mother have Substance Abuse events while pregnant with the child? |
|
|
Charge_familymedhist_mother_subabuse_preg |
Query
|
mother_migraine |
String |
50
|
Recommended |
Does the Child's Mother have Migraine Headaches? |
|
|
Charge_familymedhist_mother_migraine |
Query
|
mother_migraine_age |
Integer |
|
Recommended |
Age at which the mother's Migraine Headaches first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_migraine_age |
Query
|
mother_migraine_preg |
String |
50
|
Recommended |
Did the mother have Migraine Headaches while pregnant with the child? |
|
|
Charge_familymedhist_mother_migraine_preg |
Query
|
mother_ibs |
String |
50
|
Recommended |
Does the Child's Mother have Irritable Bowel Syndrome? |
|
|
Charge_familymedhist_mother_ibs |
Query
|
mother_ibs_age |
Integer |
|
Recommended |
Age at which the mother's Irritable Bowel Syndrome first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_ibs_age |
Query
|
mother_ibs_preg |
String |
50
|
Recommended |
Did the mother have Irritable Bowel Syndrome while pregnant with the child? |
|
|
Charge_familymedhist_mother_ibs_preg |
Query
|
mother_gidis |
String |
50
|
Recommended |
Does the Child's Mother have any Other Gastrointestinal Disorders? |
|
|
Charge_familymedhist_mother_gidis |
Query
|
mother_gidiss_age |
Integer |
|
Recommended |
Age at which the mother's Other Gastrointestinal Disorders first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_gidiss_age |
Query
|
mother_gidiss_preg |
String |
50
|
Recommended |
Did the mother have Other Gastrointestinal Disorders while pregnant with the child? |
|
|
Charge_familymedhist_mother_gidiss_preg |
Query
|
mother_cancer |
String |
50
|
Recommended |
Does the Child's Mother have Cancer? |
|
|
Charge_familymedhist_mother_cancer |
|
mother_cancer_cmt |
String |
255
|
Recommended |
Specify mother's Cancer type |
|
|
Charge_familymedhist_mother_cancer_cmt |
Query
|
mother_cancer_age |
Integer |
|
Recommended |
Age at which the mother's Cancer first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cancer_age |
Query
|
mother_cancer_preg |
String |
50
|
Recommended |
Did the mother have Cancer while pregnant with the child? |
|
|
Charge_familymedhist_mother_cancer_preg |
Query
|
mother_congenitaldef |
String |
50
|
Recommended |
Does the Child's Mother have a Congenital Defect (Cleft palate, cleft lip, other)? |
|
|
Charge_familymedhist_mother_congenitaldef |
Query
|
mother_congenitaldef_cmt |
String |
255
|
Recommended |
Specify mother's Congenital Defect type |
|
|
Charge_familymedhist_mother_congenitaldef_cmt |
Query
|
mother_congenitaldef_age |
Integer |
|
Recommended |
Age at which the mother's Congenital Defect first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_congenitaldef_age |
Query
|
mother_congenitaldef_preg |
String |
50
|
Recommended |
Did the mother have a Congenital Defect while pregnant with the child? |
|
|
Charge_familymedhist_mother_congenitaldef_preg |
Query
|
mother_obesity |
String |
50
|
Recommended |
Does the Child's Mother have Obesity? |
|
|
Charge_familymedhist_mother_obesity |
Query
|
mother_obesity_age |
Integer |
|
Recommended |
Age at which the mother's Obesity first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_obesity_age |
Query
|
mother_obesity_preg |
String |
50
|
Recommended |
Did the mother have Obesity while pregnant with the child? |
|
|
Charge_familymedhist_mother_obesity_preg |
Query
|
mother_sicklecell |
String |
50
|
Recommended |
Does the Child's Mother have Sickle Cell Anemia? |
|
|
Charge_familymedhist_mother_sicklecell |
Query
|
mother_sicklecell_age |
Integer |
|
Recommended |
Age at which the mother's Sickle Cell Anemia first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_sicklecell_age |
Query
|
mother_sicklecell_preg |
String |
50
|
Recommended |
Did the mother have Sickle Cell Anemia while pregnant with the child? |
|
|
Charge_familymedhist_mother_sicklecell_preg |
Query
|
mother_thyroiddis |
String |
50
|
Recommended |
Does the Child's Mother have Thyroid Disease? |
|
|
Charge_familymedhist_mother_thyroiddis |
Query
|
mother_thyroiddis_age |
Integer |
|
Recommended |
Age at which the mother's Thyroid Disease first appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_thyroiddis_age |
Query
|
mother_thyroiddis_preg |
String |
50
|
Recommended |
Did the mother have Thyroid Disease while pregnant with the child? |
|
|
Charge_familymedhist_mother_thyroiddis_preg |
Query
|
mother_cond1 |
String |
50
|
Recommended |
Did the mother have Other condition-1 |
|
|
Charge_familymedhist_mother_cond1 |
Query
|
mother_cond1_age |
Integer |
|
Recommended |
Age at which the Condition 1 appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cond1_age |
Query
|
mother_cond1_preg |
String |
50
|
Recommended |
Did the mother have Condition 1 while pregnant with the child? |
|
|
Charge_familymedhist_mother_cond1_preg |
Query
|
mother_cond2 |
String |
50
|
Recommended |
Did the mother have Other condition-2 |
|
|
Charge_familymedhist_mother_cond2 |
Query
|
mother_cond2_age |
Integer |
|
Recommended |
Age at which the Condition 2 appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cond2_age |
Query
|
mother_cond2_preg |
String |
50
|
Recommended |
Did the mother have Condition 2 while pregnant with the child? |
|
|
Charge_familymedhist_mother_cond2_preg |
Query
|
mother_cond3 |
String |
50
|
Recommended |
Did the mother have Other condition-3 |
|
|
Charge_familymedhist_mother_cond3 |
Query
|
mother_cond3_age |
Integer |
|
Recommended |
Age at which the Condition 3 appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cond3_age |
Query
|
mother_cond3_preg |
String |
50
|
Recommended |
Did the mother have Condition 3 while pregnant with the child? |
|
|
Charge_familymedhist_mother_cond3_preg |
Query
|
mother_cond4 |
String |
50
|
Recommended |
Did the mother have Other condition-4 |
|
|
Charge_familymedhist_mother_cond4 |
Query
|
mother_cond4_age |
Integer |
|
Recommended |
Age at which the Condition 4 appeared(in months) |
0 :: 1200
|
|
Charge_familymedhist_mother_cond4_age |
Query
|
mother_cond4_preg |
String |
50
|
Recommended |
Did the mother have Condition 4 while pregnant with the child? |
|
|
Charge_familymedhist_mother_cond4_preg |
Query
|
father_foodallergy |
String |
50
|
Recommended |
Does the Child's Father have a food allergy? |
|
|
Charge_familymedhist_father_foodallergy |
|
father_foodallergy_cmt |
String |
255
|
Recommended |
Specific food items the Father is allergic to |
|
|
Charge_familymedhist_father_foodallergy_cmt |
Query
|
father_skinallergy |
String |
50
|
Recommended |
Does the Child's Father have a skin allergy? |
|
|
Charge_familymedhist_father_skinallergy |
|
father_skinallergy_cmt |
String |
255
|
Recommended |
Specific skin items the Father is allergic to |
|
|
Charge_familymedhist_father_skinallergy_cmt |
Query
|
father_eczema |
String |
50
|
Recommended |
Does the Child's Father have Eczema? |
|
|
Charge_familymedhist_father_eczema |
Query
|
father_envallergy |
String |
50
|
Recommended |
Does the Child's Father have an environmental allergy? |
|
|
Charge_familymedhist_father_envallergy |
|
father_envallergy_cmt |
String |
255
|
Recommended |
Specific environmental items the Father is allergic to |
|
|
Charge_familymedhist_father_envallergy_cmt |
Query
|
father_medallergy |
String |
50
|
Recommended |
Does the Child's Father have a medication allergy? |
|
|
Charge_familymedhist_father_medallergy |
|
father_medallergy_cmt |
String |
255
|
Recommended |
Specific medication items the Father is allergic to |
|
|
Charge_familymedhist_father_medallergy_cmt |
Query
|
father_otherallergy |
String |
50
|
Recommended |
Does the Child's Father have any other allergies? |
|
|
Charge_familymedhist_father_otherallergy |
|
father_otherallergy_cmt |
String |
255
|
Recommended |
Specific other items the Father is allergic to |
|
|
Charge_familymedhist_father_otherallergy_cmt |
Query
|
father_autism |
String |
50
|
Recommended |
Does the Child's Father have Autism? |
|
|
Charge_familymedhist_father_autism |
Query
|
father_aspergers |
String |
50
|
Recommended |
Does the Child's Father have Asperger's Syndrome? |
|
|
Charge_familymedhist_father_aspergers |
Query
|
father_retts |
String |
50
|
Recommended |
Does the Child's Father have Rett's Syndrome? |
|
|
Charge_familymedhist_father_retts |
Query
|
father_pddnos |
String |
50
|
Recommended |
Does the Child's Father have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)? |
|
|
Charge_familymedhist_father_pddnos |
Query
|
father_speechdelay |
String |
50
|
Recommended |
Does (did) the Child's Father have a Speech/Language Delay? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_speechdelay |
Query
|
father_devdelay |
String |
50
|
Recommended |
Does (did) the Child's Father have a Developmental Delay? |
|
|
Charge_familymedhist_father_devdelay |
Query
|
father_learndis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Learning Disability? |
|
|
Charge_familymedhist_father_learndis |
Query
|
father_seizure |
String |
50
|
Recommended |
Does (did) the Child's Father have Seizure Disorder/Epilepsy? |
|
|
Charge_familymedhist_father_seizure |
Query
|
father_cerpalsy |
String |
50
|
Recommended |
Does (did) the Child's Father have Cerebral Palsy? |
|
|
Charge_familymedhist_father_cerpalsy |
Query
|
father_downssynd |
String |
50
|
Recommended |
Does (did) the Child's Father have Down's Syndrome? |
|
|
Charge_familymedhist_father_downssynd |
Query
|
father_mentalret |
String |
50
|
Recommended |
Does (did) the Child's Father have Mental Retardation? |
|
|
Charge_familymedhist_father_mentalret |
Query
|
father_tuberscl |
String |
50
|
Recommended |
Does (did) the Child's Father have Tuberous Sclerosis? |
|
|
Charge_familymedhist_father_tuberscl |
Query
|
father_fragilex |
String |
50
|
Recommended |
Does (did) the Child's Father have Fragile X? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_fragilex |
Query
|
father_neuromuscdis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Neuromuscular Disorder? |
|
|
Charge_familymedhist_father_neuromuscdis |
Query
|
father_geneticdis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Genetic Disorder? |
|
|
Charge_familymedhist_father_geneticdis |
Query
|
father_geneticdis_cmt |
String |
255
|
Recommended |
Specify Father's Genetic Disorder |
|
|
Charge_familymedhist_father_geneticdis_cmt |
Query
|
father_geneticdistest |
String |
50
|
Recommended |
Was testing done for the Father's Genetic Disorder? |
|
|
Charge_familymedhist_father_geneticdistest |
Query
|
father_geneticdistest_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_father_geneticdistest_cmt |
Query
|
father_visionimp |
String |
50
|
Recommended |
Does the Child's Father have a vision impairment? |
|
|
Charge_familymedhist_father_visionimp |
Query
|
father_visioncor |
String |
50
|
Recommended |
Has the father's vision impairment been corrected? |
|
|
Charge_familymedhist_father_visioncor |
Query
|
father_hearingimp |
String |
50
|
Recommended |
Does the Child's Father have a hearing impairment? |
|
|
Charge_familymedhist_father_hearingimp |
Query
|
father_hearingcor |
String |
50
|
Recommended |
Has the father's hearing impairment been corrected? |
|
|
Charge_familymedhist_father_hearingcor |
Query
|
father_bipolar |
String |
50
|
Recommended |
Does (did) the Child's Father have a Bipolar Disorder? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_bipolar |
Query
|
father_depression |
String |
50
|
Recommended |
Does (did) the Child's Father have Depression? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_depression |
Query
|
father_anxiety |
String |
50
|
Recommended |
Does (did) the Child's Father have an Anxiety Disorder? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_anxiety |
Query
|
father_ocd |
String |
50
|
Recommended |
Does (did) the Child's Father have Obsessive Compulsive Disorder? |
|
|
Charge_familymedhist_father_ocd |
Query
|
father_schizophrenia |
String |
50
|
Recommended |
Does (did) the Child's Father have Schizophrenia? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_schizophrenia |
Query
|
father_persondis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Personality Disorder? |
|
|
Charge_familymedhist_father_persondis |
Query
|
father_persondis_cmt |
String |
255
|
Recommended |
Specify father's Personality Disorder |
|
|
Charge_familymedhist_father_persondis_cmt |
Query
|
father_selfinj |
String |
50
|
Recommended |
Does (did) the Child's Father have Self-Injuring Behavior? |
|
|
Charge_familymedhist_father_selfinj |
Query
|
father_suicideatt |
String |
50
|
Recommended |
Has the Child's Father Attempted Suicide? |
|
|
Charge_familymedhist_father_suicideatt |
Query
|
father_otherpsychdis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Psychiatric Disorder? |
|
|
Charge_familymedhist_father_otherpsychdis |
Query
|
father_otherpsychdis_cmt |
String |
255
|
Recommended |
Specify father's Psychiatric Disorder |
|
|
Charge_familymedhist_father_otherpsychdis_cmt |
Query
|
father_adhd |
String |
50
|
Recommended |
Does (did) the Child's Father have Attention Deficit Hyperactivity Disorder (ADHD)? |
|
77=N/A; 99= DK; -999 =missing
|
Charge_familymedhist_father_adhd |
Query
|
father_eatingdis |
String |
50
|
Recommended |
Does (did) the Child's Father have an Eating Disorder? |
|
|
Charge_familymedhist_father_eatingdis |
Query
|
father_eatingdis_cmt |
String |
255
|
Recommended |
Specify father's Eating Disorder |
|
|
Charge_familymedhist_father_eatingdis_cmt |
Query
|
father_sleepdis |
String |
50
|
Recommended |
Does (did) the Child's Father have a Sleep Disorder? |
|
|
Charge_familymedhist_father_sleepdis |
Query
|
father_sleepdis_cmt |
String |
255
|
Recommended |
Does (did) the Child's Father have a Sleep Disorder?Specify Type |
|
|
Charge_familymedhist_father_sleepdis_cmt |
Query
|
father_abusevic |
String |
50
|
Recommended |
Is the Child's Father a Victim of Abuse? |
|
|
Charge_familymedhist_father_abusevic |
Query
|
father_subabuse |
String |
50
|
Recommended |
Does the Child's Father have a history of Substance Abuse? |
|
|
Charge_familymedhist_father_subabuse |
|
father_subabuse_cmt |
String |
255
|
Recommended |
Specify father's Substance Abuse Type |
|
|
Charge_familymedhist_father_subabuse_cmt |
Query
|
father_migraine |
String |
50
|
Recommended |
Does the Child's Father have Migraine Headaches? |
|
|
Charge_familymedhist_father_migraine |
Query
|
father_ibs |
String |
50
|
Recommended |
Does the Child's Father have Irritable Bowel Syndrome? |
|
|
Charge_familymedhist_father_ibs |
Query
|
father_othergidis |
String |
50
|
Recommended |
Does the Child's Father have any Other Gastrointestinal Disorders? |
|
|
Charge_familymedhist_father_othergidis |
Query
|
father_cancer |
String |
50
|
Recommended |
Does the Child's Father have Cancer? |
|
|
Charge_familymedhist_father_cancer |
|
father_cancer_cmt |
String |
255
|
Recommended |
Specify father's Cancer type |
|
|
Charge_familymedhist_father_cancer_cmt |
Query
|
father_congenitaldef |
String |
50
|
Recommended |
Does the Child's Father have a Congenital Defect? |
|
|
Charge_familymedhist_father_congenitaldef |
Query
|
father_congenitaldef_cmt |
String |
255
|
Recommended |
Specify father's Congenital Defect type |
|
|
Charge_familymedhist_father_congenitaldef_cmt |
Query
|
father_obesity |
String |
50
|
Recommended |
Does the Child's Father have Obesity? |
|
|
Charge_familymedhist_father_obesity |
Query
|
father_sicklecell |
String |
50
|
Recommended |
Does the Child's Father have Sickle Cell Anemia? |
|
|
Charge_familymedhist_father_sicklecell |
Query
|
father_thyroiddis |
String |
50
|
Recommended |
Does the Child's Father have Thyroid Disease? |
|
|
Charge_familymedhist_father_thyroiddis |
Query
|
father_othercond1 |
String |
50
|
Recommended |
Did the father have Other condition-1 |
|
|
Charge_familymedhist_father_othercond1 |
Query
|
father_othercond2 |
String |
50
|
Recommended |
Did the father have Other condition-2 |
|
|
Charge_familymedhist_father_othercond2 |
Query
|
father_othercond3 |
String |
50
|
Recommended |
Did the father have Other condition-3 |
|
|
Charge_familymedhist_father_othercond3 |
Query
|
father_othercond4 |
String |
50
|
Recommended |
Did the father have Other condition-4 |
|
|
Charge_familymedhist_father_othercond4 |
Query
|
othmem_foodallergy |
String |
50
|
Recommended |
Food Allergy |
|
|
Charge_familymedhist_othmem_foodallergy |
|
othmem_foodallergy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_foodallergy_cmt |
|
othmem_foodallergy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergy |
|
|
Charge_familymedhist_othmem_foodallergy_type |
Query
|
othmem_skinallergy |
String |
50
|
Recommended |
Skin Allergy |
|
|
Charge_familymedhist_othmem_skinallergy |
|
othmem_skinallergy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_skinallergy_cmt |
|
othmem_skinallergy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergy |
|
|
Charge_familymedhist_othmem_skinallergy_type |
Query
|
othmem_eczema |
String |
50
|
Recommended |
Eczema |
|
|
Charge_familymedhist_othmem_eczema |
|
othmem_eczema_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have eczema |
|
|
Charge_familymedhist_othmem_eczema_type |
Query
|
othmem_envallergy |
String |
50
|
Recommended |
Environmental |
|
|
Charge_familymedhist_othmem_envallergy |
|
othmem_envallergy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_envallergy_cmt |
|
othmem_envallergy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an environmental allergy |
|
|
Charge_familymedhist_othmem_envallergy_type |
Query
|
othmem_medallergy |
String |
50
|
Recommended |
Medication |
|
|
Charge_familymedhist_othmem_medallergy |
|
othmem_medallergy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_medallergy_cmt |
|
othmem_medallergy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a medication allergy |
|
|
Charge_familymedhist_othmem_medallergy_type |
Query
|
othmem_otherallergy |
String |
50
|
Recommended |
Other |
|
|
Charge_familymedhist_othmem_otherallergy |
|
othmem_otherallergy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_otherallergy_cmt |
|
othmem_otherallergy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an other allergy |
|
|
Charge_familymedhist_othmem_otherallergy_type |
Query
|
othmem_autism |
String |
50
|
Recommended |
Other family member. Autism |
|
|
Charge_familymedhist_othmem_autism |
|
othmem_autism_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_autism_type |
Query
|
othmem_aspergers |
String |
50
|
Recommended |
Other family member. Asperger's Syndrome |
|
|
Charge_familymedhist_othmem_aspergers |
Query
|
othmem_aspergers_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_aspergers_type |
Query
|
othmem_retts |
String |
50
|
Recommended |
Rett's Syndrome |
|
|
Charge_familymedhist_othmem_retts |
Query
|
othmem_retts_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_retts_type |
Query
|
othmem_pddnos |
String |
50
|
Recommended |
PDD-NOS (Pervasive Development Disorder) |
|
|
Charge_familymedhist_othmem_pddnos |
Query
|
othmem_pddnos_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_pddnos_type |
Query
|
othmem_speechdelay |
String |
50
|
Recommended |
Speech/Language Delay |
|
Yes; No
|
Charge_familymedhist_othmem_speechdelay |
|
othmem_speechdelay_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_speechdelay_type |
Query
|
othmem_devdelay |
String |
50
|
Recommended |
Developmental Delay |
|
NK = Not known
|
Charge_familymedhist_othmem_devdelay |
|
othmem_devdelay_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_devdelay_type |
Query
|
othmem_learndis |
String |
50
|
Recommended |
Learning Disability |
|
|
Charge_familymedhist_othmem_learndis |
|
othmem_learndis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_learndis_type |
Query
|
othmem_seizure |
String |
50
|
Required |
Seizure disorder/Epilepsy |
|
999=NA/missing
|
Charge_familymedhist_othmem_seizure |
|
othmem_seizure_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_seizure_type |
Query
|
othmem_cerpalsy |
String |
50
|
Recommended |
Cerebral Palsy |
|
|
Charge_familymedhist_othmem_cerpalsy |
Query
|
othmem_cerpalsy_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_cerpalsy_type |
Query
|
othmem_downssynd |
String |
50
|
Recommended |
Down's Syndrome |
|
|
Charge_familymedhist_othmem_downssynd |
Query
|
othmem_downssynd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_downssynd_type |
Query
|
othmem_mentalret |
String |
50
|
Recommended |
Mental Retardation |
|
|
Charge_familymedhist_othmem_mentalret |
Query
|
othmem_mentalret_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_mentalret_type |
Query
|
othmem_tuberscl |
String |
50
|
Recommended |
Tuberous Sclerosis |
|
|
Charge_familymedhist_othmem_tuberscl |
Query
|
othmem_tuberscl_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_tuberscl_type |
Query
|
othmem_fragilex |
String |
50
|
Recommended |
Fragile X |
|
|
Charge_familymedhist_othmem_fragilex |
Query
|
othmem_fragilex_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_fragilex_type |
Query
|
othmem_neuromuscdis |
String |
50
|
Recommended |
Neuromuscular disorder |
|
|
Charge_familymedhist_othmem_neuromuscdis |
Query
|
othmem_neuromuscdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_neuromuscdis_type |
Query
|
othmem_geneticdis |
String |
50
|
Recommended |
Known Genetic Disorder |
|
|
Charge_familymedhist_othmem_geneticdis |
|
othmem_geneticdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_geneticdis_cmt |
|
othmem_geneticdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_geneticdis_type |
Query
|
othmem_geneticdistest |
String |
50
|
Recommended |
Testing Done |
|
|
Charge_familymedhist_othmem_geneticdistest |
|
othmem_geneticdistest_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_geneticdistest_cmt |
Query
|
othmem_geneticdistest_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_geneticdistest_type |
Query
|
othmem_visionimp |
String |
50
|
Recommended |
Vision impairment |
|
|
Charge_familymedhist_othmem_visionimp |
|
othmem_visionimp_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_visionimp_type |
Query
|
othmem_visioncor |
String |
50
|
Recommended |
Vision corrected? |
|
|
Charge_familymedhist_othmem_visioncor |
|
othmem_visioncor_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_visioncor_type |
Query
|
othmem_hearingimp |
String |
50
|
Recommended |
Hearing impairment |
|
|
Charge_familymedhist_othmem_hearingimp |
|
othmem_hearingimp_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_hearingimp_type |
Query
|
othmem_hearingcor |
String |
50
|
Recommended |
Hearing corrected? |
|
NK = Not known
|
Charge_familymedhist_othmem_hearingcor |
|
othmem_hearingcor_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_hearingcor_type |
Query
|
othmem_bipolar |
String |
50
|
Recommended |
Bipolar disorder (Manic/depression) |
|
NK = Not known
|
Charge_familymedhist_othmem_bipolar |
|
othmem_bipolar_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_bipolar_type |
Query
|
othmem_depression |
String |
50
|
Recommended |
Depression |
|
NK = Not known
|
Charge_familymedhist_othmem_depression |
|
othmem_depression_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_depression_type |
Query
|
othmem_anxiety |
String |
50
|
Recommended |
Anxiety disorder |
|
NK = Not known
|
Charge_familymedhist_othmem_anxiety |
|
othmem_anxiety_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_anxiety_type |
Query
|
othmem_ocd |
String |
50
|
Recommended |
Obsessive compulsive disorder |
|
|
Charge_familymedhist_othmem_ocd |
|
othmem_ocd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_ocd_type |
Query
|
othmem_schizophrenia |
String |
50
|
Recommended |
Schizophrenia |
|
NK = Not known
|
Charge_familymedhist_othmem_schizophrenia |
|
othmem_schizophrenia_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_schizophrenia_type |
Query
|
othmem_persondis |
String |
50
|
Recommended |
Personality disorder |
|
|
Charge_familymedhist_othmem_persondis |
Query
|
othmem_persondis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_persondis_cmt |
Query
|
othmem_persondis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_persondis_type |
Query
|
othmem_selfinj |
String |
50
|
Recommended |
Self-injuring behavior |
|
NK = Not known
|
Charge_familymedhist_othmem_selfinj |
|
othmem_selfinj_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_selfinj_type |
Query
|
othmem_suicideatt |
String |
50
|
Recommended |
Suicide attempt/suicide |
|
|
Charge_familymedhist_othmem_suicideatt |
|
othmem_suicideatt_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_suicideatt_type |
Query
|
othmem_otherpsychdis |
String |
50
|
Recommended |
Other psychiatric disorder |
|
|
Charge_familymedhist_othmem_otherpsychdis |
Query
|
othmem_otherpsychdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_otherpsychdis_cmt |
Query
|
othmem_otherpsychdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_otherpsychdis_type |
Query
|
othmem_adhd |
String |
50
|
Recommended |
Attention deficit hyperactivity disorder (ADHD) |
|
NK = Not known
|
Charge_familymedhist_othmem_adhd |
|
othmem_adhd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_adhd_type |
Query
|
othmem_eatingdis |
String |
50
|
Recommended |
Eating disorder. Bulimia, Anorexia, other |
|
NK = Not known
|
Charge_familymedhist_othmem_eatingdis |
|
othmem_eatingdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_eatingdis_cmt |
|
othmem_eatingdis_type |
String |
100
|
Recommended |
If yes, specify type |
|
|
Charge_familymedhist_othmem_eatingdis_type |
Query
|
othmem_sleepdis |
String |
50
|
Recommended |
Sleep disorder. Insomnia, Narcolepsy |
|
|
Charge_familymedhist_othmem_sleepdis |
|
othmem_sleepdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_sleepdis_cmt |
|
othmem_sleepdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_sleepdis_type |
Query
|
othmem_abusevic |
String |
50
|
Recommended |
Victim of abuse |
|
|
Charge_familymedhist_othmem_abusevic |
|
othmem_abusevic_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_abusevic_type |
Query
|
othmem_subabuse |
String |
50
|
Recommended |
Substance abuse |
|
|
Charge_familymedhist_othmem_subabuse |
|
othmem_subabuse_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_subabuse_cmt |
|
othmem_subabuse_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_subabuse_type |
Query
|
othmem_migraine |
String |
50
|
Recommended |
Migraine headaches |
|
|
Charge_familymedhist_othmem_migraine |
|
othmem_migraine_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_migraine_type |
Query
|
othmem_ibs |
String |
50
|
Recommended |
Irritable bowel syndrome |
|
|
Charge_familymedhist_othmem_ibs |
|
othmem_ibstype |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_ibstype |
Query
|
othmem_othergidis |
String |
50
|
Recommended |
Other Gastrointestinal disorders |
|
|
Charge_familymedhist_othmem_othergidis |
|
othmem_othergidis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_othergidis_type |
Query
|
othmem_cancer |
String |
50
|
Recommended |
Cancer |
|
|
Charge_familymedhist_othmem_cancer |
|
othmem_cancer_cmt |
String |
255
|
Recommended |
Cancer. Specify Type |
|
|
Charge_familymedhist_othmem_cancer_cmt |
|
othmem_cancer_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_cancer_type |
Query
|
othmem_congenitaldef |
String |
50
|
Recommended |
Congenital Defect (Cleft palate, Cleft lip) |
|
|
Charge_familymedhist_othmem_congenitaldef |
|
othmem_congenitaldef_cmt |
String |
255
|
Recommended |
Congenital Defect :Other |
|
|
Charge_familymedhist_othmem_congenitaldef_cmt |
|
othmem_congenitaldef_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_congenitaldef_type |
Query
|
othmem_obesity |
String |
50
|
Recommended |
Obesity |
|
|
Charge_familymedhist_othmem_obesity |
|
othmem_obesity_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_obesity_type |
Query
|
othmem_sicklecell |
String |
50
|
Recommended |
Sickle cell anemia |
|
|
Charge_familymedhist_othmem_sicklecell |
Query
|
othmem_sicklecell_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_sicklecell_type |
Query
|
othmem_thyroiddis |
String |
50
|
Recommended |
Thyroid Disease |
|
|
Charge_familymedhist_othmem_thyroiddis |
|
othmem_thyroiddis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_thyroiddis_type |
Query
|
othmem_othercond1 |
String |
50
|
Recommended |
Did the relatives have Other condition-1 |
|
|
Charge_familymedhist_othmem_othercond1 |
|
othmem_othercondlist1 |
String |
255
|
Recommended |
List relatives having Other condition -1 |
|
|
Charge_familymedhist_othmem_othercondlist1 |
Query
|
othmem_othercond2 |
String |
50
|
Recommended |
Did the relatives have Other condition-2 |
|
|
Charge_familymedhist_othmem_othercond2 |
|
othmem_othercondlist2 |
String |
255
|
Recommended |
List relatives having Other condition -2 |
|
|
Charge_familymedhist_othmem_othercondlist2 |
Query
|
othmem_othercond3 |
String |
50
|
Recommended |
Did the relatives have Other condition-3 |
|
|
Charge_familymedhist_othmem_othercond3 |
|
othmem_othercondlist3 |
String |
255
|
Recommended |
List relatives having Other condition -3 |
|
|
Charge_familymedhist_othmem_othercondlist3 |
Query
|
othmem_othercond4 |
String |
50
|
Recommended |
Did the relatives have Other condition-4 |
|
|
Charge_familymedhist_othmem_othercond4 |
|
othmem_othercondlist4 |
String |
255
|
Recommended |
List relatives having Other condition -4 |
|
|
Charge_familymedhist_othmem_othercondlist4 |
Query
|
fmw_child_sis1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis1 |
Query
|
fmw_child_sis2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis2 |
Query
|
fmw_child_sis3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis3 |
Query
|
fmw_child_sis4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis4 |
Query
|
fmw_child_sis5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis5 |
Query
|
fmw_child_sis6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis6 |
Query
|
fmw_child_sis7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_sis7 |
Query
|
fmw_child_bro1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro1 |
Query
|
fmw_child_bro2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro2 |
Query
|
fmw_child_bro3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro3 |
Query
|
fmw_child_bro4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro4 |
Query
|
fmw_child_bro5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro5 |
Query
|
fmw_child_bro6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro6 |
Query
|
fmw_child_bro7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_bro7 |
Query
|
fmw_child_ma1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA1 |
Query
|
fmw_child_ma2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA2 |
Query
|
fmw_child_ma3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA3 |
Query
|
fmw_child_ma4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA4 |
Query
|
fmw_child_ma5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA5 |
Query
|
fmw_child_ma6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA6 |
Query
|
fmw_child_ma7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MA7 |
Query
|
fmw_child_mu1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU1 |
Query
|
fmw_child_mu2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU2 |
Query
|
fmw_child_mu3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU3 |
Query
|
fmw_child_mu4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU4 |
Query
|
fmw_child_mu5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU5 |
Query
|
fmw_child_mu6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU6 |
Query
|
fmw_child_mu7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_MU7 |
Query
|
fmw_child_pa1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA1 |
Query
|
fmw_child_pa2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA2 |
Query
|
fmw_child_pa3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA3 |
Query
|
fmw_child_pa4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA4 |
Query
|
fmw_child_pa5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA5 |
Query
|
fmw_child_pa6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA6 |
Query
|
fmw_child_pa7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PA7 |
Query
|
fmw_child_pu1 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU1 |
Query
|
fmw_child_pu2 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU2 |
Query
|
fmw_child_pu3 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU3 |
Query
|
fmw_child_pu4 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU4 |
Query
|
fmw_child_pu5 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU5 |
Query
|
fmw_child_pu6 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU6 |
|
fmw_child_mu8 |
String |
50
|
Recommended |
code |
|
P = Paternal; M = Maternal
|
|
Query
|
fmw_child_pu7 |
String |
50
|
Recommended |
Code |
Blank on Form;P;M
|
P = Paternal; M = Maternal
|
Charge_familymedhist_fmw_child_PU7 |
Query
|
fmw_child_pu8 |
String |
50
|
Recommended |
uncle code |
P;M
|
P = Paternal; M = Maternal
|
|
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |