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Modified CHARGE Family Medical History (2007)

charge_family_med_history

03

Modified CHARGE Family Medical History (revised July 2007) defined by the MIND Institute's CHARGE Study (CHildhood Autism Risks from Genetics and the Environment) at the University of California, Davis

Download Definition as
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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldCharge_familymedhist_interview_date
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age 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_idString20RequiredSubject ID how it's defined in lab/projectCharge_familymedhist_SRC_Subject_ID
comments_miscString4,000RecommendedMiscellaneous comments on study, interview, methodology relevant to this form dataCharge_familymedhist_comments_misc
child_foodallergyString50RequiredDoes the Child have a food allergy?
Yes;No;999
Charge_familymedhist_child_foodallergy
child_foodallergy_cmtString255RecommendedSpecific food items the Child is allergic toCharge_familymedhist_child_foodallergy_cmt
child_skinallergyString50RequiredDoes the Child have a skin allergy?
Yes;No;999
Charge_familymedhist_child_skinallergy
child_allergy_skinallergy_cmtString255RecommendedSpecific skin items the Child is allergic toCharge_familymedhist_child_allergy_skinallergy_cmt
child_eczemaString50RecommendedDoes the Child have Eczema?
Yes;No
Charge_familymedhist_child_eczema
child_envallergyString50RequiredDoes the Child have an environmental allergy?
Yes;No;999
Charge_familymedhist_child_envallergy
child_envallergy_cmtString255RecommendedSpecific environmental items the Child is allergic toCharge_familymedhist_child_envallergy_cmt
child_medallergyString50RequiredDoes the Child have a medication allergy?
Yes;No;999
Charge_familymedhist_child_medallergy
child_medallergy_cmtString255RecommendedSpecific medication items the Child is allergic toCharge_familymedhist_child_medallergy_cmt
child_otherallergyString50RequiredDoes the Child have any other allergies?
Yes;No;999
Charge_familymedhist_child_otherallergy
child_otherallergy_cmtString255RecommendedSpecific other items the Child is allergic toCharge_familymedhist_child_otherallergy_cmt
child_autismString50RequiredDoes the Child have Autism?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_autism
child_aspergersString50RequiredDoes the Child have Asperger's Syndrome?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_aspergers
child_rettsString50RequiredDoes the Child have Rett's Syndrome?
Yes;No;999
Charge_familymedhist_child_retts
child_pddnosString50RequiredDoes the Child have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_pddnos
child_speechdelayString50RecommendedDoes (did) the Child have a Speech/Language Delay?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_speechdelay
child_devdelayString50RecommendedDoes (did) the Child have a Developmental Delay?
Yes;No; NK
Charge_familymedhist_child_devdelay
child_learndisString50RequiredDoes (did) the Child have a Learning Disability?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_learndis
child_seizureString50RequiredDoes (did) the Child have Seizure Disorder/Epilepsy?
Yes;No;999
Charge_familymedhist_child_seizure
child_cerpalsyString50RequiredDoes (did) the Child have Cerebral Palsy?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_cerpalsy
child_downssyndString50RequiredDoes (did) the Child have Down's Syndrome?
Yes;No;999
Charge_familymedhist_child_downssynd
child_mentalretString50RecommendedDoes (did) the Child have Mental Retardation?
Yes;No
Charge_familymedhist_child_mentalret
child_tubersclString50RequiredDoes (did) the Child have Tuberous Sclerosis?Yes; No; NK; NSNK= Not known; NS = Not sureCharge_familymedhist_child_tuberscl
child_fragilexString50RequiredDoes (did) the Child have Fragile X?
Yes;No;999
Charge_familymedhist_child_fragilex
child_neuromuscdisString50RecommendedDoes (did) the Child have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_child_neuromuscdis
child_geneticdisString50RecommendedDoes (did) the Child have a Genetic Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_geneticdis
child_geneticdis_cmtString255RecommendedSpecify Child's Genetic DisorderCharge_familymedhist_child_geneticdis_cmt
child_geneticdistestString50RecommendedWas testing done for the Child's Genetic Disorder?
Yes;No
Charge_familymedhist_child_geneticdistest
child_geneticdistest_cmtString255RecommendedSpecify testsCharge_familymedhist_child_geneticdistest_cmt
child_visionimpString50RecommendedDoes the Child have a vision impairment?
Yes;No; NK
NK = Not knownCharge_familymedhist_child_visionimp
child_visioncorString50RecommendedHas the child's vision impairment been corrected?
Yes;No
Charge_familymedhist_child_visioncor
child_hearingimpString50RecommendedDoes the Child have a hearing impairment?
Yes;No; NK
NK = Not knownCharge_familymedhist_child_hearingimp
child_hearingcorString50RecommendedHas the child's hearing impairment been corrected?
Yes;No
Charge_familymedhist_child_hearingcor
child_bipolarString50RequiredDoes (did) the Child have a Bipolar Disorder?
Yes;No;NK;NS;Probable; Refused
NK= Not known; NS = Not sureCharge_familymedhist_child_bipolar
child_depressionString50RequiredDoes (did) the Child have Depression?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_depression
child_anxietyString50RecommendedDoes (did) the Child have an Anxiety Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_anxiety
child_ocdString50RequiredDoes (did) the Child have Obsessive Compulsive Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_ocd
child_schizophreniaString50RequiredDoes (did) the Child have Schizophrenia?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_schizophrenia
child_persondisString50RecommendedDoes (did) the Child have a Personality Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_persondis
child_persondis_cmtString255RecommendedSpecify Child's Personality DisorderCharge_familymedhist_child_persondis_cmt
child_selfinjString50RecommendedDoes (did) the Child have Self-Injuring Behavior?
Yes;No
Charge_familymedhist_child_selfinj
child_suicideattString50RecommendedHas the Child Attempted Suicide?
Yes;No
Charge_familymedhist_child_suicideatt
child_otherpsychdisString50RecommendedDoes (did) the Child have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_child_otherpsychdis
child_otherpsychdis_cmtString255RecommendedSpecify Child's Psychiatric DisorderCharge_familymedhist_child_otherpsychdis_cmt
child_adhdString50RequiredDoes (did) the Child have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_adhd
child_eatingdisString50RecommendedDoes (did) the Child have an Eating Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_eatingdis
child_eatingdis_cmtString255RecommendedSpecify Child's Eating DisorderCharge_familymedhist_child_eatingdis_cmt
child_sleepdisString50RecommendedDoes (did) the Child have a Sleep Disorder?
Yes;No
Charge_familymedhist_child_sleepdis
child_sleepdis_cmtString255RecommendedDoes (did) the Child have a Sleep Disorder?Specify TypeCharge_familymedhist_child_sleepdis_cmt
child_abusevicString50RecommendedIs the Child a Victim of Abuse?
Yes;No
Charge_familymedhist_child_abusevic
child_subabuseString50RecommendedIs the Child Substance of Abuse?
Yes;No
Charge_familymedhist_child_subabuse
child_subabuse_cmtString255RecommendedSpecify Child's Substance AbuseCharge_familymedhist_child_subabuse_cmt
child_migraineString50RequiredDoes the Child have Migraine Headaches?
Yes;No;999
Charge_familymedhist_child_migraine
child_ibsString50RequiredDoes the Child have Irritable Bowel Syndrome?
Yes;No;999
Charge_familymedhist_child_ibs
child_othergidisString50RecommendedDoes the Child have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_child_othergidis
child_cancerString50RecommendedDoes the Child have Cancer?
Yes;No
Charge_familymedhist_child_cancer
child_cancer_cmtString255RecommendedSpecify Child's Cancer typeCharge_familymedhist_child_cancer_cmt
child_congenitaldefString50RecommendedDoes the Child have a Congenital Defect (Cleft palate, cleft lip, other)?
Yes; No; NK; NS
NK= Not known; NS = Not sureCharge_familymedhist_child_congenitaldef
child_congenitaldef_cmtString255RecommendedSpecify Child's Congenital Defect typeCharge_familymedhist_child_congenitaldef_cmt
child_obesityString50RecommendedDoes the Child have Obesity?
Yes;No
Charge_familymedhist_child_obesity
child_sicklecellString50RecommendedDoes the Child have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_child_sicklecell
child_thyroiddisString50RequiredDoes the Child have Thyroid Disease?
Yes;No;999
Charge_familymedhist_child_thyroiddis
child_othercond1String50RecommendedDid the child have Other Condition - 1
Yes;No
Charge_familymedhist_child_othercond1, othercondname1
child_othercond2String50RecommendedDid the child have Other Condition - 2
Yes;No
Charge_familymedhist_child_othercond2
child_othercond3String50RecommendedDid the child have Other Condition - 3
Yes;No
Charge_familymedhist_child_othercond3
child_othercond4String50RecommendedDid the child have Other Condition - 4
Yes;No
Charge_familymedhist_child_othercond4
other_condname1String255RecommendedName Other Condition - 1Charge_familymedhist_other_condname1
other_condname2String255RecommendedName Other Condition - 2Charge_familymedhist_other_condname2
other_condname3String255RecommendedName Other Condition - 3Charge_familymedhist_other_condname3
other_condname4String255RecommendedName Other Condition - 4Charge_familymedhist_other_condname4
mother_foodallergyString50RecommendedDoes the Child's Mother have a food allergy?
Yes;No
Charge_familymedhist_mother_foodallergy
mother_foodallergy_cmtString255RecommendedSpecific food items the Mother is allergic toCharge_familymedhist_mother_foodallergy_cmt
mother_foodallergy_ageIntegerRecommendedAge at which the mother's food allergy first appeared(in months)0 :: 1200Charge_familymedhist_mother_foodallergy_age
mother_foodallergy_pregString50RecommendedDid the mother have the food allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_foodallergy_preg
mother_skinallergyString50RecommendedDoes the Child's Mother have a skin allergy?
Yes;No
Charge_familymedhist_mother_skinallergy
mother_skinallergy_cmtString255RecommendedSpecific skin items the Mother is allergic toCharge_familymedhist_mother_skinallergy_cmt
mother_skinallergy_ageIntegerRecommendedAge at which the mother's skin allergy first appeared(in months)0 :: 1200Charge_familymedhist_mother_skinallergy_age
mother_skinallergy_pregString50RecommendedDid the mother have the skin allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_skinallergy_preg
mother_eczemaString50RecommendedDoes the Child's Mother have Eczema?
Yes;No
Charge_familymedhist_mother_eczema
mother_eczema_ageIntegerRecommendedAge at which the mother's eczema first appeared(in months)0 :: 1200Charge_familymedhist_mother_eczema_age
mother_eczema_pregString50RecommendedDid the mother have eczema while pregnant with the child?
Yes;No
Charge_familymedhist_mother_eczema_preg
mother_envallergyString50RecommendedDoes the Child's Mother have an environmental allergy?
Yes;No
Charge_familymedhist_mother_envallergy
mother_envallergy_cmtString255RecommendedSpecific environmental items the Mother is allergic toCharge_familymedhist_mother_envallergy_cmt
mother_envallergy_ageIntegerRecommendedAge at which the mother's environmental allergy first appeared(in months)0 :: 1200Charge_familymedhist_mother_envallergy_age
mother_envallergy_pregString50RecommendedDid the mother have the environmental allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_envallergy_preg
mother_medallergyString50RecommendedDoes the Child's Mother have a medication allergy?
Yes;No
Charge_familymedhist_mother_medallergy
mother_medallergy_cmtString255RecommendedSpecific medication items the Mother is allergic toCharge_familymedhist_mother_medallergy_cmt
mother_medallergy_ageIntegerRecommendedAge at which the mother's medication allergy first appeared(in months)0 :: 1200Charge_familymedhist_mother_medallergy_age
mother_medallergy_pregString50RecommendedDid the mother have the medication allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_medallergy_preg
mother_otherallergyString50RecommendedDoes the Child's Mother have any other allergies?
Yes;No
Charge_familymedhist_mother_otherallergy
mother_otherallergy_cmtString255RecommendedSpecific other items the Mother is allergic toCharge_familymedhist_mother_otherallergy_cmt
mother_otherallergy_ageIntegerRecommendedAge at which the mother's other allergy first appeared(in months)0 :: 1200Charge_familymedhist_mother_otherallergy_age
mother_otherallergy_pregString50RecommendedDid the mother have the other allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_otherallergy_preg
mother_autismString50RecommendedDoes the Child's Mother have Autism?
Yes;No
Charge_familymedhist_mother_autism
mother_autism_ageIntegerRecommendedAge at which the mother's Autism first appeared(in months)0 :: 1200Charge_familymedhist_mother_autism_age
mother_autism_pregString50RecommendedDid the mother have Autism while pregnant with the child?
Yes;No
Charge_familymedhist_mother_autism_preg
mother_aspergersString50RecommendedDoes the Child's Mother have Asperger's Syndrome?
Yes;No
Charge_familymedhist_mother_aspergers
mother_aspergers_ageIntegerRecommendedAge at which the mother's Asperger's Syndrome first appeared(in months)0 :: 1200Charge_familymedhist_mother_aspergers_age
mother_aspergers_pregString50RecommendedDid the mother have Asperger's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_aspergers_preg
mother_rettsString50RecommendedDoes the Child's Mother have Rett's Syndrome?
Yes;No
Charge_familymedhist_mother_retts
mother_retts_ageIntegerRecommendedAge at which the mother's Rett's Syndrome first appeared(in months)0 :: 1200Charge_familymedhist_mother_retts_age
mother_retts_pregString50RecommendedDid the mother have Rett's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_retts_preg
mother_pddnosString50RecommendedDoes the Child's Mother have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes;No
Charge_familymedhist_mother_pddnos
mother_pddnos_ageIntegerRecommendedAge at which the mother's PDD-NOS first appeared(in months)0 :: 1200Charge_familymedhist_mother_pddnos_age
mother_pddnos_pregString50RecommendedDid the mother have PDD-NOS while pregnant with the child?
Yes;No
Charge_familymedhist_mother_pddnos_preg
mother_speechdelayString50RecommendedDoes (did) the Child's Mother have a Speech/Language Delay?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_speechdelay
mother_speechdelay_ageIntegerRecommendedAge at which the mother's Speech/Language Delay first appeared(in months)0 :: 1200Charge_familymedhist_mother_speechdelay_age
mother_speechdelay_pregString50RecommendedDid the mother have a Speech/Language Delay while pregnant with the child?
Yes;No
Charge_familymedhist_mother_speechdelay_preg
mother_devdelayString50RecommendedDoes (did) the Child's Mother have a Developmental Delay?
Yes;No
Charge_familymedhist_mother_devdelay
mother_devdelay_ageIntegerRecommendedAge at which the mother's Developmental Delay first appeared(in months)0 :: 1200Charge_familymedhist_mother_devdelay_age
mother_devdelay_pregString50RecommendedDid the mother have a Developmental Delay while pregnant with the child?
Yes;No
Charge_familymedhist_mother_devdelay_preg
mother_learndisString50RecommendedDoes (did) the Child's Mother have a Learning Disability?
Yes;No
Charge_familymedhist_mother_learndis
mother_learndis_ageIntegerRecommendedAge at which the mother's Learning Disability first appeared(in months)0 :: 1200Charge_familymedhist_mother_learndis_age
mother_learndis_pregString50RecommendedDid the mother have a Learning Disability while pregnant with the child?
Yes;No
Charge_familymedhist_mother_learndis_preg
mother_seizureString50RecommendedDoes (did) the Child's Mother have Seizure Disorder/Epilepsy?
Yes;No
Charge_familymedhist_mother_seizure
mother_seizure_ageIntegerRecommendedAge at which the mother's Seizure Disorder/Epilepsy first appeared(in months)0 :: 1200Charge_familymedhist_mother_seizure_age
mother_seizure_pregString50RecommendedDid the mother have Seizure Disorder/Epilepsy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_seizure_preg
mother_cerpalsyString50RecommendedDoes (did) the Child's Mother have Cerebral Palsy?
Yes;No
Charge_familymedhist_mother_cerpalsy
mother_cerpalsy_ageIntegerRecommendedAge at which the mother's Cerebral Palsy first appeared(in months)0 :: 1200Charge_familymedhist_mother_cerpalsy_age
mother_cerpalsy_pregString50RecommendedDid the mother have Cerebral Palsy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cerpalsy_preg
mother_downssyndString50RecommendedDoes (did) the Child's Mother have Down's Syndrome?
Yes;No
Charge_familymedhist_mother_downssynd
mother_downssynd_ageIntegerRecommendedAge at which the mother's Down's Syndrome first appeared(in months)0 :: 1200Charge_familymedhist_mother_downssynd_age
mother_downssynd_pregString50RecommendedDid the mother have Down's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_downssynd_preg
mother_mentalretString50RecommendedDoes (did) the Child's Mother have Mental Retardation?
Yes;No
Charge_familymedhist_mother_mentalret
mother_mentalret_ageIntegerRecommendedAge at which the mother's Mental Retardation first appeared(in months)0 :: 1200Charge_familymedhist_mother_mentalret_age
mother_mentalret_pregString50RecommendedDid the mother have Mental Retardation while pregnant with the child?
Yes;No
Charge_familymedhist_mother_mentalret_preg
mother_tubersclString50RecommendedDoes (did) the Child's Mother have Tuberous Sclerosis?
Yes;No
Charge_familymedhist_mother_tuberscl
mother_tuberscl_ageIntegerRecommendedAge at which the mother's Tuberous Sclerosis first appeared(in months)0 :: 1200Charge_familymedhist_mother_tuberscl_age
mother_tuberscl_pregString50RecommendedDid the mother have Tuberous Sclerosis while pregnant with the child?
Yes;No
Charge_familymedhist_mother_tuberscl_preg
mother_fragilexString50RecommendedDoes (did) the Child's Mother have Fragile X?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_fragilex
mother_fragilex_ageIntegerRecommendedAge at which the mother's Fragile X first appeared(in months)0 :: 1200Charge_familymedhist_mother_fragilex_age
mother_fragilex_pregString50RecommendedDid the mother have Fragile X while pregnant with the child?
Yes;No
Charge_familymedhist_mother_fragilex_preg
mother_neuromuscdisString50RecommendedDoes (did) the Child's Mother have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_mother_neuromuscdis
mother_neuromuscdis_ageIntegerRecommendedAge at which the mother's Neuromuscular Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_neuromuscdis_age
mother_neuromuscdis_pregString50RecommendedDid the mother have a Neuromuscular Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_neuromuscdis_preg
mother_geneticdisString50RecommendedDoes (did) the Child's Mother have a Genetic Disorder?
Yes;No
Charge_familymedhist_mother_geneticdis
mother_geneticdis_cmtString255RecommendedSpecify mother's Genetic DisorderCharge_familymedhist_mother_geneticdis_cmt
mother_geneticdis_ageIntegerRecommendedAge at which the mother's Genetic Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_geneticdis_age
mother_geneticdis_pregString50RecommendedDid the mother have a Genetic Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_geneticdis_preg
mother_geneticdistestString50RecommendedWas testing done for the mother's Genetic Disorder?
Yes;No
Charge_familymedhist_mother_geneticdistest
mother_geneticdistest_cmtString255RecommendedSpecify testsCharge_familymedhist_mother_geneticdistest_cmt
mother_geneticdistest_ageIntegerRecommendedAge at which the mother's tests were done(in months)0 :: 1200Charge_familymedhist_mother_geneticdistest_age
mother_geneticdistest_pregString50RecommendedDid the mother get tests done while pregnant with the child?
Yes;No
Charge_familymedhist_mother_geneticdistest_preg
mother_visionimpString50RecommendedDoes the Child's Mother have a vision impairment?
Yes;No
Charge_familymedhist_mother_visionimp
mother_visionimp_ageIntegerRecommendedAge at which the mother's Vision Impairment first appeared(in months)0 :: 1200Charge_familymedhist_mother_visionimp_age
mother_visionimp_pregString50RecommendedDid the mother have a Vision Impairment while pregnant with the child?
Yes;No
Charge_familymedhist_mother_visionimp_preg
mother_visioncorString50RecommendedHas the mother's vision impairment been corrected?
Yes;No
Charge_familymedhist_mother_visioncor
mother_visioncor_ageIntegerRecommendedAge at which the mother's Vision Correction done(in months)0 :: 1200Charge_familymedhist_mother_visioncor_age
mother_visioncor_pregString50RecommendedDid the mother have a Vision Correction while pregnant with the child?
Yes;No
Charge_familymedhist_mother_visioncor_preg
mother_hearingimpString50RecommendedDoes the Child's Mother have a hearing impairment?
Yes;No
Charge_familymedhist_mother_hearingimp
mother_hearingimp_ageIntegerRecommendedAge at which the mother's Hearing Impairment first appeared(in months)0 :: 1200Charge_familymedhist_mother_hearingimp_age
mother_hearingimp_pregString50RecommendedDid the mother have a Hearing Impairment while pregnant with the child?
Yes;No
Charge_familymedhist_mother_hearingimp_preg
mother_hearingcorString50RecommendedHas the mother's hearing impairment been corrected?
Yes;No
Charge_familymedhist_mother_hearingcor
mother_hearingcor_ageIntegerRecommendedAge at which the mother's Hearing Correction done(in months)0 :: 1200Charge_familymedhist_mother_hearingcor_age
mother_hearingcor_pregString50RecommendedDid the mother have a Hearing Correction while pregnant with the child?
Yes;No
Charge_familymedhist_mother_hearingcor_preg
mother_bipolarString50RecommendedDoes (did) the Child's Mother have a Bipolar Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_bipolar
mother_bipolar_ageIntegerRecommendedAge at which the mother's Bipolar Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_bipolar_age
mother_bipolar_pregString50RecommendedDid the mother have Bipolar Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_bipolar_preg
mother_depressionString50RecommendedDoes (did) the Child's Mother have Depression?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_depression
mother_depression_ageIntegerRecommendedAge at which the mother's Depression first appeared(in months)0 :: 1200Charge_familymedhist_mother_depression_age
mother_depression_pregString50RecommendedDid the mother have Depression while pregnant with the child?
Yes;No
Charge_familymedhist_mother_depression_preg
mother_anxietyString50RecommendedDoes (did) the Child's Mother have an Anxiety Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_anxiety
mother_anxiety_ageIntegerRecommendedAge at which the mother's Anxiety Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_anxiety_age
mother_anxiety_pregString50RecommendedDid the mother have an Anxiety Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_anxiety_preg
mother_ocdString50RecommendedDoes (did) the Child's Mother have Obsessive Compulsive Disorder?
Yes;No
Charge_familymedhist_mother_ocd
mother_ocd_ageIntegerRecommendedAge at which the mother's Obsessive Compulsive Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_ocd_age
mother_ocd_pregString50RecommendedDid the mother have Obsessive Compulsive Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_ocd_preg
mother_schizophreniaString50RecommendedDoes (did) the Child's Mother have Schizophrenia?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_schizophrenia
mother_schizophrenia_ageIntegerRecommendedAge at which the mother's Schizophrenia first appeared(in months)0 :: 1200Charge_familymedhist_mother_schizophrenia_age
mother_schizophrenia_pregString50RecommendedDid the mother have Schizophrenia while pregnant with the child?
Yes;No
Charge_familymedhist_mother_schizophrenia_preg
mother_persondisString50RecommendedDoes (did) the Child's Mother have a Personality Disorder?
Yes;No
Charge_familymedhist_mother_persondis
mother_persondis_cmtString255RecommendedSpecify mother's Personality DisorderCharge_familymedhist_mother_persondis_cmt
mother_persondis_ageIntegerRecommendedAge at which the mother's Personality Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_persondis_age
mother_persondis_pregString50RecommendedDid the mother have a Personality Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_persondis_preg
mother_selfinjString50RecommendedDoes (did) the Child's Mother have Self-Injuring Behavior?
Yes;No
Charge_familymedhist_mother_selfinj
mother_selfinj_ageIntegerRecommendedAge at which the mother's Self-Injuring Behavior first appeared(in months)0 :: 1200Charge_familymedhist_mother_selfinj_age
mother_selfinj_pregString50RecommendedDid the mother have Self-Injuring Behavior while pregnant with the child?
Yes;No
Charge_familymedhist_mother_selfinj_preg
mother_suicideattString50RecommendedHas the Child's Mother Attempted Suicide?
Yes;No
Charge_familymedhist_mother_suicideatt
mother_suicideatt_ageIntegerRecommendedAge at which the mother first attempted suicide(in months)0 :: 1200Charge_familymedhist_mother_suicideatt_age
mother_suicideatt_pregString50RecommendedDid the mother attempt suicide while pregnant with the child?
Yes;No
Charge_familymedhist_mother_suicideatt_preg
mother_psychdisString50RecommendedDoes (did) the Child's Mother have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_mother_psychdis
mother_psychdis_cmtString255RecommendedSpecify mother's Psychiatric DisorderCharge_familymedhist_mother_psychdis_cmt
mother_psychdis_ageIntegerRecommendedAge at which the mother's Psychiatric Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_psychdis_age
mother_psychdis_pregString50RecommendedDid the mother have a Psychiatric Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_psychdis_preg
mother_adhdString50RecommendedDoes (did) the Child's Mother have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_mother_adhd
mother_adhd_ageIntegerRecommendedAge at which the mother's Attention Deficit Hyperactivity Disorder (ADHD) first appeared(in months)0 :: 1200Charge_familymedhist_mother_adhd_age
mother_adhd_pregString50RecommendedDid the mother have Attention Deficit Hyperactivity Disorder (ADHD) while pregnant with the child?
Yes;No
Charge_familymedhist_mother_adhd_preg
mother_eatingdisString50RecommendedDoes (did) the Child's Mother have an Eating Disorder?
Yes;No
Charge_familymedhist_mother_eatingdis
mother_eatingdis_cmtString255RecommendedSpecify mother's Eating DisorderCharge_familymedhist_mother_eatingdis_cmt
mother_eatingdis_ageIntegerRecommendedAge at which the mother's Eating Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_eatingdis_age
mother_eatingdis_pregString50RecommendedDid the mother have an Eating Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_eatingdis_preg
mother_sleepdisString50RecommendedDoes (did) the Child's Mother have a Sleep Disorder?
Yes;No
Charge_familymedhist_mother_sleepdis
mother_sleepdis_cmtString255RecommendedSpecify mother's Sleep DisorderCharge_familymedhist_mother_sleepdis_cmt
mother_sleepdis_ageIntegerRecommendedAge at which the mother's Sleep Disorder first appeared(in months)0 :: 1200Charge_familymedhist_mother_sleepdis_age
mother_sleepdis_pregString50RecommendedDid the mother have a Sleep Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_sleepdis_preg
mother_abusevicString50RecommendedIs the Child's Mother a Victim of Abuse?
Yes;No
Charge_familymedhist_mother_abusevic
mother_abusevic_ageIntegerRecommendedAge at which the mother's Abuse first occurred(in months)0 :: 1200Charge_familymedhist_mother_abusevic_age
mother_abusevic_pregString50RecommendedWas the mother being abused while pregnant with the child?
Yes;No
Charge_familymedhist_mother_abusevic_preg
mother_subabuseString50RecommendedDoes the Child's Mother have a history of Substance Abuse?
Yes;No
Charge_familymedhist_mother_subabuse
mother_subabuse_cmtString255RecommendedSpecify mother's Substance Abuse TypeCharge_familymedhist_mother_subabuse_cmt
mother_subabuse_ageIntegerRecommendedAge at which the mother's Substance Abuse first occurred(in months)0 :: 1200Charge_familymedhist_mother_subabuse_age
mother_subabuse_pregString50RecommendedDid the mother have Substance Abuse events while pregnant with the child?
Yes;No
Charge_familymedhist_mother_subabuse_preg
mother_migraineString50RecommendedDoes the Child's Mother have Migraine Headaches?
Yes;No
Charge_familymedhist_mother_migraine
mother_migraine_ageIntegerRecommendedAge at which the mother's Migraine Headaches first appeared(in months)0 :: 1200Charge_familymedhist_mother_migraine_age
mother_migraine_pregString50RecommendedDid the mother have Migraine Headaches while pregnant with the child?
Yes;No
Charge_familymedhist_mother_migraine_preg
mother_ibsString50RecommendedDoes the Child's Mother have Irritable Bowel Syndrome?
Yes;No
Charge_familymedhist_mother_ibs
mother_ibs_ageIntegerRecommendedAge at which the mother's Irritable Bowel Syndrome first appeared(in months)0 :: 1200Charge_familymedhist_mother_ibs_age
mother_ibs_pregString50RecommendedDid the mother have Irritable Bowel Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_ibs_preg
mother_gidisString50RecommendedDoes the Child's Mother have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_mother_gidis
mother_gidiss_ageIntegerRecommendedAge at which the mother's Other Gastrointestinal Disorders first appeared(in months)0 :: 1200Charge_familymedhist_mother_gidiss_age
mother_gidiss_pregString50RecommendedDid the mother have Other Gastrointestinal Disorders while pregnant with the child?
Yes;No
Charge_familymedhist_mother_gidiss_preg
mother_cancerString50RecommendedDoes the Child's Mother have Cancer?
Yes;No
Charge_familymedhist_mother_cancer
mother_cancer_cmtString255RecommendedSpecify mother's Cancer typeCharge_familymedhist_mother_cancer_cmt
mother_cancer_ageIntegerRecommendedAge at which the mother's Cancer first appeared(in months)0 :: 1200Charge_familymedhist_mother_cancer_age
mother_cancer_pregString50RecommendedDid the mother have Cancer while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cancer_preg
mother_congenitaldefString50RecommendedDoes the Child's Mother have a Congenital Defect (Cleft palate, cleft lip, other)?
Yes;No
Charge_familymedhist_mother_congenitaldef
mother_congenitaldef_cmtString255RecommendedSpecify mother's Congenital Defect typeCharge_familymedhist_mother_congenitaldef_cmt
mother_congenitaldef_ageIntegerRecommendedAge at which the mother's Congenital Defect first appeared(in months)0 :: 1200Charge_familymedhist_mother_congenitaldef_age
mother_congenitaldef_pregString50RecommendedDid the mother have a Congenital Defect while pregnant with the child?
Yes;No
Charge_familymedhist_mother_congenitaldef_preg
mother_obesityString50RecommendedDoes the Child's Mother have Obesity?
Yes;No
Charge_familymedhist_mother_obesity
mother_obesity_ageIntegerRecommendedAge at which the mother's Obesity first appeared(in months)0 :: 1200Charge_familymedhist_mother_obesity_age
mother_obesity_pregString50RecommendedDid the mother have Obesity while pregnant with the child?
Yes;No
Charge_familymedhist_mother_obesity_preg
mother_sicklecellString50RecommendedDoes the Child's Mother have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_mother_sicklecell
mother_sicklecell_ageIntegerRecommendedAge at which the mother's Sickle Cell Anemia first appeared(in months)0 :: 1200Charge_familymedhist_mother_sicklecell_age
mother_sicklecell_pregString50RecommendedDid the mother have Sickle Cell Anemia while pregnant with the child?
Yes;No
Charge_familymedhist_mother_sicklecell_preg
mother_thyroiddisString50RecommendedDoes the Child's Mother have Thyroid Disease?
Yes;No
Charge_familymedhist_mother_thyroiddis
mother_thyroiddis_ageIntegerRecommendedAge at which the mother's Thyroid Disease first appeared(in months)0 :: 1200Charge_familymedhist_mother_thyroiddis_age
mother_thyroiddis_pregString50RecommendedDid the mother have Thyroid Disease while pregnant with the child?
Yes;No
Charge_familymedhist_mother_thyroiddis_preg
mother_cond1String50RecommendedDid the mother have Other condition-1
Yes;No
Charge_familymedhist_mother_cond1
mother_cond1_ageIntegerRecommendedAge at which the Condition 1 appeared(in months)0 :: 1200Charge_familymedhist_mother_cond1_age
mother_cond1_pregString50RecommendedDid the mother have Condition 1 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond1_preg
mother_cond2String50RecommendedDid the mother have Other condition-2
Yes;No
Charge_familymedhist_mother_cond2
mother_cond2_ageIntegerRecommendedAge at which the Condition 2 appeared(in months)0 :: 1200Charge_familymedhist_mother_cond2_age
mother_cond2_pregString50RecommendedDid the mother have Condition 2 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond2_preg
mother_cond3String50RecommendedDid the mother have Other condition-3
Yes;No
Charge_familymedhist_mother_cond3
mother_cond3_ageIntegerRecommendedAge at which the Condition 3 appeared(in months)0 :: 1200Charge_familymedhist_mother_cond3_age
mother_cond3_pregString50RecommendedDid the mother have Condition 3 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond3_preg
mother_cond4String50RecommendedDid the mother have Other condition-4
Yes;No
Charge_familymedhist_mother_cond4
mother_cond4_ageIntegerRecommendedAge at which the Condition 4 appeared(in months)0 :: 1200Charge_familymedhist_mother_cond4_age
mother_cond4_pregString50RecommendedDid the mother have Condition 4 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond4_preg
father_foodallergyString50RecommendedDoes the Child's Father have a food allergy?
Yes;No
Charge_familymedhist_father_foodallergy
father_foodallergy_cmtString255RecommendedSpecific food items the Father is allergic toCharge_familymedhist_father_foodallergy_cmt
father_skinallergyString50RecommendedDoes the Child's Father have a skin allergy?
Yes;No
Charge_familymedhist_father_skinallergy
father_skinallergy_cmtString255RecommendedSpecific skin items the Father is allergic toCharge_familymedhist_father_skinallergy_cmt
father_eczemaString50RecommendedDoes the Child's Father have Eczema?
Yes;No
Charge_familymedhist_father_eczema
father_envallergyString50RecommendedDoes the Child's Father have an environmental allergy?
Yes;No
Charge_familymedhist_father_envallergy
father_envallergy_cmtString255RecommendedSpecific environmental items the Father is allergic toCharge_familymedhist_father_envallergy_cmt
father_medallergyString50RecommendedDoes the Child's Father have a medication allergy?
Yes;No
Charge_familymedhist_father_medallergy
father_medallergy_cmtString255RecommendedSpecific medication items the Father is allergic toCharge_familymedhist_father_medallergy_cmt
father_otherallergyString50RecommendedDoes the Child's Father have any other allergies?
Yes;No
Charge_familymedhist_father_otherallergy
father_otherallergy_cmtString255RecommendedSpecific other items the Father is allergic toCharge_familymedhist_father_otherallergy_cmt
father_autismString50RecommendedDoes the Child's Father have Autism?
Yes;No
Charge_familymedhist_father_autism
father_aspergersString50RecommendedDoes the Child's Father have Asperger's Syndrome?
Yes;No
Charge_familymedhist_father_aspergers
father_rettsString50RecommendedDoes the Child's Father have Rett's Syndrome?
Yes;No
Charge_familymedhist_father_retts
father_pddnosString50RecommendedDoes the Child's Father have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes;No
Charge_familymedhist_father_pddnos
father_speechdelayString50RecommendedDoes (did) the Child's Father have a Speech/Language Delay?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_speechdelay
father_devdelayString50RecommendedDoes (did) the Child's Father have a Developmental Delay?
Yes;No
Charge_familymedhist_father_devdelay
father_learndisString50RecommendedDoes (did) the Child's Father have a Learning Disability?
Yes;No
Charge_familymedhist_father_learndis
father_seizureString50RecommendedDoes (did) the Child's Father have Seizure Disorder/Epilepsy?
Yes;No
Charge_familymedhist_father_seizure
father_cerpalsyString50RecommendedDoes (did) the Child's Father have Cerebral Palsy?
Yes;No
Charge_familymedhist_father_cerpalsy
father_downssyndString50RecommendedDoes (did) the Child's Father have Down's Syndrome?
Yes;No
Charge_familymedhist_father_downssynd
father_mentalretString50RecommendedDoes (did) the Child's Father have Mental Retardation?
Yes;No
Charge_familymedhist_father_mentalret
father_tubersclString50RecommendedDoes (did) the Child's Father have Tuberous Sclerosis?
Yes;No
Charge_familymedhist_father_tuberscl
father_fragilexString50RecommendedDoes (did) the Child's Father have Fragile X?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_fragilex
father_neuromuscdisString50RecommendedDoes (did) the Child's Father have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_father_neuromuscdis
father_geneticdisString50RecommendedDoes (did) the Child's Father have a Genetic Disorder?
Yes;No
Charge_familymedhist_father_geneticdis
father_geneticdis_cmtString255RecommendedSpecify Father's Genetic DisorderCharge_familymedhist_father_geneticdis_cmt
father_geneticdistestString50RecommendedWas testing done for the Father's Genetic Disorder?
Yes;No
Charge_familymedhist_father_geneticdistest
father_geneticdistest_cmtString255RecommendedSpecify testsCharge_familymedhist_father_geneticdistest_cmt
father_visionimpString50RecommendedDoes the Child's Father have a vision impairment?
Yes;No
Charge_familymedhist_father_visionimp
father_visioncorString50RecommendedHas the father's vision impairment been corrected?
Yes;No
Charge_familymedhist_father_visioncor
father_hearingimpString50RecommendedDoes the Child's Father have a hearing impairment?
Yes;No
Charge_familymedhist_father_hearingimp
father_hearingcorString50RecommendedHas the father's hearing impairment been corrected?
Yes;No
Charge_familymedhist_father_hearingcor
father_bipolarString50RecommendedDoes (did) the Child's Father have a Bipolar Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_bipolar
father_depressionString50RecommendedDoes (did) the Child's Father have Depression?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_depression
father_anxietyString50RecommendedDoes (did) the Child's Father have an Anxiety Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_anxiety
father_ocdString50RecommendedDoes (did) the Child's Father have Obsessive Compulsive Disorder?
Yes;No
Charge_familymedhist_father_ocd
father_schizophreniaString50RecommendedDoes (did) the Child's Father have Schizophrenia?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_schizophrenia
father_persondisString50RecommendedDoes (did) the Child's Father have a Personality Disorder?
Yes;No
Charge_familymedhist_father_persondis
father_persondis_cmtString255RecommendedSpecify father's Personality DisorderCharge_familymedhist_father_persondis_cmt
father_selfinjString50RecommendedDoes (did) the Child's Father have Self-Injuring Behavior?
Yes;No
Charge_familymedhist_father_selfinj
father_suicideattString50RecommendedHas the Child's Father Attempted Suicide?
Yes;No
Charge_familymedhist_father_suicideatt
father_otherpsychdisString50RecommendedDoes (did) the Child's Father have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_father_otherpsychdis
father_otherpsychdis_cmtString255RecommendedSpecify father's Psychiatric DisorderCharge_familymedhist_father_otherpsychdis_cmt
father_adhdString50RecommendedDoes (did) the Child's Father have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missingCharge_familymedhist_father_adhd
father_eatingdisString50RecommendedDoes (did) the Child's Father have an Eating Disorder?
Yes;No
Charge_familymedhist_father_eatingdis
father_eatingdis_cmtString255RecommendedSpecify father's Eating DisorderCharge_familymedhist_father_eatingdis_cmt
father_sleepdisString50RecommendedDoes (did) the Child's Father have a Sleep Disorder?
Yes;No
Charge_familymedhist_father_sleepdis
father_sleepdis_cmtString255RecommendedDoes (did) the Child's Father have a Sleep Disorder?Specify TypeCharge_familymedhist_father_sleepdis_cmt
father_abusevicString50RecommendedIs the Child's Father a Victim of Abuse?
Yes;No
Charge_familymedhist_father_abusevic
father_subabuseString50RecommendedDoes the Child's Father have a history of Substance Abuse?
Yes;No
Charge_familymedhist_father_subabuse
father_subabuse_cmtString255RecommendedSpecify father's Substance Abuse TypeCharge_familymedhist_father_subabuse_cmt
father_migraineString50RecommendedDoes the Child's Father have Migraine Headaches?
Yes;No
Charge_familymedhist_father_migraine
father_ibsString50RecommendedDoes the Child's Father have Irritable Bowel Syndrome?
Yes;No
Charge_familymedhist_father_ibs
father_othergidisString50RecommendedDoes the Child's Father have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_father_othergidis
father_cancerString50RecommendedDoes the Child's Father have Cancer?
Yes;No
Charge_familymedhist_father_cancer
father_cancer_cmtString255RecommendedSpecify father's Cancer typeCharge_familymedhist_father_cancer_cmt
father_congenitaldefString50RecommendedDoes the Child's Father have a Congenital Defect?
Yes;No
Charge_familymedhist_father_congenitaldef
father_congenitaldef_cmtString255RecommendedSpecify father's Congenital Defect typeCharge_familymedhist_father_congenitaldef_cmt
father_obesityString50RecommendedDoes the Child's Father have Obesity?
Yes;No
Charge_familymedhist_father_obesity
father_sicklecellString50RecommendedDoes the Child's Father have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_father_sicklecell
father_thyroiddisString50RecommendedDoes the Child's Father have Thyroid Disease?
Yes;No
Charge_familymedhist_father_thyroiddis
father_othercond1String50RecommendedDid the father have Other condition-1
Yes;No
Charge_familymedhist_father_othercond1
father_othercond2String50RecommendedDid the father have Other condition-2
Yes;No
Charge_familymedhist_father_othercond2
father_othercond3String50RecommendedDid the father have Other condition-3
Yes;No
Charge_familymedhist_father_othercond3
father_othercond4String50RecommendedDid the father have Other condition-4
Yes;No
Charge_familymedhist_father_othercond4
othmem_foodallergyString50RecommendedFood Allergy
Yes;No
Charge_familymedhist_othmem_foodallergy
othmem_foodallergy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_foodallergy_cmt
othmem_foodallergy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergyCharge_familymedhist_othmem_foodallergy_type
othmem_skinallergyString50RecommendedSkin Allergy
Yes;No
Charge_familymedhist_othmem_skinallergy
othmem_skinallergy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_skinallergy_cmt
othmem_skinallergy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergyCharge_familymedhist_othmem_skinallergy_type
othmem_eczemaString50RecommendedEczema
Yes;No
Charge_familymedhist_othmem_eczema
othmem_eczema_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have eczemaCharge_familymedhist_othmem_eczema_type
othmem_envallergyString50RecommendedEnvironmental
Yes;No
Charge_familymedhist_othmem_envallergy
othmem_envallergy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_envallergy_cmt
othmem_envallergy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an environmental allergyCharge_familymedhist_othmem_envallergy_type
othmem_medallergyString50RecommendedMedication
Yes;No
Charge_familymedhist_othmem_medallergy
othmem_medallergy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_medallergy_cmt
othmem_medallergy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a medication allergyCharge_familymedhist_othmem_medallergy_type
othmem_otherallergyString50RecommendedOther
Yes;No
Charge_familymedhist_othmem_otherallergy
othmem_otherallergy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_otherallergy_cmt
othmem_otherallergy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an other allergyCharge_familymedhist_othmem_otherallergy_type
othmem_autismString50RecommendedOther family member. Autism
Yes;No
Charge_familymedhist_othmem_autism
othmem_autism_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_autism_type
othmem_aspergersString50RecommendedOther family member. Asperger's Syndrome
Yes;No
Charge_familymedhist_othmem_aspergers
othmem_aspergers_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_aspergers_type
othmem_rettsString50RecommendedRett's Syndrome
Yes;No
Charge_familymedhist_othmem_retts
othmem_retts_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_retts_type
othmem_pddnosString50RecommendedPDD-NOS (Pervasive Development Disorder)
Yes;No
Charge_familymedhist_othmem_pddnos
othmem_pddnos_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_pddnos_type
othmem_speechdelayString50RecommendedSpeech/Language DelayYes; NoCharge_familymedhist_othmem_speechdelay
othmem_speechdelay_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_speechdelay_type
othmem_devdelayString50RecommendedDevelopmental Delay
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_devdelay
othmem_devdelay_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_devdelay_type
othmem_learndisString50RecommendedLearning Disability
Yes;No
Charge_familymedhist_othmem_learndis
othmem_learndis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_learndis_type
othmem_seizureString50RequiredSeizure disorder/Epilepsy
Yes;No;999
Charge_familymedhist_othmem_seizure
othmem_seizure_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_seizure_type
othmem_cerpalsyString50RecommendedCerebral Palsy
Yes;No
Charge_familymedhist_othmem_cerpalsy
othmem_cerpalsy_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_cerpalsy_type
othmem_downssyndString50RecommendedDown's Syndrome
Yes;No
Charge_familymedhist_othmem_downssynd
othmem_downssynd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_downssynd_type
othmem_mentalretString50RecommendedMental Retardation
Yes;No
Charge_familymedhist_othmem_mentalret
othmem_mentalret_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_mentalret_type
othmem_tubersclString50RecommendedTuberous Sclerosis
Yes;No
Charge_familymedhist_othmem_tuberscl
othmem_tuberscl_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_tuberscl_type
othmem_fragilexString50RecommendedFragile X
Yes;No
Charge_familymedhist_othmem_fragilex
othmem_fragilex_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_fragilex_type
othmem_neuromuscdisString50RecommendedNeuromuscular disorder
Yes;No
Charge_familymedhist_othmem_neuromuscdis
othmem_neuromuscdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_neuromuscdis_type
othmem_geneticdisString50RecommendedKnown Genetic Disorder
Yes;No
Charge_familymedhist_othmem_geneticdis
othmem_geneticdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_geneticdis_cmt
othmem_geneticdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_geneticdis_type
othmem_geneticdistestString50RecommendedTesting Done
Yes;No
Charge_familymedhist_othmem_geneticdistest
othmem_geneticdistest_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_geneticdistest_cmt
othmem_geneticdistest_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_geneticdistest_type
othmem_visionimpString50RecommendedVision impairment
Yes;No
Charge_familymedhist_othmem_visionimp
othmem_visionimp_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_visionimp_type
othmem_visioncorString50RecommendedVision corrected?
Yes;No
Charge_familymedhist_othmem_visioncor
othmem_visioncor_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_visioncor_type
othmem_hearingimpString50RecommendedHearing impairment
Yes;No
Charge_familymedhist_othmem_hearingimp
othmem_hearingimp_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_hearingimp_type
othmem_hearingcorString50RecommendedHearing corrected?
Yes;No
Charge_familymedhist_othmem_hearingcor
othmem_hearingcor_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_hearingcor_type
othmem_bipolarString50RecommendedBipolar disorder (Manic/depression)
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_bipolar
othmem_bipolar_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_bipolar_type
othmem_depressionString50RecommendedDepression
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_depression
othmem_depression_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_depression_type
othmem_anxietyString50RecommendedAnxiety disorder
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_anxiety
othmem_anxiety_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_anxiety_type
othmem_ocdString50RecommendedObsessive compulsive disorder
Yes;No
Charge_familymedhist_othmem_ocd
othmem_ocd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_ocd_type
othmem_schizophreniaString50RecommendedSchizophrenia
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_schizophrenia
othmem_schizophrenia_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_schizophrenia_type
othmem_persondisString50RecommendedPersonality disorder
Yes;No
Charge_familymedhist_othmem_persondis
othmem_persondis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_persondis_cmt
othmem_persondis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_persondis_type
othmem_selfinjString50RecommendedSelf-injuring behavior
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_selfinj
othmem_selfinj_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_selfinj_type
othmem_suicideattString50RecommendedSuicide attempt/suicide
Yes;No
Charge_familymedhist_othmem_suicideatt
othmem_suicideatt_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_suicideatt_type
othmem_otherpsychdisString50RecommendedOther psychiatric disorder
Yes;No
Charge_familymedhist_othmem_otherpsychdis
othmem_otherpsychdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_otherpsychdis_cmt
othmem_otherpsychdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_otherpsychdis_type
othmem_adhdString50RecommendedAttention deficit hyperactivity disorder (ADHD)
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_adhd
othmem_adhd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_adhd_type
othmem_eatingdisString50RecommendedEating disorder. Bulimia, Anorexia, other
Yes;No; NK
NK = Not knownCharge_familymedhist_othmem_eatingdis
othmem_eatingdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_eatingdis_cmt
othmem_eatingdis_typeString100RecommendedIf yes, specify typeCharge_familymedhist_othmem_eatingdis_type
othmem_sleepdisString50RecommendedSleep disorder. Insomnia, Narcolepsy
Yes;No
Charge_familymedhist_othmem_sleepdis
othmem_sleepdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_sleepdis_cmt
othmem_sleepdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_sleepdis_type
othmem_abusevicString50RecommendedVictim of abuse
Yes;No
Charge_familymedhist_othmem_abusevic
othmem_abusevic_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_abusevic_type
othmem_subabuseString50RecommendedSubstance abuse
Yes;No
Charge_familymedhist_othmem_subabuse
othmem_subabuse_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_subabuse_cmt
othmem_subabuse_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_subabuse_type
othmem_migraineString50RecommendedMigraine headaches
Yes;No
Charge_familymedhist_othmem_migraine
othmem_migraine_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_migraine_type
othmem_ibsString50RecommendedIrritable bowel syndrome
Yes;No
Charge_familymedhist_othmem_ibs
othmem_ibstypeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_ibstype
othmem_othergidisString50RecommendedOther Gastrointestinal disorders
Yes;No
Charge_familymedhist_othmem_othergidis
othmem_othergidis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_othergidis_type
othmem_cancerString50RecommendedCancer
Yes;No
Charge_familymedhist_othmem_cancer
othmem_cancer_cmtString255RecommendedCancer. Specify TypeCharge_familymedhist_othmem_cancer_cmt
othmem_cancer_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_cancer_type
othmem_congenitaldefString50RecommendedCongenital Defect (Cleft palate, Cleft lip)
Yes;No
Charge_familymedhist_othmem_congenitaldef
othmem_congenitaldef_cmtString255RecommendedCongenital Defect :OtherCharge_familymedhist_othmem_congenitaldef_cmt
othmem_congenitaldef_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_congenitaldef_type
othmem_obesityString50RecommendedObesity
Yes;No
Charge_familymedhist_othmem_obesity
othmem_obesity_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_obesity_type
othmem_sicklecellString50RecommendedSickle cell anemia
Yes;No
Charge_familymedhist_othmem_sicklecell
othmem_sicklecell_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_sicklecell_type
othmem_thyroiddisString50RecommendedThyroid Disease
Yes;No
Charge_familymedhist_othmem_thyroiddis
othmem_thyroiddis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_thyroiddis_type
othmem_othercond1String50RecommendedDid the relatives have Other condition-1
Yes;No
Charge_familymedhist_othmem_othercond1
othmem_othercondlist1String255RecommendedList relatives having Other condition -1Charge_familymedhist_othmem_othercondlist1
othmem_othercond2String50RecommendedDid the relatives have Other condition-2
Yes;No
Charge_familymedhist_othmem_othercond2
othmem_othercondlist2String255RecommendedList relatives having Other condition -2Charge_familymedhist_othmem_othercondlist2
othmem_othercond3String50RecommendedDid the relatives have Other condition-3
Yes;No
Charge_familymedhist_othmem_othercond3
othmem_othercondlist3String255RecommendedList relatives having Other condition -3Charge_familymedhist_othmem_othercondlist3
othmem_othercond4String50RecommendedDid the relatives have Other condition-4
Yes;No
Charge_familymedhist_othmem_othercond4
othmem_othercondlist4String255RecommendedList relatives having Other condition -4Charge_familymedhist_othmem_othercondlist4
fmw_child_sis1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis1
fmw_child_sis2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis2
fmw_child_sis3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis3
fmw_child_sis4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis4
fmw_child_sis5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis5
fmw_child_sis6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis6
fmw_child_sis7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_sis7
fmw_child_bro1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro1
fmw_child_bro2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro2
fmw_child_bro3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro3
fmw_child_bro4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro4
fmw_child_bro5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro5
fmw_child_bro6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro6
fmw_child_bro7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_bro7
fmw_child_ma1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA1
fmw_child_ma2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA2
fmw_child_ma3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA3
fmw_child_ma4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA4
fmw_child_ma5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA5
fmw_child_ma6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA6
fmw_child_ma7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MA7
fmw_child_mu1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU1
fmw_child_mu2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU2
fmw_child_mu3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU3
fmw_child_mu4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU4
fmw_child_mu5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU5
fmw_child_mu6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU6
fmw_child_mu7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_MU7
fmw_child_pa1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA1
fmw_child_pa2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA2
fmw_child_pa3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA3
fmw_child_pa4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA4
fmw_child_pa5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA5
fmw_child_pa6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA6
fmw_child_pa7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PA7
fmw_child_pu1String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU1
fmw_child_pu2String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU2
fmw_child_pu3String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU3
fmw_child_pu4String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU4
fmw_child_pu5String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU5
fmw_child_pu6String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU6
fmw_child_mu8String50RecommendedcodeP = Paternal; M = Maternal
fmw_child_pu7String50RecommendedCodeBlank on Form;P;MP = Paternal; M = MaternalCharge_familymedhist_fmw_child_PU7
fmw_child_pu8String50Recommendeduncle codeP;MP = Paternal; M = Maternal
genderString20RequiredSex of the subjectM;FM = Male; F = Female
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.

Distribution for DataStructure: charge_family_med_history03 and Element:
Chart Help

Filters enable researchers to view the data shared in NDA before applying for access or for selecting specific data for download or NDA Study assignment. For those with access to NDA shared data, you may select specific values to be included by selecting an individual bar chart item or by selecting a range of values (e.g. interview_age) using the "Add Range" button. Note that not all elements have appropriately distinct values like comments and subjectkey and are not available for filtering. Additionally, item level detail is not always provided by the research community as indicated by the number of null values given.

Filters for multiple data elements within a structure are supported. Selections across multiple data structures will be supported in a future version of NDA.