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NIMH Medical History Questionnaire

nimh_medical_history_ques

01

NIMH Medical History Questionnaire (Draft 2.8.07)

Download Definition as
Download Submission Template as
Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
src_subject_idString20RequiredSubject ID how it's defined in lab/projectNimh_medicalhist_SRC_Subject_ID
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldNimh_medicalhist_interview_date, visit_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.Nimh_medicalhist_interview_age, visit_age
comments_miscString4,000RecommendedMiscellaneous comments on study, interview, methodology relevant to this form dataNimh_medicalhist_comments_misc
header_1String50RecommendedRelationship to Subject4= Biological mother; 5= Biological Father; 6= Non-biological female caregiver; 7= Non-biological male caregiverNimh_medicalhist_Header_1
header_2String50RecommendedSpecify Relationship to Subject, if Other:Nimh_medicalhist_Header_2, child_relationship
pg_pregnoIntegerRecommendedHow many times had the birth mother been pregnant before giving birth to the child being evaluated in this study (including that pregnancy)?Nimh_medicalhist_pg_pregno, been_pregnant
pg_babynoIntegerRecommendedHow many babies had the mother had (including that child)?Nimh_medicalhist_pg_babyno, children_number
pg_miscarriagenoIntegerRecommendedHow many miscarriages had the mother had?Nimh_medicalhist_pg_miscarriageno, miscarriages_number
pg_electiveterminationIntegerRecommendedHow many elective terminations had the mother had?Nimh_medicalhist_pg_electivetermination, ab_elective_num
pg_multpregString50RequiredWas this child part of a multiple pregnancy?
No;Yes;Don't Know
Nimh_medicalhist_pg_multpreg, multiple_pregnancies
pg_multpregnoIntegerRecommendedHow many babies in this pregnancyNimh_medicalhist_pg_multpregno, babies_number
pg_multpregidString50RecommendedWere they identical?
No;Yes;Don't Know
Nimh_medicalhist_pg_multpregid, babies_identical
pg_artString50RecommendedWas this pregnancy the result of Assisted Reproductive Technology (ART)?
No;Yes;Don't Know
Nimh_medicalhist_pg_art, art_pregnancy
pg_momcvsString50RecommendedDid the birth mother have an amniocentesis, Chorionic Villus Sampling (CVS) or a blood test to check for fetal abnormalities?
No;Yes;Don't Know
Nimh_medicalhist_pg_momcvs
pg_abnormalString50RecommendedIf yes: Were the results ABNORMAL
No;Yes;Don't Know
Nimh_medicalhist_pg_abnormal
pg_abnormaldescString255RecommendedAbnormal results: DescribeNimh_medicalhist_pg_abnormaldesc
pg_babyabnormalString50RecommendedDid the doctor tell the mother that the baby had any fetal abnormalities not mentioned above
No;Yes;Don't Know
Nimh_medicalhist_pg_babyabnormal, fetus_abnormal
pg_babyabnormaldescString255RecommendedIf Yes Please describeNimh_medicalhist_pg_babyabnormaldesc, fetus_abnormal_spfy
pg_sonoString50RecommendedDid the birth mother have any ultrasounds or sonograms?
No;Yes;Don't Know
Nimh_medicalhist_pg_sono, ultrasound_test_done_during_pregnancy
pg_sononoIntegerRecommended(If yes):How many?Nimh_medicalhist_pg_sonono, ultrasound_number
pg_wereabnormalString50RecommendedWere the results ABNORMAL
No;Yes;Don't Know
Nimh_medicalhist_pg_wereabnormal, ultrasound_abnormal
pg_wereabnormaldescString255RecommendedWere the results ABNORMAL : DescribeNimh_medicalhist_pg_wereabnormaldesc, ultrasound_abnormal_spfy
pg_babymoveString50RecommendedWhen did the birth mother first feel the baby start to move?Nimh_medicalhist_pg_babymove
pg_babymovemnthIntegerRecommendedWhen did the birth mother first feel the baby start to move? MonthsNimh_medicalhist_pg_babymovemnth, baby_move
pg_babymovemnthdkString50RecommendedWhen did the birth mother first feel the baby start to move? Months - Don't KnowDon't KnowNimh_medicalhist_pg_babymovemnthdk, baby_move_dk
pg_movementString50RecommendedHow were the movements?Normal;Increased;Decreased;Don't KnowNimh_medicalhist_pg_movement, baby_movements
pg_stillnessString50RecommendedIf decreased, where there any periods of stillness?
No;Yes;Don't Know
Nimh_medicalhist_pg_stillness, baby_movements_stillness
pg_stillnesswhenString255Recommended(If YES)When?Nimh_medicalhist_pg_stillnesswhen, stillness_when
quesmoth_wtgainFloatRecommendedHow much weight did the birth mother gain during pregnancy?Nimh_medicalhist_quesmoth_wtgain, pregnancy_wt_gain
quesmoth_wtgaindkString50RecommendedHow much weight did the birth mother gain during pregnancy? - Don't KnowDon't KnowNimh_medicalhist_quesmoth_wtgaindk
quesmoth_shotsString50RequiredDid the birth mother have any shots or vaccinations during the pregnancy?
No;Yes;Don't Know
Nimh_medicalhist_quesmoth_shots, shots_during_preg
quesmoth_shotrhogamString50Recommended(If yes):What type: RhogamRhogamNimh_medicalhist_quesmoth_shotrhogam, rhogam
quesmoth_shotmmrString50Recommended(If yes):What type: MMRMMRNimh_medicalhist_quesmoth_shotmmr, vaccine_mmr_1
quesmoth_shotfluString50Recommended(If yes):What type: Flu ShotFlu shotNimh_medicalhist_quesmoth_shotflu, flu_shot
quesmoth_shottetanusString50Recommended(If yes):What type: Tetanus BoosterTetanus boosterNimh_medicalhist_quesmoth_shottetanus, vaccine_tetanus_1
quesmoth_shototherString255Recommended(If yes):What type : OtherNimh_medicalhist_quesmoth_shotother, vaccine_other
quesmoth_probString50RequiredAt any time in this pregnancy, did the birth mother have any of the following health problems?
No;Yes;Don't Know
Nimh_medicalhist_quesmoth_prob, health_problems
quesmoth_probinfectString50RequiredInfection (e.g., Strep Throat or Urinary Tract) requiring antibiotics
No;Yes;Don't Know
Nimh_medicalhist_quesmoth_probinfect, infection
quesmoth_probinfect1String255RecommendedIf Yes: Please describe type of infection 1Nimh_medicalhist_quesmoth_probinfect1, infection_type
quesmoth_probinfect1wString50RecommendedWhen did Infection 1 occur1st Trimester;2nd Trimester;3rd Trimester;Don't Know;1st Trimester and 2nd Trimester;1st Trimester and 3rd Trimester; 2nd Trimester and 3rd Trimester;1st Trimester and 2nd Trimester and 3rd TrimesterNimh_medicalhist_quesmoth_probinfect1W, infection_occur
quesmoth_probinfect2String255RecommendedIf Yes: Please describe type of infection 2Nimh_medicalhist_quesmoth_probinfect2
quesmoth_probinfect2wString50RecommendedWhen did Infection 2 occur1st Trimester;2nd Trimester;3rd Trimester;Don't Know;1st Trimester and 2nd Trimester;1st Trimester and 3rd Trimester;2nd Trimester and 3rd Trimester;1st Trimester and 2nd Trimester and 3rd TrimesterNimh_medicalhist_quesmoth_probinfect2W
quesmoth_probinfect3String255RecommendedIf Yes: Please describe type of infection 3Nimh_medicalhist_quesmoth_probinfect3
quesmoth_probinfect3wString50RecommendedWhen did Infection 3 occur1st Trimester;2nd Trimester;3rd Trimester;Don't Know;1st Trimester and 2nd Trimester;1st Trimester and 3rd Trimester;2nd Trimester and 3rd Trimester;1st Trimester and 2nd Trimester and 3rd TrimesterNimh_medicalhist_quesmoth_probinfect3W
quesmoth_probvString255RecommendedViral illness0 = No; 1 = Yes; 999 = Don't knowNimh_medicalhist_quesmoth_probv, viral_illness
quesmoth_probvcoldString50RecommendedIf Yes : Cold
Yes;No
Nimh_medicalhist_quesmoth_probvcold, virus_cold
quesmoth_probvcoldwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probvcoldw, virus_cold_occur
quesmoth_probinfluString50RecommendedIf Yes : Influenza
Yes;No
Nimh_medicalhist_quesmoth_probinflu, virus_flu
quesmoth_probinfluwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probinfluw, virus_flu_occur
quesmoth_probcpString50RecommendedIf Yes : Chicken pox
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_quesmoth_probcp, virus_chicken_pox
quesmoth_probcpwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probcpw, chicken_pox_occur
quesmoth_probshingString50RecommendedIf Yes : Shingles
Yes;No
Nimh_medicalhist_quesmoth_probshing, shingles
quesmoth_probshingwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probshingw, shingles_occur
quesmoth_probmeasString50RecommendedIf Yes : Measles
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_quesmoth_probmeas, virus_measles
quesmoth_probmeaswString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probmeasw, measles_occur
quesmoth_probmumpString50RequiredIf Yes : Mumps
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_quesmoth_probmump, virus_mumps
quesmoth_probmumpwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probmumpw, mumps_occur
quesmoth_probrubellaString50RequiredIf Yes : Rubella (German Measles)
Yes;No;999
Nimh_medicalhist_quesmoth_probrubella, virus_rubella
quesmoth_probrubellawString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probrubellaw, rubella_occur
quesmoth_probhtype1String50RequiredIf Yes : Herpes Type 1 (cold sores)
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_quesmoth_probhtype1, virus_herpes_1
quesmoth_probhtype1wString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probhtype1w, herpes_1_occur
quesmoth_probhtype2String50RequiredIf Yes : Herpes Type 2 (genital herpes)
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_quesmoth_probhtype2, virus_herpes_2
quesmoth_probhtypewString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probhtypew, herpes_2_occur
quesmoth_probmonoString50RecommendedIf Yes : Infectious mononucleosis
Yes;No
Nimh_medicalhist_quesmoth_probmono, virus_mono
quesmoth_probmonowString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probmonow, mono_occur
quesmoth_probvhepString50RecommendedIf Yes :viral hepatitis
Yes;No
Nimh_medicalhist_quesmoth_probvhep, virus_hepatitis
quesmoth_probvhepwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probvhepw, hepatitis_occur
quesmoth_probotherString255RecommendedIf Yes : OtherNimh_medicalhist_quesmoth_probother, virus_other
quesmoth_probotherwString50Recommendedwhen did it occur1st Trimester;2nd Trimester;3rd Trimester;Don't KnowNimh_medicalhist_quesmoth_probotherw, virus_other_occur
quesmoth_problgfString50RequiredLow grade fever (99-100.9)
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_problgf, low_grade_fever
quesmoth_probhfString50RequiredFever of 101 F or aboveYes;No;Don't KnowNimh_medicalhist_quesmoth_probhf, high_fever
quesmoth_probanemiaString50RecommendedAnemia
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probanemia, anemia_preg
quesmoth_probevString50RecommendedExcessive vomiting (hyperemesis gravidarum)
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probev, vomiting
quesmoth_probevtreatnoString50RecommendedIf YES how was this treated? - No Treatment needed
Yes;No
Nimh_medicalhist_quesmoth_probevtreatno, no_treatment
quesmoth_probevtreatmedString50RecommendedIf YES how was this treated? - Medications
Yes;No
Nimh_medicalhist_quesmoth_probevtreatmed
quesmoth_probevtreatmed_cmtString255RecommendedIf YES how was this treated? - Medications - DescNimh_medicalhist_quesmoth_probevtreatmed_cmt, medications_
quesmoth_probevtreatfString50RecommendedIf YES how was this treated? - Intravenous fluids in the doctors office
Yes;No
Nimh_medicalhist_quesmoth_probevtreatf, iv_fluids
quesmoth_probevtreathospString50RecommendedIf YES how was this treated? - Admission to the hospital
Yes;No
Nimh_medicalhist_quesmoth_probevtreathosp, hospitalization
quesmoth_probseizString50RequiredSeizuresYes;No;Don't KnowNimh_medicalhist_quesmoth_probseiz, seizure
quesmoth_probasthmaString50RequiredAsthma
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probasthma, asthma1
quesmoth_probmigraineString50RequiredMigraines
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probmigraine, migraine
quesmoth_proballergyString50RequiredSevere allergies requiring medication treatment
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_proballergy, severe_allergies
quesmoth_probdiabtesString50RecommendedDiabetes (including gestational diabetes)
Yes;No;Don't Know; -999
-999=missingNimh_medicalhist_quesmoth_probdiabtes, diabetes_preg
quesmoth_probthyroidString50RequiredThyroid disease (overly active, underactive, Hashimotos)
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probthyroid
quesmoth_probbedrestString50RecommendedPreterm labor requiring treatment such as bed rest or medication
Yes;No;Don't Know; -999
-999=missingNimh_medicalhist_quesmoth_probbedrest, preterm_labor
quesmoth_probpreviaString50RecommendedPlacenta Previa
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probprevia, placenta_previa
quesmoth_probccString50RecommendedCervical Incompetence
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probcc, cervical_incompetence
quesmoth_probttaString50RecommendedTrauma to the abdomen
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probtta, trauma_ab
quesmoth_probhighbpString50RecommendedHypertension (High blood pressure)
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probhighbp, htn
quesmoth_probmedString50RecommendedIf YES , was this treated with medication
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probmed, htn_tx
quesmoth_probbodysString50RecommendedSevere swelling of the body (more than hands and feet)
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probbodys, severe_swelling
quesmoth_probclampString50RecommendedPreeclampsia
Yes;No;Don't Know; -999
Nimh_medicalhist_quesmoth_probclamp, preeclampsia
quesmoth_probclampbrString50RecommendedHow was this treated? - bed rest at home
Yes;No
Nimh_medicalhist_quesmoth_probclampbr, tx_bed_rest
quesmoth_probclamphospString50RecommendedHow was this treated? - Admission to the hospital
Yes;No
Nimh_medicalhist_quesmoth_probclamphosp, hospt
quesmoth_probclampiimsString50RecommendedHow was this treated? - Intravenous infusion of Magnesium sulfate
Yes;No
Nimh_medicalhist_quesmoth_probclampiims, mg_sulfate
quesmoth_probclampiimsdkString50RecommendedHow was this treated? -Don't knowDon't KnowNimh_medicalhist_quesmoth_probclampiimsdk, tx_dk
quesmoth_probotherillString50RecommendedOther major illness or injury
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_probotherill, other_illness
quesmoth_probotherdescString255RecommendedIf Yes: Please describeNimh_medicalhist_quesmoth_probotherdesc, illness_spfy
quesmoth_momvitString50RequiredIn this pregnancy did the birth mother take prenatal vitamins?
No;Yes;Don't Know
Nimh_medicalhist_quesmoth_momvit, prenatal_vit
quesmoth_momvitllString50RecommendedIf Yes: birth mother take them continuously throughout the pregnancy?
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_momvitll, prenatal_vit_throughout
quesmoth_momvitwhen1String50RecommendedIn what trimester did the birth mother take them? - First Trimester
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_momvitwhen1, prenatal_vit_1_tri
quesmoth_momvitwhen2String50RecommendedIn what trimester did the birth mother take them? - Second Trimester
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_momvitwhen2, prenatal_vit_2_tri
quesmoth_momvitwhen3String50RecommendedIn what trimester did the birth mother take them? - Third Trimester
Yes;No;Don't Know
Nimh_medicalhist_quesmoth_momvitwhen3, prenatal_vit_3_tri
quesmoth_momsuppString50RequiredIn this pregnancy did the birth mother take any other nutritional supplements?
No;Yes;Don't Know
Nimh_medicalhist_quesmoth_momsupp, nutritn_supp
quesmoth_momsupplistString255RecommendedIf yes: Which Type(Please List)Nimh_medicalhist_quesmoth_momsupplist, supplemnt_type
presmed_antiString50RecommendedIn this pregnancy, did the birth mother take any of the following prescription medications - Antibiotics for infections (e.g., Amoxicillin, Augmentin, Cephalosporins, Clindamycin, Erythromycin, Flagyl,Nystatin, Penicillin, Sept ra/Bactrim, Zithromax)
Yes;No
Nimh_medicalhist_presmed_anti, antibio_preg
presmed_antiwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_antiwhen, antibiotic_first
presmed_antitillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_antitill, antibiotic_weeks
presmed_acneString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications for acne (e.g., Accutane)
Yes;No;999
Nimh_medicalhist_presmed_acne, acne_med
presmed_acnewhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_acnewhen, acne_first
presmed_acnetillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_acnetill, acne_weeks
presmed_birthconString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications for birth control (e.g., Pills, Depo-Provera)
Yes;No;999
Nimh_medicalhist_presmed_birthcon, birth_control
presmed_birthconwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_birthconwhen, bc_first
presmed_birthcontillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_birthcontill, bc_weeks
presmed_asthmaString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications for asthma (e.g., inhalers, steroids, theophylline)
Yes;No;999
Nimh_medicalhist_presmed_asthma, asthma_med
presmed_asthmawhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_asthmawhen, asthma_first
presmed_asthmatillIntegerRecommendedAnd for how long did she take the medication (# of weeks)Nimh_medicalhist_presmed_asthmatill, asthma_weeks
presmed_bpString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Antihypertensives for high blood pressure (e.g., Catapres (clonidine), Hydrochlorothiazide, Inderal (propranolol), Tenex (guanfacine))
Yes;No;999
Nimh_medicalhist_presmed_bp, antihypertensive_rx
presmed_bpwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_bpwhen, antihypertensive_first
presmed_bptillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_bptill, antihypertensive_weeks
presmed_heartString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications for heart or cardiac problems
Yes;No;999
Nimh_medicalhist_presmed_heart, cardiac_med
presmed_heartwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_heartwhen, cardiac_first
presmed_hearttillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_hearttill, cardiac_weeks
presmed_addString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications for Attention Deficit Disorder (e.g., Adderall, Ritalin, Concerta, Dexedrine, Metadate)
Yes;No;999
Nimh_medicalhist_presmed_add, adhd_drugs
presmed_addwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_addwhen, add_first
presmed_addtillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_addtill, add_weeks
presmed_antiseizString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Antiepileptics or anti-seizure medications (e.g., Depakene/Depakote (Valproic acid), Dilantin, Keppra, Lamictal, Neurontin, phenobarbital, Tegretol, etc.)
Yes;No;999
Nimh_medicalhist_presmed_antiseiz, antiepileptic_rx
presmed_antiseizwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_antiseizwhen, antiepileptic_first
presmed_antiseiztillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_antiseiztill, antiepileptic_weeks
presmed_insulinString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications to control diabetes (e.g., Insulin)
Yes;No;999
Nimh_medicalhist_presmed_insulin, diabetes_med
presmed_insulinwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_insulinwhen, diabetes_first
presmed_insulintillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_insulintill, diabetes_weeks
presmed_thyroidString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Medications to regulate thyroid (e.g., Synthroid, Thyroxin)
Yes;No;999
Nimh_medicalhist_presmed_thyroid, thyroid_med
presmed_thyroidwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_thyroidwhen, thyroid_first
presmed_thyroidtillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_thyroidtill, thyroid_weeks
presmed_depressString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Antidepressants (e.g., Celexa, Elavil (amitriptyline), Lexapro, Paxil, Prozac (fluoxetine), Tofranil (imipramine), Wellbutrin (bupropion), Zoloft, etc.)
Yes;No;999
Nimh_medicalhist_presmed_depress, antidepressants
presmed_depresswhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_depresswhen, antidep_first
presmed_depresstillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_depresstill, antidep_weeks
presmed_antipsychString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Mood stabilizers or anti-psychotics (e.g., Carbatrol, Tegretol, Depakote (Valproic acid), Haldol, Lamictal, Lithium, Mellaril, Neurontin, etc.)
Yes;No;999
Nimh_medicalhist_presmed_antipsych, antipsychotic
presmed_antipsychwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_antipsychwhen, antipsych_first
presmed_antipsychtillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_antipsychtill, antipsych_weeks
presmed_tranquilString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Tranquilizers or nerve pills (e.g., Ativan, BuSpar, Klonopin, Valium, Xanax)
Yes;No;999
Nimh_medicalhist_presmed_tranquil, tranquilizers
presmed_tranquilwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_tranquilwhen, tranquil_first
presmed_tranquiltillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_tranquiltill, tranquil_weeks
presmed_painkillString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Pain killers (e.g., Darvon, Demerol, Dilaudid, Morphine, Percocet, Percodan, Tylenol with codeine, Codeine preparations)Yes;No;999Nimh_medicalhist_presmed_painkill, pain_med
presmed_painkillwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_painkillwhen, pain_rx_first
presmed_painkilltillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_painkilltill, pain_rx_weeks
presmed_migraineString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Migraine medications (e.g., Amerge, Axert, Cafergot, Fiorinal, Imitrex, Maxalt, Midrin, Zomig)
Yes;No;999
Nimh_medicalhist_presmed_migraine, migraine_rx
presmed_migrainewhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_migrainewhen, migraine_rx_first
presmed_migrainetillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_migrainetill, migraine_rx_weeks
presmed_musrelaxString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Muscle relaxers (e.g., Baclofen, Flexeril, Zanaflex)
Yes;No;999
Nimh_medicalhist_presmed_musrelax, muscle_relaxer
presmed_musrelaxwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_musrelaxwhen, muscle_relax_first
presmed_musrelaxtillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_musrelaxtill, muscle_relax_weeks
presmed_sleeppillString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Sedatives or sleeping pills (e.g., Halcion, Methaqualone, Phenobarbital, Seconal)
Yes;No;999
Nimh_medicalhist_presmed_sleeppill, sleeping_pill
presmed_sleeppillwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_sleeppillwhen, sleeping_pill_first
presmed_sleeppilltillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_sleeppilltill, sleeping_pill_weeks
presmed_antiimmuneString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Anti-inflammatory or anti-immune drugs (e.g., Cytoxan, Imuran, Prednisone, Steroids
Yes;No;999
Nimh_medicalhist_presmed_antiimmune, anti_inflammatories_trx
presmed_antiimmunewhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_antiimmunewhen, anti_inflam_first
presmed_antiimmunetillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_antiimmunetill, anti_inflam_weeks
presmed_hivtreatString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Treatment for HIV
Yes;No;999
Nimh_medicalhist_presmed_hivtreat, hiv_trx
presmed_hivtreatwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_hivtreatwhen, hiv_trx_first
presmed_hivtreattillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_hivtreattill, hiv_trx_weeks
presmed_thalidomideString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Thalidomide
Yes;No;999
Nimh_medicalhist_presmed_thalidomide, thalidomide
presmed_thalidomidewhyString255RecommendedSpecify why medicine was prescribedNimh_medicalhist_presmed_thalidomidewhy, thalidomide_reason
presmed_thalidomidewhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_thalidomidewhen, thalidomide_rx_first
presmed_thalidomidetillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_thalidomidetill, thalidomide_rx_weeks
presmed_misoString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Misoprostol
Yes;No;999
Nimh_medicalhist_presmed_miso, misoprostol
presmed_misowhyString255RecommendedSpecify why medicine was prescribedNimh_medicalhist_presmed_misowhy, misoprostol_reason
presmed_misowhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_misowhen, misoprostol_first
presmed_misotillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_misotill, misoprostol_weeks
presmed_otherString50RequiredIn this pregnancy, did the birth mother take any of the following prescription medications - Other
Yes;No;999
Nimh_medicalhist_presmed_other, other_meds
presmed_otherwhyString255RecommendedSpecify why medicine was prescribedNimh_medicalhist_presmed_otherwhy, other_med_reason
presmed_otherwhenString50RecommendedIf so, did the birth mother take the medications in the first, second or third trimester of the pregnancyFirst Trimester;Second Trimester;Third Trimester;First Trimester and Second Trimester;First Trimester and Third Trimester;Second Trimester and Third Trimester;First Second and Third TrimesterNimh_medicalhist_presmed_otherwhen, other_meds_first
presmed_othertillIntegerRecommendedAnd for how long did she take the medication (# of weeks)1 :: 300Nimh_medicalhist_presmed_othertill, other_med_weeks
presmed_alcoholString50RecommendedIn this pregnancy, did the birth mother do any of the following activities - Drink alcohol
Yes;No
Nimh_medicalhist_presmed_alcohol, alcohol_drink
presmed_alcoholbfbString50RecommendedIf so, did she do so before or after she knew she was pregnant or both (i.e., before AND after she knew she was pregnant)Before;After;BothNimh_medicalhist_presmed_alcoholbfb, alcohol_drink_preg
presmed_smokeString50RequiredIn this pregnancy, did the birth mother do any of the following activities - Smoke cigarettes or other tobacco products
Yes;No;999
Nimh_medicalhist_presmed_smoke, cigarettes
presmed_smokebfbString50RecommendedIf so, did she do so before or after she knew she was pregnant or both (i.e., before AND after she knew she was pregnant)Before;After;BothNimh_medicalhist_presmed_smokebfb, cigarettes_preg
presmed_drugsString50RecommendedIn this pregnancy, did the birth mother do any of the following activities - Use recreational drugs (e.g. marijuana, cocaine, etc)
Yes;No
Nimh_medicalhist_presmed_drugs
presmed_drugsbfbString50RecommendedIf so, did she do so before or after she knew she was pregnant or both (i.e., before AND after she knew she was pregnant)Before;After;BothNimh_medicalhist_presmed_drugsbfb
ldnb_whenmlFloatRecommendedWhen did the birth mother go into labor (Weeks)1 :: 48;999999 = Don't knowNimh_medicalhist_ldnb_whenml, labor
ldnb_whenmldkString50RecommendedWhen did the birth mother go into labor (Weeks) - Don't knowNimh_medicalhist_ldnb_whenmldk, labor_unknown
ldnb_docimlString50RequiredDid the doctor need to induce the birth mothers labor (i.e. get her labor started)
No;Yes;Don't Know
Nimh_medicalhist_ldnb_dociml, induced_labor
ldnb_docrmlString50RequiredDid the doctor need to restart or speed up her labor with pitocin
No;Yes;Don't Know
Nimh_medicalhist_ldnb_docrml, mother_receive_pitocin
ldnb_longlFloatRecommendedHow long was the birth mothers labor (hours)Nimh_medicalhist_ldnb_longl, labor_length
ldnb_longldkString50RecommendedHow long was the birth mothers labor (hours) - Don't KnowDon't KnowNimh_medicalhist_ldnb_longldk, labor_length_unknown
ldnb_babydistressString50RecommendedWere the doctors worried that the baby was in distress? (For example, the monitor showed a decrease in the babys heart rate.)
No;Yes;Don't Know
Nimh_medicalhist_ldnb_babydistress, baby_distress
ldnb_babydistresselString50RecommendedIf Yes, When did this happen - early in labor
Yes;No
Nimh_medicalhist_ldnb_babydistressel, baby_distress_early
ldnb_babydistressatString50RecommendedIf Yes, When did this happen - after transition
Yes;No
Nimh_medicalhist_ldnb_babydistressat, baby_distress_after
ldnb_babydistressjbdString50RecommendedIf Yes, When did this happen - just before delivery
Yes;No
Nimh_medicalhist_ldnb_babydistressjbd, baby_distress_before_del
ldnb_problabString50RecommendedDid the birth mother have any other problems during her labor
No;Yes;Don't Know
Nimh_medicalhist_ldnb_problab, other_labor_prob
ldnb_problabwhatString255RecommendedIf Yes, What happenedNimh_medicalhist_ldnb_problabwhat, other_labor_prob_spfy
ldnb_painkillmedString50RequiredDid the birth mother have any pain killing medication/anesthesia during the labor?
No;Yes;Don't Know
Nimh_medicalhist_ldnb_painkillmed, pain_med_preg
ldnb_painkillmedtypepbString50RecommendedIf Yes, What type - local nerve (pudendal) block
Yes;No
Nimh_medicalhist_ldnb_painkillmedtypepb, nerve_block
ldnb_painkillmedtypepmString50RecommendedIf Yes, What type - pain medications
Yes;No
Nimh_medicalhist_ldnb_painkillmedtypepm, oral_pain_med
ldnb_painkillmedtypepmivString50RecommendedIf Yes, What type - IV pain medications
Yes;No
Nimh_medicalhist_ldnb_painkillmedtypepmiv, iv_pain_med
ldnb_painkillmedtypeepiString50RecommendedIf Yes, What type - epidural/spinal
Yes;No
Nimh_medicalhist_ldnb_painkillmedtypeepi, epidural
ldnb_painkillmedtypespiString50RecommendedIf Yes, What type - spinal
Yes;No
Nimh_medicalhist_ldnb_painkillmedtypespi, spinal_med
ldnb_painkillmedtypedkString50RecommendedIf Yes, What type - Don't knowNimh_medicalhist_ldnb_painkillmedtypedk, pain_med_unknown
ldnb_painkillmedtype_cmtString255RecommendedIf Yes, What type - OtherNimh_medicalhist_ldnb_painkillmedtype_cmt
ldnb_babydeliverString50RecommendedHow was the baby deliveredVaginal;C-Section;Vacuum;ForcepsNimh_medicalhist_ldnb_babydeliver, delivery_type
ldnb_cemergencyString50RecommendedFor C section - Why was the c-section performed - Emergency
Yes;No
Nimh_medicalhist_ldnb_cemergency, emergency
ldnb_cfailtoprogString50RecommendedFor C section - Why was the c-section performed - Failure to progress (the baby wasnt coming down the birth canal)
Yes;No
Nimh_medicalhist_ldnb_cfailtoprog, fail_progress
ldnb_cbreechtransString50RecommendedFor C section - Why was the c-section performed - Baby was feet first (breech) or turned sideways (transverse)
Yes;No
Nimh_medicalhist_ldnb_cbreechtrans, breech_transverse
ldnb_cbeforeString50RecommendedFor C section - Why was the c-section performed - Planned for repeat because mother had had one before
Yes;No
Nimh_medicalhist_ldnb_cbefore, repeats
ldnb_cconvenString50RecommendedFor C section - Why was the c-section performed - Planned for convenience
Yes;No
Nimh_medicalhist_ldnb_cconven, convenience_1
ldnb_cconcernsString50RecommendedFor C section - Why was the c-section performed - Concerns about the mothers ability to deliver vaginally
Yes;No
Nimh_medicalhist_ldnb_cconcerns, vaginal_birth_concerns
ldnb_cothersString255RecommendedFor C section - Why was the c-section performed - OthersNimh_medicalhist_ldnb_cothers, c_section_reason
ldnb_vforcepsString50RecommendedFor Vaginal section - Did they use FORCEPS
No;Yes;Don't Know
Nimh_medicalhist_ldnb_vforceps, dlvry_forceps
ldnb_vvacuumString50RecommendedFor Vaginal section - Did they use a vacuum
No;Yes;Don't Know
Nimh_medicalhist_ldnb_vvacuum, dlvry_vacuum
ldnb_cordarndneckString50RecommendedWas the babys umbilical cord wrapped around its neck
No;Yes;Don't Know
Nimh_medicalhist_ldnb_cordarndneck, wrap_umibil_cord
ldnb_probcordString50RecommendedWere there any other problems with the umbilical cord (eg it collapsed or had a knot in it)
No;Yes;Don't Know
Nimh_medicalhist_ldnb_probcord, prob_umibil_cord
ldnb_probplacenString50RecommendedWere there any problems with the placenta
No;Yes;Don't Know
Nimh_medicalhist_ldnb_probplacen, prob_placenta
ldnb_abruptionString50RecommendedIf Yes, Did the placenta separate from the uterus too early (abruption)
No;Yes;Don't Know
Nimh_medicalhist_ldnb_abruption, abrupt_placenta
ldnb_resuscitationString50RequiredDid this baby need to have resuscitation such as having the nurses and doctors help him/her breathe or get his/her heart started in the delivery room
No;Yes;Don't Know
Nimh_medicalhist_ldnb_resuscitation, newborn_resuscitate
ldnb_fapgarString50RecommendedWhat were the babys APGAR scores - first APGAR (at 1 minute)Nimh_medicalhist_ldnb_fapgar, apgar_score_1_min
ldnb_fapgardkString50RecommendedWhat were the babys APGAR scores - first APGAR (at 1 minute) - Don't KnowDon't KnowNimh_medicalhist_ldnb_fapgardk, apgar_score_1_unknown
ldnb_sapgarString50RequiredWhat were the babys APGAR scores - second APGAR (at 5 minutes)Nimh_medicalhist_ldnb_sapgar, apgar_score_5_min
ldnb_sapgardkString50RecommendedWhat were the babys APGAR scores - second APGAR (at 5 minutes) - Don't KnowDon't KnowNimh_medicalhist_ldnb_sapgardk, apgar_score_5_unknown
ldnb_tapgarString50RecommendedWhat were the babys APGAR scores - third APGAR (at 10 minutes- often not recorded)Nimh_medicalhist_ldnb_tapgar, apgar_score_10_min
ldnb_tapgardkString50RecommendedWhat were the babys APGAR scores - third APGAR (at 10 minutes- often not recorded) - Don't KnowDon't KnowNimh_medicalhist_ldnb_tapgardk, apgar_score_10_unknown
ldnb_wtbirthpFloatRequiredHow much did this baby weigh at birth (pounds)Nimh_medicalhist_ldnb_wtbirthp, birth_wt_lb
ldnb_wtbirthoFloatRecommendedHow much did this baby weigh at birth (ounces)Nimh_medicalhist_ldnb_wtbirtho, birth_wt_oz
ldnb_wtbirthgFloatRecommendedHow much did this baby weigh at birth (grams)Nimh_medicalhist_ldnb_wtbirthg, birth_wt_g
ldnb_wtbirthdkString50RecommendedHow much did this baby weigh at birth - Don't KnowDon't KnowNimh_medicalhist_ldnb_wtbirthdk, dont_know_14
ldnb_headcircumcmFloatRecommendedWhat was the babys head circumference at birth (cm)Nimh_medicalhist_ldnb_headcircumcm, head_circumference_cm
ldnb_headcircuminFloatRequiredWhat was the babys head circumference at birth (inches)-1 = Not knownNimh_medicalhist_ldnb_headcircumin, head_circmf
ldnb_headcircumdkString50RecommendedWhat was the babys head circumference at birth - Don't KnowDon't Know; 0;10 = unchecked box; 1 = checked boxNimh_medicalhist_ldnb_headcircumdk, head_circum_unknown
ldnb_lgthcmFloatRecommendedWhat was the babys length at birth(cm)Nimh_medicalhist_ldnb_lgthcm, birth_length_cm
ldnb_lgthinFloatRequiredWhat was the babys length at birth(inches)-1 = Not knownNimh_medicalhist_ldnb_lgthin, birth_length_in
ldnb_lgthdkString50RecommendedWhat was the babys length at birth - Don't KnowDon't Know; 0;10 = unchecked box; 1 = checked boxNimh_medicalhist_ldnb_lgthdk, birth_legth_unknown
ldnb_stayicuString50RecommendedDid this baby stay in the neonatal intensive care unit
No;Yes;Don't Know
Nimh_medicalhist_ldnb_stayicu, newborn_icu
ldnb_stayicuhrFloatRecommendedIf Yes, How Long(Hours)Nimh_medicalhist_ldnb_stayicuhr, hours
ldnb_stayicudayFloatRecommendedIf Yes, How Long (Days)Nimh_medicalhist_ldnb_stayicuday, days
ldnb_stayicudkString50RecommendedIf Yes, How Long - Don't KnowDon't KnowNimh_medicalhist_ldnb_stayicudk
ldnb_ventilatorString50RecommendedWas the baby on a respirator (ventilator)
No;Yes;Don't Know
Nimh_medicalhist_ldnb_ventilator, newborn_ventilation
ldnb_ventilatorhrsFloatRecommendedIf Yes, How Long(Hours)Nimh_medicalhist_ldnb_ventilatorhrs, hours_1
ldnb_ventilatordayFloatRecommendedIf Yes, How Long (Days)Nimh_medicalhist_ldnb_ventilatorday, days_1
ldnb_ventilatordkString50RecommendedIf Yes, How Long - Don't KnowDon't KnowNimh_medicalhist_ldnb_ventilatordk, newborn_vetilation_unknown
ldnb_hosptotalbabydayFloatRecommendedHow many days total did this baby stay in the hospital (after delivery up until discharge, including the neonatal ICU) (days)0 :: 365Nimh_medicalhist_ldnb_hosptotalbabyday
ldnb_hosptotalbabyhrFloatRecommendedHow many hours total did this baby stay in the hospital (after delivery up until discharge, including the neonatal ICU) (hrs)In hoursNimh_medicalhist_ldnb_hosptotalbabyhr, baby_hosp_stay
ldnb_hosptotalbabydkString50RecommendedHow many days or hours total did this baby stay in the hospital (after delivery up until discharge, including the neonatal ICU) - Don't KnowDon't KnowNimh_medicalhist_ldnb_hosptotalbabydk, baby_hosp_stay_unknown
ldnb_hosptotalmomFloatRecommendedHow many days did the mom stay in the hospital after birthNimh_medicalhist_ldnb_hosptotalmom, mom_hosp_stay
ldnb_hosptotalmomdkString50RecommendedHow many days did the mom stay in the hospitalDon't KnowNimh_medicalhist_ldnb_hosptotalmomdk, mom_hosp_stay_unknown
nb_majprobString50RecommendedDid the baby have any major problems in the newborn period (0-30 days of life)
No;Yes;Don't Know
Nimh_medicalhist_nb_majprob, newborn_prob
nb_bdefString50RequiredIf Yes, Birth defect
Yes;No;999
Nimh_medicalhist_nb_bdef, birth_defect
nb_bdefheadString150RequiredWhat Type of Birth Defect - Choose Typehead deformities;body deformities;limb deformities;heart deformities;kidney deformities;stomach/intestine deformities;999Nimh_medicalhist_nb_bdefhead, head_deform
nb_sepsisString50RequiredIf Yes, What Type - Sepsis (bacterial blood infection)
Yes;No;999
99 = NA/missing/ NKNimh_medicalhist_nb_sepsis, sepsis
nb_jhyString50RequiredIf Yes, What Type - Jaundice, hyperbilirubinemia, yellow skin
Yes;No;999
Nimh_medicalhist_nb_jhy, jaundice
nb_jhynotreatString50RecommendedHad Jaundice, hyperbilirubinemia, yellow skin - what treatment was givenNo treatment;phototherapy (special lights);exchange transfusion (blood transfusion)Nimh_medicalhist_nb_jhynotreat, treatment_1
nb_seizureString50RequiredNewborn have seizures?
Yes;No;999
Nimh_medicalhist_nb_seizure, history_seizure_explain
nb_meningitisString50RecommendedIf Yes, What Type - Meningitis
Yes;No
Nimh_medicalhist_nb_meningitis, meningitis
nb_feverString50RecommendedIf Yes, What Type - High fever (>38.5 or 101.5)
Yes;No
Nimh_medicalhist_nb_fever, high_fever_1
nb_otherString255RecommendedIf Yes, What Type - OtherNimh_medicalhist_nb_other, prob_other_spfy
nb_otherdkString255RecommendedIf Yes, What Type - Don't KnowDon't KnowNimh_medicalhist_nb_otherdk
nb_motfeedString50RecommendedDid the birth mother breast feed the baby
No;Yes;Don't Know
Nimh_medicalhist_nb_motfeed, preg_1_breast_fed
nb_feedageFloatRecommendedHow old was the child in months when s/he received the last/final breast milk feeding0 :: 1200Nimh_medicalhist_nb_feedage, breast_fed_end
nb_feedagedkString50RecommendedHow old was the child in months when s/he received the last/final breast milk feeding - Don't KnowDon't KnowNimh_medicalhist_nb_feedagedk, breast_fed_end_unknown
nb_feeddifficultString50RecommendedDid the baby have any difficulty with feeding (breast or bottle
No;Yes;Don't Know
Nimh_medicalhist_nb_feeddifficult, preg_3_breast_fed_diff
nb_suckpoorString50RecommendedIf Yes, Did the baby have a poor suck
No;Yes;Don't Know
Nimh_medicalhist_nb_suckpoor, newborn_poor_feed
nb_feedspString50RecommendedDid the baby require special feeds ( e.g. thickened liquid or special nipples)
No;Yes;Don't Know
Nimh_medicalhist_nb_feedsp, special_diets
nb_feedspagefromFloatRecommendedWhen did this happen - from age (in mnths)0 :: 1200Nimh_medicalhist_nb_feedspagefrom
nb_feedspagetoFloatRecommendedWhen did this happen - to age (in mnths)0 :: 1200Nimh_medicalhist_nb_feedspageto
nb_feedspagedkString50RecommendedWhen did this happen - DKDon't KnowNimh_medicalhist_nb_feedspagedk, special_diets_unknown
nb_wtgainString50RecommendedDid the baby have trouble gaining weight
No;Yes;Don't Know
Nimh_medicalhist_nb_wtgain, low_wt
nb_temperamentString50RecommendedHow was the babys early temperamentEasy;Fussy or colicky;Quiet or passive;Cant sayNimh_medicalhist_nb_temperament, baby_tem
nb_sleeppatternString50RecommendedHow was the babys early sleep patternRegular/Predictable;Irregular/Unpredictable;Cant sayNimh_medicalhist_nb_sleeppattern, baby_sleep
medprob_birthString50RequiredBirth Defects: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_birth, birth_defect_dx
medprob_birthlipString50RequiredIf Yes, Was the birth abnormality Cleft Lip
Yes;No;999
Nimh_medicalhist_medprob_birthlip, oromotor_cleft_lip
medprob_birthpalateString50RequiredIf Yes, Was the birth abnormality Cleft palate
Yes;No;999
Nimh_medicalhist_medprob_birthpalate, oromotor_cleft_palate
medprob_birthearString50RequiredIf Yes, Was the birth abnormality ears deformed
Yes;No;999
Nimh_medicalhist_medprob_birthear, ears
medprob_birthnoseString50RequiredIf Yes, Was the birth abnormality Nose deformity
Yes;No;999
Nimh_medicalhist_medprob_birthnose, nose
medprob_birtharmsString50RequiredIf Yes, Was the birth abnormality of Arms, legs, hands, feet, trunk deformities
Yes;No;999
Nimh_medicalhist_medprob_birtharms, deformities
medprob_birthspineString50RequiredIf Yes, Was the birth abnormality Spine abnormality (spina bifida)
Yes;No;999
Nimh_medicalhist_medprob_birthspine, spine_defect
medprob_faceString50RecommendedHead/Face Mouth: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_face, head_face_mouth_abnormality
medprob_facesuturesString50RecommendedIf Yes, Was the abnormality Early closing of the sutures (craniosynostosis)
Yes;No
Nimh_medicalhist_medprob_facesutures, cranio
medprob_facetoothString50RecommendedIf Yes, Was the abnormality Dental or Tooth Deformity (shape, enamel, number, location)
Yes;No
Nimh_medicalhist_medprob_facetooth, dental_deformity
medprob_facenoseregString50RecommendedIf Yes, Was the abnormality Regurgitation through nose
Yes;No
Nimh_medicalhist_medprob_facenosereg, nose_regurg
medprob_faceotherString50RecommendedIf Yes, Was the abnormality Other
Yes;No
Nimh_medicalhist_medprob_faceother
medprob_faceother_cmtString255RecommendedIf Yes, Was the abnormality Other(list)Nimh_medicalhist_medprob_faceother_cmt, birth_defect_spfy
medprob_eyeString50RecommendedEyes: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_eye, eyes_abnormality
medprob_eyestructString50RecommendedIf Yes, Was the abnormality Abnormal structure of the eye
Yes;No
Nimh_medicalhist_medprob_eyestruct, eye_struc
medprob_eyelazyString50RecommendedIf Yes, Was the abnormality Strabismus (lazy eye)
Yes;No
Nimh_medicalhist_medprob_eyelazy, eyes_strabismus
medprob_eyecolorblString50RecommendedColor blindness?
Yes;No
Nimh_medicalhist_medprob_eyecolorbl, color_blind
medprob_eyepoorviString50RecommendedIf Yes, Was the abnormality Poor vision
Yes;No
Nimh_medicalhist_medprob_eyepoorvi, vision_prob
medprob_eyeblindString50RecommendedIf Yes, Was the abnormality Blindness
Yes;No
Nimh_medicalhist_medprob_eyeblind, blindness
medprob_eyeother_cmtString50RecommendedIf Yes, Was the abnormality Other
Yes;No
Nimh_medicalhist_medprob_eyeother_cmt, eyes_other
medprob_eyeotherString255RecommendedIf Yes, Was the abnormality Other(list)Nimh_medicalhist_medprob_eyeother, other_abnormalities_2
medprob_earString50RecommendedEars: Is there any known abnormality in this area?
No;Yes;NK
NK = Not knownNimh_medicalhist_medprob_ear, ears_abnormality
medprob_earsetString50RecommendedIf Yes, Was the abnormality Ears set too low or too high
Yes;No
Nimh_medicalhist_medprob_earset, ears_set
medprob_earringingString50RecommendedIf Yes, Was the abnormality Tinnitus (ringing in the ear)
Yes;No
Nimh_medicalhist_medprob_earringing, tinnitus
medprob_earinfectString50RecommendedIf Yes, Was the abnormality Recurrent Infections
Yes;No
Nimh_medicalhist_medprob_earinfect, infections_recc
medprob_earfreqnumFloatRecommendedIf Yes, Number per year when happening most frequentlyNimh_medicalhist_medprob_earfreqnum, infections_recc_number
medprob_eartubeString50RecommendedIf Yes, Was the abnormality Ear tubes placed
Yes;No
Nimh_medicalhist_medprob_eartube, ear_tubes
medprob_earhearString50RecommendedIf Yes, Was the abnormality Hearing trouble
Yes;No
Nimh_medicalhist_medprob_earhear, hearing_trouble
medprob_eardiagString50RecommendedIf Yes, How was this diagnosed
Yes;No
Nimh_medicalhist_medprob_eardiag, hearing_dx
medprob_eardiagageIntegerRecommendedIf Yes, At what age was the child when this was diagnosed(in months)0 :: 1200Nimh_medicalhist_medprob_eardiagage, age_dx
medprob_earotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_earother, ears_other
medprob_earother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_earother_cmt, other_abnormalities_3
medprob_noseString50RecommendedNose/Throat: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_nose, nose_throat_abnor
medprob_nosebleedString50RecommendedIf Yes, Was the abnormality Nosebleeds
Yes;No
Nimh_medicalhist_medprob_nosebleed, adr_q8_nose_bleed
medprob_nosesmellString50RecommendedIf Yes, Was the abnormality Trouble perceiving smells
Yes;No
Nimh_medicalhist_medprob_nosesmell, smells
medprob_nosesensiString50RecommendedIf Yes, Was the abnormality Too sensitive to smells
Yes;No
Nimh_medicalhist_medprob_nosesensi, smells_sens
medprob_nosetonsilString50RecommendedIf Yes, Was the abnormality Tonsillitis
Yes;No
Nimh_medicalhist_medprob_nosetonsil, tonsillitis
medprob_nosesnoreString50RecommendedIf Yes, Was the abnormality Snoring
Yes;No
Nimh_medicalhist_medprob_nosesnore, snoring
medprob_nosetonsilectString50RecommendedIf Yes, Was the abnormality Tonsillectomy
Yes;No
Nimh_medicalhist_medprob_nosetonsilect, tonsillectomy_hx
medprob_noseadenoidString50RecommendedIf Yes, Was the abnormality Adenoidectomy
Yes;No
Nimh_medicalhist_medprob_noseadenoid, adenoidectomy
medprob_nosediagString50RecommendedIf Yes, How was this diagnosed
Yes;No
Nimh_medicalhist_medprob_nosediag
medprob_noseotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_noseother, nose_throat_other
medprob_noseother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_noseother_cmt, other_abnormalities_4
medprob_neckString50RecommendedNeck/Back: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_neck, neck_back_abnor
medprob_neckdeformString50RecommendedIf Yes, Was the Deformity scoliosis, lordosis, kyphosis, torticollis
Yes;No
Nimh_medicalhist_medprob_neckdeform, neck_back
medprob_neckotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_neckother, neck_other
medprob_neckother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_neckother_cmt, other_abnormalities_5
medprob_orthoString50RecommendedOrthopedic: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_ortho, orthopedic
medprob_orthofractString50RecommendedIf Yes, Was the abnormality Fractures
Yes;No
Nimh_medicalhist_medprob_orthofract, hx_fractures
medprob_orthojointpString50RecommendedIf Yes, Was the abnormality Muscle/bone/joint pain
Yes;No
Nimh_medicalhist_medprob_orthojointp, mus_bone_joint_pain
medprob_orthoedemaString50RecommendedIf Yes, Was the abnormality Edema (swelling caused by excess fluid)
Yes;No
Nimh_medicalhist_medprob_orthoedema, edema
medprob_orthostiffString50RecommendedIf Yes, Was the abnormality Stiffness
Yes;No
Nimh_medicalhist_medprob_orthostiff, stiffness
medprob_orthojointsString50RecommendedIf Yes, Was the abnormality Joint swelling
Yes;No
Nimh_medicalhist_medprob_orthojoints, swelling
medprob_orthojointheatString50RecommendedIf Yes, Was the abnormality Heat or redness of joints
Yes;No
Nimh_medicalhist_medprob_orthojointheat, heat_redness
medprob_orthootherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_orthoother, ortho_other
medprob_orthoother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_orthoother_cmt, other_abnormalities_6
medprob_skinString50RecommendedSkin: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_skin, skin_abnorm
medprob_skineczemaString50RecommendedIf Yes, Was the abnormality Eczema
Yes;No
Nimh_medicalhist_medprob_skineczema, dermatologic_eczema
medprob_skinpsorString50RecommendedIf Yes, Was the abnormality Psoriasis
Yes;No
Nimh_medicalhist_medprob_skinpsor, psoriasis
medprob_skinrashString50RecommendedIf Yes, Was the abnormality Frequent rashes
Yes;No
Nimh_medicalhist_medprob_skinrash, rashes
medprob_skinsoresString50RecommendedIf Yes, Was the abnormality Unexplained sores
Yes;No
Nimh_medicalhist_medprob_skinsores, sores
medprob_skininfectString50RecommendedIf Yes, Was the abnormality Infections
Yes;No
Nimh_medicalhist_medprob_skininfect, infections
medprob_skinsensString50RecommendedIf Yes, Was the abnormality Sensitive
Yes;No
Nimh_medicalhist_medprob_skinsens, sensitive
medprob_skinbirthmarkString50RecommendedIf Yes, Was the abnormality Birth marks
Yes;No
Nimh_medicalhist_medprob_skinbirthmark, birthmark
medprob_skinotherString255RecommendedOther
Yes;No
Nimh_medicalhist_medprob_skinother, skin_other
medprob_skinother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_skinother_cmt, skin_other_spfy
medprob_pulmString50RecommendedPulmonary: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_pulm, pulmonary_abnorm
medprob_pulmbreathString50RecommendedIf Yes, Was the abnormality Shortness of breath
Yes;No
Nimh_medicalhist_medprob_pulmbreath, breathing_prob
medprob_pulmasthmaString50RequiredIf Yes, Was the abnormality Asthma
Yes;No;999
Nimh_medicalhist_medprob_pulmasthma, asthma
medprob_pulmpneumoString50RecommendedIf Yes, Was the abnormality Recurrent pneumonias
Yes;No
Nimh_medicalhist_medprob_pulmpneumo, pulm_pneumonia
medprob_pulmbronchiString50RecommendedIf Yes, Was the abnormality Chonic bronchitis
Yes;No
Nimh_medicalhist_medprob_pulmbronchi, respiratory_hx_bronchitis
medprob_pulmsputumString50RecommendedIf Yes, Was the abnormality Blood in sputum
Yes;No
Nimh_medicalhist_medprob_pulmsputum, blood_sputum
medprob_pulmotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_pulmother, pulmonary_other
medprob_pulmother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_pulmother_cmt, pulm_other_spfy
medprob_cardioString50RequiredCardiovascular: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_cardio, cardio_abnorm
medprob_cardiodisString50RequiredIf Yes, Was the abnormality Congenital heart disease
Yes;No;999
Nimh_medicalhist_medprob_cardiodis, heart_disease
medprob_cardiomurString50RequiredIf Yes, Was the abnormality Heart murmur
Yes;No;999
Nimh_medicalhist_medprob_cardiomur, heart_murmur
medprob_cardiobluelipString50RecommendedIf Yes, Was the abnormality Blue discoloration to skin and lips (cyanosis)
Yes;No
Nimh_medicalhist_medprob_cardiobluelip, cyanosis
medprob_cardiorateString50RecommendedIf Yes, Was the abnormality Heart rate too slow or too fast or not rhythmic (arrhythmia)
Yes;No
Nimh_medicalhist_medprob_cardiorate, heart_rate
medprob_cardiootherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_cardioother, cardio_other
medprob_cardioother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_cardioother_cmt, cardio_other_spfy
medprob_gastroString50RecommendedGastrointestinal: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_gastro, gi_prob
medprob_gastroapetString50RecommendedIf Yes, Was the abnormality Poor appetite
Yes;No
Nimh_medicalhist_medprob_gastroapet, appetite_poor
medprob_gastroswallowString50RecommendedIf Yes, Was the abnormality Swallowing difficulty
Yes;No
Nimh_medicalhist_medprob_gastroswallow, diff_swallow_food
medprob_gastroovereatString50RecommendedIf Yes, Was the abnormality Overeating
Yes;No
Nimh_medicalhist_medprob_gastroovereat, overeat
medprob_gastroabpainString50RecommendedIf Yes, Was the abnormality Severe abdominal pain
Yes;No
Nimh_medicalhist_medprob_gastroabpain, abdominal_pain
medprob_gastroabswellString50RecommendedIf Yes, Was the abnormality Abdominal bloating
Yes;No
Nimh_medicalhist_medprob_gastroabswell, bloating
medprob_gastroabbloatString50RecommendedIf Yes, Was the abnormality Chronic Diarrhea
Yes;No
Nimh_medicalhist_medprob_gastroabbloat, diarrhea
medprob_gastroconstipString50RecommendedIf Yes, Was the abnormality Chronic Constipation
Yes;No
Nimh_medicalhist_medprob_gastroconstip, gi_constipation
medprob_gastrostoolblString50RecommendedIf Yes, Was the abnormality Blood in stool
Yes;No
Nimh_medicalhist_medprob_gastrostoolbl, adr_q17_stool_blood
medprob_gastrostoolpusString50RecommendedIf Yes, Was the abnormality Pus in stool
Yes;No
Nimh_medicalhist_medprob_gastrostoolpus, stool_pus
medprob_gastrowtlossString50RecommendedIf Yes, Was the abnormality Unexpected weight loss or weight gain
Yes;No
Nimh_medicalhist_medprob_gastrowtloss, weight_changes
medprob_gastrogerdString50RequiredIf Yes, Was the abnormality Gastroesophageal reflux (GERD)
Yes;No;999
Nimh_medicalhist_medprob_gastrogerd, gi_ge_reflux
medprob_gastroindiString50RecommendedIf Yes, Was the abnormality Indigestion
Yes;No
Nimh_medicalhist_medprob_gastroindi, indigestion
medprob_gastropicaString50RecommendedIf Yes, Was the abnormality Pica (eating non-food materials)
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_medprob_gastropica, pica
medprob_gastropickteatString50RecommendedIf Yes, Was the abnormality Excessively picky eater
Yes;No
Nimh_medicalhist_medprob_gastropickteat, picky_eater
medprob_gastrootherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_gastroother, gi_other_problem
medprob_gastroother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_gastroother_cmt, gi_other
medprob_uriString50RecommendedGenito-Urinary: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_uri, genitourinary_normal_abnormal
medprob_urivaghString50RecommendedIf Yes, Was the Deformity ambiguous genitalia, hypospadias, etc.
Yes;No
Nimh_medicalhist_medprob_urivagh, gu_genital_anomalies_ambiguous_genitalia
medprob_uritesticleString50RecommendedIf Yes, Was the Deformity Undescended testicles
Yes;No
Nimh_medicalhist_medprob_uritesticle, testicles_undesce
medprob_uritesticleluString50RecommendedIf Yes, Was the Deformity Testicle too large, too small, too hard, with lump
Yes;No
Nimh_medicalhist_medprob_uritesticlelu, testicle_abnor
medprob_uripainString50RecommendedIf Yes, Was the Deformity Pain with urination
Yes;No
Nimh_medicalhist_medprob_uripain, geni_pain_urine
medprob_uribloodString50RecommendedIf Yes, Was the Deformity Blood in urine
Yes;No
Nimh_medicalhist_medprob_uriblood, urine_bloody
medprob_uridischargeString50RecommendedIf Yes, Was the Deformity Discharge
Yes;No
Nimh_medicalhist_medprob_uridischarge, gu_discharge
medprob_urifreqString50RecommendedIf Yes, Was the Deformity Urinating too frequently, too seldom
Yes;No
Nimh_medicalhist_medprob_urifreq, frequent_urination
medprob_uriinfectString50RequiredIf Yes, Was the Deformity Urinary tract infection
Yes;No;999
Nimh_medicalhist_medprob_uriinfect, urinary_tract_anomalies
medprob_uriotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_uriother, gu_other_problem
medprob_uriother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_uriother_cmt, gu_othr
medprob_endoString50RequiredEndocrine/Metabolic: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_endo, endo_meta_abnorm
medprob_endothyroidString50RequiredIf Yes, Was the abnormality Problems with thyroid gland
Yes;No;999
Nimh_medicalhist_medprob_endothyroid, thyroid_glands
medprob_endoneckString50RecommendedIf Yes, Was the abnormality Swelling of neck
Yes;No
Nimh_medicalhist_medprob_endoneck, neck_swell
medprob_endodiabString50RequiredIf Yes, Was the abnormality Diabetes
Yes;No;999
Nimh_medicalhist_medprob_endodiab, diabetes
medprob_endoglycemString50RecommendedIf Yes, Was the abnormality Hypoglycemia (documented low blood sugar)
Yes;No
Nimh_medicalhist_medprob_endoglycem, hypoglycemia
medprob_endowtString50RecommendedIf Yes, Was the abnormality Significantly overweight or underweight
Yes;No
Nimh_medicalhist_medprob_endowt, weight_loss_gain
medprob_endothriveinfString50RequiredIf Yes, Was the abnormality History of failure to thrive as an infant
Yes;No;999
Nimh_medicalhist_medprob_endothriveinf, hx_infant
medprob_endotallString50RecommendedIf Yes, Was the abnormality Too tall for age
Yes;No
Nimh_medicalhist_medprob_endotall, tall_age
medprob_endoshortString50RecommendedIf Yes, Was the abnormality Too short for age
Yes;No
Nimh_medicalhist_medprob_endoshort, short_age
medprob_endowtoverString50RecommendedIf Yes, Was the abnormality Overweight for age
Yes;No
Nimh_medicalhist_medprob_endowtover, overweight
medprob_endowtunderString50RecommendedIf Yes, Was the abnormality Underweight for age
Yes;No
Nimh_medicalhist_medprob_endowtunder, underweight
medprob_endowtgainString50RecommendedIf Yes, Was the abnormality Gaining weight too fast, too slow
Yes;No
Nimh_medicalhist_medprob_endowtgain
medprob_endogrowtallString50RecommendedIf Yes, Was the abnormality Growing taller too slowly, too fast
Yes;No
Nimh_medicalhist_medprob_endogrowtall, general_growth
medprob_endosexString50RecommendedIf Yes, Was the abnormality Developing sexually too fast, too slow
Yes;No
Nimh_medicalhist_medprob_endosex, develop_sexual
medprob_endotempString50RecommendedIf Yes, Was the abnormality Difficulty regulating body temperature (gets too hot or too cold)
Yes;No
Nimh_medicalhist_medprob_endotemp, regulat_body_temp
medprob_endoodorString50RecommendedIf Yes, Was the abnormality Unusual body odor or smell
Yes;No
Nimh_medicalhist_medprob_endoodor, sympt_body_odor
medprob_endosmellString50RecommendedIf Yes, Was the abnormality Unusual smell of the urine
Yes;No
Nimh_medicalhist_medprob_endosmell, urine_odor
medprob_endoillnessString50RequiredIf Yes, Was the abnormality Child often shows a regression or loss of skills during illnesses
Yes;No;999
Nimh_medicalhist_medprob_endoillness, regression_loss_skill
medprob_endotiresString50RecommendedIf Yes, Was the abnormality Tires more easily than other children
Yes;No
Nimh_medicalhist_medprob_endotires, tired_easily
medprob_endoanesString50RecommendedIf Yes, Was the abnormality Unusual response to anesthesia
Yes;No
Nimh_medicalhist_medprob_endoanes, react_anesthesia
medprob_endootherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_endoother, med_hx_other_endocrine
medprob_endoother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_endoother_cmt, endo_meta_other
medprob_immString50RecommendedAllergic/Immunologic: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_imm, allergy
medprob_immallergyString50RequiredDid the child have any allergies other than food, environmental, or seasonal allergies? If yes, please list the allergies in Other (data element: medprob_immotherlist)
Yes;No;999
Nimh_medicalhist_medprob_immallergy, allergies
medprob_immfoodString50RequiredIf Yes, Was the allergy due to Food
Yes;No;999
Nimh_medicalhist_medprob_immfood, allergy_food
medprob_immenvString50RequiredIf Yes, Was the allergy due to Environmental (ust, pets etc)
Yes;No;999
Nimh_medicalhist_medprob_immenv, allerg_environment
medprob_immseasonString50RequiredIf Yes, Was the allergy seasonal (hayfever)
Yes;No;999
Nimh_medicalhist_medprob_immseason, allerg_seasonal
medprob_immotherlistString255RecommendedOther(list)Nimh_medicalhist_medprob_immotherlist, allerg_other
medprob_immdefString50RecommendedIf Yes, Was the allergy Immunodeficiency (immune system doesnt work right)
Yes;No
Nimh_medicalhist_medprob_immdef, immunodeficiency
medprob_immdeftypeString255RecommendedImmunodeficiency TypeNimh_medicalhist_medprob_immdeftype, immuno_type
medprob_immoverString50RecommendedIf Yes, Was the allergy Autoimmune disorder (Immune system overactive)
Yes;No
Nimh_medicalhist_medprob_immover, autoimmune_hx
medprob_immovertypeString255RecommendedAutoimmune disorder TypeNimh_medicalhist_medprob_immovertype, autoimmun_type
medprob_immlymphString50RecommendedIf Yes, Was the allergy Swelling of lymph nodes (glands)
Yes;No
Nimh_medicalhist_medprob_immlymph, swell_lymph_node
medprob_imminfectString50RecommendedIf Yes, Was the allergy Frequent infections
Yes;No
Nimh_medicalhist_medprob_imminfect, freq_infections
medprob_immotherString50RecommendedDid the child have any allergies other than food, environmental, or seasonal allergies? If yes, please list the allergies in Other (data element: medprob_immotherlist) and it is a Yes/No field
Yes;No
Nimh_medicalhist_medprob_immother
medprob_immother_cmtString255RecommendedIf Yes, Other(List)Nimh_medicalhist_medprob_immother_cmt, allergic_spfy
medprob_canString50RecommendedHermatogic/Cancer: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_can, hematologic
medprob_cananemiaString50RecommendedIf Yes, Was the abnormality Anemia (low red blood count)
Yes;No
Nimh_medicalhist_medprob_cananemia, anemia
medprob_cantiresString50RecommendedIf Yes, Was the abnormality Tires more easily than other children
Yes;No
Nimh_medicalhist_medprob_cantires, tired
medprob_canpaleString50RecommendedIf Yes, Was the abnormality Paleness
Yes;No
Nimh_medicalhist_medprob_canpale, paleness
medprob_cancanString50RecommendedIf Yes, Was the abnormality Cancer
Yes;No
Nimh_medicalhist_medprob_cancan, cancer
medprob_cancantypeString255RecommendedCancer TypeNimh_medicalhist_medprob_cancantype, type_cancer
medprob_canotherString50RecommendedOther
Yes;No
Nimh_medicalhist_medprob_canother
medprob_canother_cmtString255RecommendedOther(list)Nimh_medicalhist_medprob_canother_cmt
medprob_infString50RecommendedInfectious Disease: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_inf, infect_diseases
medprob_infinfuenzaString50RecommendedIf Yes, Was the disease Influenza
Yes;No
Nimh_medicalhist_medprob_infinfuenza, influenza
medprob_infroseolaString50RecommendedIf Yes, Was the disease Roseola
Yes;No
Nimh_medicalhist_medprob_infroseola, roseola
medprob_inffifthString50RecommendedIf Yes, Was the disease Fifth's disease
Yes;No
Nimh_medicalhist_medprob_inffifth, fifth_disease
medprob_infgermanString50RequiredIf Yes, Was the disease Rubella (German Measles)
Yes;No;999
Nimh_medicalhist_medprob_infgerman, rubella
medprob_infmeaslesString50RecommendedIf Yes, Was the disease Rubeola (measles)
Yes;No
Nimh_medicalhist_medprob_infmeasles, rubeola
medprob_infmumpString50RequiredIf Yes, Was the disease Mumps
Yes;No;999
Nimh_medicalhist_medprob_infmump, mumps
medprob_infchickpoxString50RecommendedIf Yes, Was the disease Chicken Pox
Yes;No
Nimh_medicalhist_medprob_infchickpox, chicken_pox
medprob_infcoldsoreString50RequiredIf Yes, Was the disease Herpes Type 1 (cold sores)
Yes;No;999
Nimh_medicalhist_medprob_infcoldsore, herpes_type_1
medprob_infgenitalString50RequiredIf Yes, Was the disease Herpes Type 2 (genital)
Yes;No;999
Nimh_medicalhist_medprob_infgenital, herpes_type_2
medprob_inflymeString50RecommendedIf Yes, Was the disease Lyme disease
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_medprob_inflyme, lyme_disease
medprob_infmononString50RecommendedIf Yes, Was the disease Epstein Barr Virus (mononucleosis)
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_medprob_infmonon, infect_mononucleosis
medprob_infcmvString50RecommendedIf Yes, Was the disease Cytomegalovirus (CMV)
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_medprob_infcmv, cmv
medprob_infviealString50RecommendedIf Yes, Was the disease Viral Hepatitis
Yes;No
Nimh_medicalhist_medprob_infvieal, gi_hepatitis
medprob_infotherString50RecommendedIf Yes, Other
Yes;No
Nimh_medicalhist_medprob_infother
medprob_infother_cmtString255RecommendedIf Yes, Other(List)Nimh_medicalhist_medprob_infother_cmt, infect_diseases_spfy
medprob_neuroString50RecommendedNeurological: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_neuro, neurologic_dx
medprob_neuroheadString50RecommendedIf Yes, Was the disease Headache
Yes;No
Nimh_medicalhist_medprob_neurohead, headache
medprob_neuromrString50RecommendedIf Yes, Was the disease Muscle rigidity
Yes;No
Nimh_medicalhist_medprob_neuromr, muscle_rigid
medprob_neurotremorString50RecommendedIf Yes, Was the disease Tremor
Yes;No
Nimh_medicalhist_medprob_neurotremor, neuro_tremor
medprob_neuroticmoveString50RecommendedIf Yes, Was the disease Tic movements
Yes;No
Nimh_medicalhist_medprob_neuroticmove, tic_move
medprob_neurodystonString50RecommendedIf Yes, Was the disease Dystonia (a slow movement or extended spasm in a group of muscles)
Yes;No
Nimh_medicalhist_medprob_neurodyston, move_dystonia
medprob_neuroakasString50RecommendedIf Yes, Was the disease Akathisia (restlessness of arms and legs)
Yes;No
Nimh_medicalhist_medprob_neuroakas, restless
medprob_neuromeningString50RecommendedIf Yes, Was the disease History of meningitis or encephalitis
No;Yes;Don't know
Nimh_medicalhist_medprob_neuromening, hx_menin_enceph
medprob_neurofaintString50RecommendedIf Yes, Was the disease Dizziness/faintness
Yes;No
Nimh_medicalhist_medprob_neurofaint, neuro_faint
medprob_neurowalkString50RecommendedIf Yes, Was the disease Unusual walking pattern
Yes;No
Nimh_medicalhist_medprob_neurowalk, walk_pattern
medprob_neurobtString50RecommendedIf Yes, Was the disease Balance trouble
Yes;No
Nimh_medicalhist_medprob_neurobt, balance_problems
medprob_neuroctString50RecommendedIf Yes, Was the disease Coordination trouble
Yes;No
Nimh_medicalhist_medprob_neuroct, coord_trouble
medprob_neuroweakString50RecommendedIf Yes, Was the disease Weakness
Yes;No
Nimh_medicalhist_medprob_neuroweak, weakness
medprob_neuroclString50RecommendedIf Yes, Was the disease Loss of consciousness
Yes;No
Nimh_medicalhist_medprob_neurocl, neuro_loss_concsns
medprob_neurosleepString50RecommendedIf Yes, Was the disease Severe sleep disturbance
Yes;No
Nimh_medicalhist_medprob_neurosleep, sleep_disturb
medprob_neurofeverString50RecommendedIf Yes, Was the disease Seizures with fever only
No;Yes;Don't know
Nimh_medicalhist_medprob_neurofever, seizure_fever
medprob_neurofeverwString50RecommendedIf Yes, Was the disease Seizures without fever (epilepsy)
Yes;No
Nimh_medicalhist_medprob_neurofeverw, neuro_hx_epilepsy
medprob_neurospeechString50RecommendedIf Yes, Was the disease Speech articulation difficulties
Yes;No
Nimh_medicalhist_medprob_neurospeech, speech_diff
medprob_neuroomaString50RecommendedIf Yes, Was the disease Speech or oral-motor apraxia
Yes;No
Nimh_medicalhist_medprob_neurooma, apraxia
medprob_neurobaString50RecommendedIf Yes, Was the disease Whole body apraxia (motor planning difficulty)
Yes;No
Nimh_medicalhist_medprob_neuroba, apraxia_wb
medprob_neurootherString50RecommendedIf Yes, Other
Yes;No
Nimh_medicalhist_medprob_neuroother
medprob_neuroother_cmtString255RecommendedIf Yes, Other(List)Nimh_medicalhist_medprob_neuroother_cmt, neurologic_spfy
medprob_psyString50RecommendedPsychiatric: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_psy, psychiatric
medprob_psyadhdString50RequiredIf Yes, Was diagnosed with ADHD
Yes;No;999
Nimh_medicalhist_medprob_psyadhd, adhd_dx
medprob_psytaString50RecommendedIf Yes, Was diagnosed Trouble with attention or concentration
Yes;No
Nimh_medicalhist_medprob_psyta, trouble_concentrating
medprob_psyedString50RecommendedIf Yes, Was diagnosed Excessively distractable
Yes;No
Nimh_medicalhist_medprob_psyed, excessive_distract
medprob_psyhaString50RecommendedIf Yes, Was diagnosed Hyperactive
Yes;No
Nimh_medicalhist_medprob_psyha, hyperactive
medprob_psydepressString50RequiredWas diagnosed with Depression?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not applyNimh_medicalhist_medprob_psydepress, depression
medprob_psymanicString50RequiredWas diagnosed with Bipolar/Manic Depression?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not applyNimh_medicalhist_medprob_psymanic, bipolar
medprob_psyadString50RecommendedIf Yes, Was diagnosed Diagnosed with anxiety disorder
Yes;No
Nimh_medicalhist_medprob_psyad, anxiety
medprob_psyocdString50RecommendedIf Yes, Was Diagnosed with OCD
Yes;No
Nimh_medicalhist_medprob_psyocd, ocd
medprob_psyschiString50RequiredWas diagnosed with Schizophrenia?
Yes;No;-7;-8;-9
CPEA STAART: -7 = Don't know; -8 = Refused to answer; -9 = Does not applyNimh_medicalhist_medprob_psyschi, schizophrenia
medprob_psypanicString50RecommendedIf Yes, Was having Panic attacks
Yes;No
Nimh_medicalhist_medprob_psypanic, panic_attacks
medprob_psyhalluciString50RecommendedIf Yes, Was having Hallucinations
Yes;No
Nimh_medicalhist_medprob_psyhalluci, hallucinations
medprob_psysibString50RecommendedIf Yes, Was having Self injurious behavior
Yes;No
Nimh_medicalhist_medprob_psysib, intent_self_injur
medprob_psyhospString50RecommendedIf Yes, Was Been admitted to a psychiatric hospital
Yes;No
Nimh_medicalhist_medprob_psyhosp, adm_psych_hosp
medprob_psyotherString50RecommendedIf Yes, Other
Yes;No
Nimh_medicalhist_medprob_psyother
medprob_psyother_cmtString255RecommendedIf Yes, Other(List)Nimh_medicalhist_medprob_psyother_cmt, psychiatric_abnormal
medprob_genString50RecommendedGenetic Syndromes: Is there any known abnormality in this area
No;Yes;Don't Know
Nimh_medicalhist_medprob_gen, genetic_synd
medprob_genfragileString50RequiredChild have Fragile X?
Yes;No;999
Nimh_medicalhist_medprob_genfragile
medprob_gentbString50RequiredChild have Tuberous Sclerosis?
Yes;No;999
Nimh_medicalhist_medprob_gentb, tuberous_sclerosis
medprob_genneuroString50RequiredChild have Neurofibromatosis?
Yes;No;999
Nimh_medicalhist_medprob_genneuro, neurofibromatosis
medprob_genrettString50RequiredChild has Rett Syndrome?
Yes;No;999
Nimh_medicalhist_medprob_genrett, rett_synd
medprob_genangelString50RequiredChild have Angelman Syndrome?
Yes;No;999
Nimh_medicalhist_medprob_genangel, angelman_synd
medprob_genpraderString50RequiredChild have Prader Willi Syndrome?
Yes;No;999
Nimh_medicalhist_medprob_genprader, prader_willi_synd
medprob_genotherString50RecommendedOther chromosomal abnormality, disorder, or syndrome
Yes;No
Nimh_medicalhist_medprob_genother
medprob_genother_cmtString255RecommendedOther chromosomal abnormality, disorder, or syndrome (specify)Nimh_medicalhist_medprob_genother_cmt, other_chromo_abnormal
diag_heartestString50RecommendedHas the child ever had his/her hearing tested
No;Yes;Don't Know
Nimh_medicalhist_diag_heartest, hearing_test
diag_behavaudiString50RecommendedBehavioral audiometry
Yes;No
Nimh_medicalhist_diag_behavaudi, behavior_audio
diag_agebehavaudiIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agebehavaudi, behavior_audio_age
diag_datebehavaudiDateRecommendedDate of testNimh_medicalhist_diag_datebehavaudi, behavior_audio_date
diag_abrString50RecommendedABR or BEAR
Yes;No
Nimh_medicalhist_diag_abr, abr
diag_ageabrIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_ageabr, abr_age
diag_dateabrDateRecommendedDate of testNimh_medicalhist_diag_dateabr, abr_date
diag_tympString50RecommendedTympanogram
Yes;No
Nimh_medicalhist_diag_tymp, tympanogram
diag_agetympIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agetymp, tympanogram_age
diag_datetympDateRecommendedDate of testNimh_medicalhist_diag_datetymp, tympanogram_date
diag_otoacString50RecommendedOtoacoustic emissions
Yes;No
Nimh_medicalhist_diag_otoac, otoacoustic_emiss
diag_ageotoacIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_ageotoac, otoacoustic_emiss_age
diag_dateotoacDateRecommendedDate of testNimh_medicalhist_diag_dateotoac, otoacoustic_emiss_date
diag_scanString50RecommendedHas the child ever had a brain scan
No;Yes;Don't Know
Nimh_medicalhist_diag_scan, brain_scan
diag_catString50RecommendedCAT or CT scan
Yes;No
Nimh_medicalhist_diag_cat, ct_scan
diag_agecatIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agecat, ct_age
diag_datetestDateRecommendedDate of testNimh_medicalhist_diag_datetest, ct_date
diag_mriString50RecommendedMRI scan
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_diag_mri, mri
diag_agemriIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agemri, mri_age
diag_datemriDateRecommendedDate of testNimh_medicalhist_diag_datemri, mri_date
diag_mrsString50RecommendedMRS scan
Yes;No
Nimh_medicalhist_diag_mrs, mrs_scan
diag_agemrsIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agemrs, mrs_scan_age
diag_datemrsDateRecommendedDate of testNimh_medicalhist_diag_datemrs, mrs_scan_date
diag_spectString50RecommendedSPECT scan
Yes;No
Nimh_medicalhist_diag_spect, spect_scan
diag_agespectIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agespect, spect_scan_age
diag_datespectDateRecommendedDate of testNimh_medicalhist_diag_datespect, spect_scan_date
diag_petString50RecommendedPET scan
Yes; No; NK; NS
NK= Not known; NS = Not sureNimh_medicalhist_diag_pet, pet_scan
diag_agepetIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agepet, pet_scan_age
diag_datepetDateRecommendedDate of testNimh_medicalhist_diag_datepet, pet_scan_date
diag_othString255RecommendedOtherNimh_medicalhist_diag_oth, other_scans_type
diag_ageothIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_ageoth, other_scans_age
diag_dateothDateRecommendedDate of testNimh_medicalhist_diag_dateoth, other_scans_date
diag_eegeverString50Recommendedthe child ever had an EEG or MEG (test of the brain waves)
No;Yes;Don't Know
Nimh_medicalhist_diag_eegever, cardiology_tests_eeg
diag_eegString50RecommendedEEG
Yes;No
Nimh_medicalhist_diag_eeg, neuro_eeg
diag_ageeegIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_ageeeg, neuro_eeg_age
diag_dateeegDateRecommendedDate of testNimh_medicalhist_diag_dateeeg, neuro_eeg_date
diag_megString50RecommendedMEG
Yes;No
Nimh_medicalhist_diag_meg, meg
diag_agemegIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_agemeg, meg_age
diag_datemegDateRecommendedDate of testNimh_medicalhist_diag_datemeg, meg_date
diag_otheegString50RecommendedOTHER (repeat EEGs, ERPs etc)Nimh_medicalhist_diag_otheeg, other_repeat_test
diag_ageotheegIntegerRecommendedHow old the child was when tested (Ages at test)0 :: 1200Nimh_medicalhist_diag_ageotheeg, other_repeat_test_age
diag_dateotheegDateRecommendedDate of testNimh_medicalhist_diag_dateotheeg, other_repeat_test_date
surg_surgeverString50RecommendedHas the child ever had surgery
No;Yes;Don't Know
Nimh_medicalhist_surg_surgever, surgery
surg_surgtype1String255RecommendedTYPE OF SURGERY 1Nimh_medicalhist_surg_surgtype1, surgery1_hx_type
surg_surgtype2String255RecommendedTYPE OF SURGERY 2Nimh_medicalhist_surg_surgtype2, surgery2_hx_type
surg_surgtype3String255RecommendedTYPE OF SURGERY 3Nimh_medicalhist_surg_surgtype3, surgery3_hx_type
surg_surgreason1String255RecommendedWhy was it done 1Nimh_medicalhist_surg_surgreason1, surgery1_reason
surg_surgreason2String255RecommendedWhy was it done 2Nimh_medicalhist_surg_surgreason2, surgery2_reason
surg_surgreason3String255RecommendedWhy was it done 3Nimh_medicalhist_surg_surgreason3, surgery3_reason
surg_surgdate1DateRecommendedDate 1Nimh_medicalhist_surg_surgdate1, surgery1_hx_date
surg_surgdate2DateRecommendedDate 2Nimh_medicalhist_surg_surgdate2, surgery2_hx_date
surg_surgdate3DateRecommendedDate 3Nimh_medicalhist_surg_surgdate3, surgery3_hx_date
surg_hospString50RequiredHas the child had any other hospitalizations besides these surgeries
No;Yes;Don't Know
Nimh_medicalhist_surg_hosp, hospitalizations
surg_reasonhosp1String255RecommendedWHY HOSPITALIZED 1Nimh_medicalhist_surg_reasonhosp1, hospital_1
surg_reasonhosp2String255RecommendedWHY HOSPITALIZED 2Nimh_medicalhist_surg_reasonhosp2, hospital_2
surg_reasonhosp3String255RecommendedWHY HOSPITALIZED 3Nimh_medicalhist_surg_reasonhosp3, hospital_3
surg_hospstay1String255RecommendedHOW MANY DAYS DID HE/SHE STAY 1Nimh_medicalhist_surg_hospstay1, hospital_1_stay
surg_hospstay2String255RecommendedHOW MANY DAYS DID HE/SHE STAY 2Nimh_medicalhist_surg_hospstay2, hospital_2_stay
surg_hospstay3String255RecommendedHOW MANY DAYS DID HE/SHE STAY 3Nimh_medicalhist_surg_hospstay3, hospital_3_stay
surg_hospdate1DateRecommendedDate 1Nimh_medicalhist_surg_hospdate1, hospital_date
surg_hospdate2DateRecommendedDate 2Nimh_medicalhist_surg_hospdate2, hospital_date_2
surg_hospdate3DateRecommendedDate 3Nimh_medicalhist_surg_hospdate3, hospital_date_3
medhis_curmedString50RequiredIs the child currently on any prescription medication
No;Yes;Not Sure
Nimh_medicalhist_medhis_curmed, medications
medhis_curmed1String255RecommendedIf Yes, Please List 1Nimh_medicalhist_medhis_curmed1, med1
medhis_curmed2String255RecommendedIf Yes, Please List 2Nimh_medicalhist_medhis_curmed2, med2
medhis_curmed3String255RecommendedIf Yes, Please List 3Nimh_medicalhist_medhis_curmed3, med3
medhis_curmed4String255RecommendedIf Yes, Please List 4Nimh_medicalhist_medhis_curmed4, med4
medhis_curmed5String255RecommendedIf Yes, Please List 5Nimh_medicalhist_medhis_curmed5, med5
medhis_pastmedString50RecommendedIn the past has the child been on prescription medication to help with his/her symptoms of autism
No;Yes;Not Sure
Nimh_medicalhist_medhis_pastmed, autism_meds
medhis_pastmed1String255RecommendedIf Yes, Please List 1Nimh_medicalhist_medhis_pastmed1, autism_med_1
medhis_pastmed2String255RecommendedIf Yes, Please List 2Nimh_medicalhist_medhis_pastmed2, autism_med_2
medhis_pastmed3String255RecommendedIf Yes, Please List 3Nimh_medicalhist_medhis_pastmed3, autism_med_3
medhis_pastmed4String255RecommendedIf Yes, Please List 4Nimh_medicalhist_medhis_pastmed4, autism_med_4
medhis_pastmed5String255RecommendedIf Yes, Please List 5Nimh_medicalhist_medhis_pastmed5, autism_med_5
medhis_othermedString255RecommendedPlease indicate all other medical treatments used to treat the childs symptoms of autismNimh_medicalhist_medhis_othermed
medhis_ivigString50RecommendedIVIGNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_ivig, ivig_tx
medhis_chelString50RequiredChelating medicationsNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_chel, chelation
medhis_baricString50RecommendedHyperbaric oxygen chamberNow;In the past;Never;Not sureNimh_medicalhist_medhis_baric
medhis_supvitString50RequiredSupplemental vitaminsNow;In the past;Never;Not sure;999;Not NowNimh_medicalhist_medhis_supvit, supplmnts_vitamins
medhis_herbString50RequiredHerbal supplements such as Gingko or EchinaceaNow;In the past;Never;Not sure;999;Not NowNimh_medicalhist_medhis_herb, otc_herbal_supplements
medhis_fattyaString50RequiredFatty acid supplementsNow;In the past;Never;Not sure;999;Not NowNimh_medicalhist_medhis_fattya, fatty_acid_supp
medhis_aminoString50RequiredAmino acid supplementsNow;In the past;Never;Not sure;999;Not NowNimh_medicalhist_medhis_amino, amino_acid_supp
medhis_minString50RequiredMineral supplements like iron or zincNow;In the past;Never;Not sure;999;Not NowNimh_medicalhist_medhis_min, mineral_supp
medhis_dietString50RequiredIs the childs diet limited in any way to help behaviorsNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_diet, diet
medhis_glutenString50RecommendedGluten FreeNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_gluten, gluten_free
medhis_caseinString50RecommendedCasein FreeNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_casein, casein_free
medhis_feingoldString50RecommendedFeingoldNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_feingold, feingold
medhis_prosString50RecommendedNo processed sugarsNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_pros, sugar_proc
medhis_salicylateString50RecommendedNo sugars or salicylatesNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_salicylate, sugar
medhis_otherString50RecommendedOtherNow;In the past;Never;Not sure;YesNimh_medicalhist_medhis_other, other_diet_limit
medhis_other_cmtString255RecommendedOther(list)Nimh_medicalhist_medhis_other_cmt, other_trx
medhis_diethelpString50RecommendedHas the diet been helpful
Yes;No;Cant Say
Nimh_medicalhist_medhis_diethelp, diet_work
famhis_autismString255RecommendedAutism Spectrum Disorders- Autism - Who had itNimh_medicalhist_famhis_autism, autism_fam_hx
famhis_aspergerString255RecommendedAutism Spectrum Disorders- Aspergers - Who had itNimh_medicalhist_famhis_asperger, asperger_fam_hx
famhis_pddnosString255RecommendedAutism Spectrum Disorders- PDD-NOS - Who had itNimh_medicalhist_famhis_pddnos, pdd_nos_fam_hx
famhis_disintegrativeString255RecommendedIndicate which relatives had Childhood Disintegrative Disorder.Nimh_medicalhist_famhis_disintegrative, cdd_fam_hx
famhis_rettString255RecommendedGenetic Disorders or Syndromes- Rett Syndrome - Who had itNimh_medicalhist_famhis_rett, rett_synd_fam_hx
famhis_fragilexString255RecommendedGenetic Disorders or Syndromes- Fragile X - Who had itNimh_medicalhist_famhis_fragilex, fragile_x_fam_hx
famhis_tbString255RecommendedGenetic Disorders or Syndromes- Tuberous Sclerosis - Who had itNimh_medicalhist_famhis_tb, tuberous_sclerosis_hx
famhis_neurofibraString255RecommendedGenetic Disorders or Syndromes- Neurofibramatosis - Who had itNimh_medicalhist_famhis_neurofibra, neurofibromatosis_fam_hx
famhis_angelmanString255RecommendedGenetic Disorders or Syndromes- Prader Willi or Angelman Syndrome - Who had itNimh_medicalhist_famhis_angelman, prad_willi_ange_fam_hx
famhis_downString255RecommendedGenetic Disorders or Syndromes- Down Syndrome - Who had itNimh_medicalhist_famhis_down, down_synd_fam_hx
famhis_otherString255RecommendedGenetic Disorders or Syndromes- Other genetic syndrome (eg Sotos syndrome, Joubert syndrome, Williams syndrome)- Who had itNimh_medicalhist_famhis_other, genetic_synd_fam_hx
famhis_pkuString255RecommendedGenetic Disorders or Syndromes- Phenylketonuria (PKU) - Who had itNimh_medicalhist_famhis_pku, pku_fam_hx
famhis_chromoString255RecommendedGenetic Disorders or Syndromes- Chromosomal abnormalities (deletions, duplications) - Who had itNimh_medicalhist_famhis_chromo, chromosomal_fam_hx
famhis_mentalString255RecommendedDevelopmental Problems- Mental retardation - Who had itNimh_medicalhist_famhis_mental, family_hx_retardation
famhis_speechdelayString255RecommendedDevelopmental Problems- Speech delay requiring therapy - Who had itNimh_medicalhist_famhis_speechdelay, speech_delay_fam_hx
famhis_learndisString255RecommendedDevelopmental Problems- Learning Disabilities - Who had itNimh_medicalhist_famhis_learndis, fmly_hx_learn_disablt
genderString20RequiredSex of the subjectM;FM = Male; F = Femalesex
ethnicityString30RecommendedEthnicity of participantHispanic or Latino; Not Hispanic or Latino; Unknowndemo_ethnicity
raceString30RecommendedRace of study subjectAmerican Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reporteddemo_race
otherraceString50Recommendedspecify other racedemo_race_spfy
fh13IntegerRecommendedBirth order0::13; 9999 = Missing valuepregnancy_number
q21_4aIntegerRecommendedOvulation induction (e.g., took Clomid or Pergonal)0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.ovulation_induction
q21_4bIntegerRecommendedIn Vitro Fertilization (IVF)0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.ivf
q21_4cIntegerRecommendedGIFT or ZIFT0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.gift_zift
q21_4dIntegerRecommendedIntracytoplasmic sperm injection (ICSI)0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.get_pregnant_tx_icsi
q21_4eIntegerRecommendedSperm donor0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.sperm_donor
q21_4fIntegerRecommendedEgg donor0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.egg_donation_children
q21_4gIntegerRecommendedEggs or embryos frozen0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.egg_frozen
q21_4hIntegerRecommendedOther0; 1; -7; -8; -9Field should not be left blank. If missing, please use -7, 8, -9.other_art_spfy
preg_asstrepString255RecommendedWas any other assisted reproduction used? If so, specifyother_art
q14_cd_sString100RecommendedOther medication: Specifyother_med_spfy
subus31String50RecommendedSpecify other recreational drugsother_drugs_spfy
family_bio_coi_age_bf_beganIntegerRecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC2a How old, in days, was the Child of Interest (COI) when breast milk feeding began?breast_fed_start
family_bio_coi_age_bf_frst_supIntegerRecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC2b How old, in days, was the Child of Interest (COI) when formula or other solid food was used to supplement breast milk?formula_start
family_bio_num_cig_breastfeedIntegerRecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC4b How many cigarettes were smoked by the Biological Mother per week while the Child of Interest (COI) was receiving breast milk?smoke_daily
family_bio_num_alc_breastfeedFloatRecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC5b How many alcoholic drinks were consumed per week by the Biological Mother while breastfeeding the Child of Interest (COI)?drinks_of_alcohol
postnatal_colicString50RecommendedColic/Difficult to SootheYes;No;NKNK = Not knownbaby_colic
fammedhx_othergenetic_specifyString255RecommendedIf any other genetic disorder: specifygenetic_synd_1
txhxservices_descString100RecommendedDescribe other servicesother_specify
family_bio_coi_smo_breastfeedString2RecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC4a Did the Child of Interest (COI) Biological Mother ever smoke while the COI was receiving breast milk? (Yes, No, No Answer)Y;N;NA;DKY = Yes; N = No; NA = No answer; DK = Don't Knowbreast_milk_smoker
family_bio_coi_alc_breastfeedString2RecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC5a Did the Child of Interest (COI) Biological Mother ever drink alcohol while the COI was receving breast milk? (Yes, No, No Answer)Y;N;NA;DKY = Yes; N = No; NA = No answer; DK = Don't Knowbreast_milk_drinker
family_bio_coi_breastfeed_medsString2RecommendedFamily Biographical History Form (0:0 to 4:5 y:m) Question IIC6a Did the Child of Interest (COI) Biological Mother use any medication (over-the-counter or prescription) while the child was on breast milk? (Yes, No, No Answer)Y;N;NA;DKY = Yes; N = No; NA = No answer; DK = Don't Knowbreast_milk_meds_use
loss_classificationIntegerRecommendedType of skills loss1::41 = Early Autism; 2 = Early Symptoms + Regression; 3 = Plateau/lack of progress; 4 = Regression
amnio_test_pregIntegerRecommended4. Did the birth mother have an amniocentesis?0;1;-70 = No; 1 = Yes; -7 = Don't Know
amnio_abnormalIntegerRecommended4a. Were the amniocentesis results ABNORMAL?0;1;-70 = No; 1 = Yes; -7 = Don't Know
amnio_abnormal_spfyString300RecommendedDescribe abnormality of amniocentesis results
cvs_test_pregIntegerRecommended5. Did the birth mother have Chorionic Villi Sampling (CVS)?0;1;-70 = No; 1 = Yes; -7 = Don't Know
cvs_abnormalIntegerRecommended5a. Were the CVS results ABNORMAL?0;1;-70 = No; 1 = Yes; -7 = Don't Know
cvs_abnormal_spfyString300RecommendedDescribe abnormality of CVS results
blood_testIntegerRecommended6. Did the mother have a blood test to check for neural tube defects (spina bifida) or Down Syndrome?0;1;-70 = No; 1 = Yes; -7 = Don't Know
blood_test_abnormalIntegerRecommended6a. Were the blood test results ABNORMAL?0;1;-70 = No; 1 = Yes; -7 = Don't Know
blood_test_abnormal_spfyString300RecommendedDescribe abnormality of the blood test results
rad_exposureIntegerRecommended11. Did the birth mother have any exposure to radiation?0;1;-70 = No; 1 = Yes; -7 = Don't Know
xray_pregIntegerRecommendedDid the birth mother receive an X-ray during the pregnancy?11 = Yesxray
xray_numberIntegerRecommendedHow many X-rays did the birth mother receive during the pregnancy?
ctIntegerRecommendedDid the birth mother receive a CT scan during pregnancy?11 = Yes
ct_numberIntegerRecommendedHow many CT scans did the birth mother receive during pregnancy?
plane_flightIntegerRecommendedDid the birth mother have any plane flights during pregnancy?11 = Yes
plane_flight_numberIntegerRecommendedHow many plane flights did the birth mother have during pregnancy?
radiation_otherString50RecommendedWhat (if any) other types of radiation was the birth mother exposed to during pregnancy?
radiation_other_numberIntegerRecommendedHow many times was the birth mother exposed to Other radiation during pregnancy?
caffeine_amtString200Recommended3. During the pregnancy how much caffeine did the birth mother consume per week?
artificial_sweetner_amtString200Recommended4. During the pregnancy how much artificial sweetener did the birth mother consume per week (diet soda, "light" yogurt, etc)?
marijuanString5RecommendedDuring pregnancy, did birth mother: Smoke marijuana or hashish (THC)Yes;No
marijuana_pregString10RecommendedIf birth mother used marijuana/hashish/THC during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
cocaine_gestationString5RecommendedDuring pregnancy, did birth mother: Use Cocaine, Crack, or Free baseYes;Nococaine
cocaine_pregString10RecommendedIf birth mother used cocaine/crack/free base during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
heroin_gestationString5RecommendedDuring pregnancy, did birth mother: Use Heroin (includes speed balling (heroin and cocaine injected together)Yes;Noheroin
heroin_pregString10RecommendedIf birth mother used heroin/speed balls (cocaine & heroin injected together) during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
methadone_gestationString5RecommendedDuring pregnancy, did birth mother: Take MethadoneYes;Nomethadone
methadone_pregString10RecommendedIf birth mother used methadone during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
amphetamines_gestationString5RecommendedDuring pregnancy, did birth mother: Take Amphetamines or other stimulants (speed, crank, uppers, Ice, methamphetamine)Yes;Noamphetamines
amphetamines_pregString10RecommendedIf birth mother used amphetamines or other stimulants during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
ecstasy_gestationString5RecommendedDuring pregnancy, did birth mother: Take Ecstasy (ADAM, XTC)Yes;Noecstasy
ecstasy_pregString10RecommendedIf birth mother used ecstasy (ADAM, XTC) during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
hallucinogensString5RecommendedDuring pregnancy, did birth mother: Take Hallucinogens (LSD, PCP, Angel Dust, Peyote Mescaline, Mushrooms, Green)Yes;No
hallucinogens_pregString10RecommendedIf birth mother used Hallucinogens during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
inhalants_gestationString5RecommendedDuring pregnancy, did birth mother: Take inhalants that you sniff or breathe (Amyl Nitrate, Freon, Nitrous Oxide ("Whippets"), Gasoline, Spray Paint, "Poppers", Glue or Solvents)Yes;Noinhalants
inhalants_pregString10RecommendedIf birth mother used inhalants that you sniff or breathe (Amyl Nitrate, Freon, Nitrous Oxide ("Whippets"), Gasoline, Spray Paint, "Poppers", Glue or Solvents) during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
other_drugsString5RecommendedDuring pregnancy, did birth mother: use Other recreational drugs?Yes;No
other_drugs_pregString10RecommendedIf birth mother used other recreational drugs during pregnancy, when was this done relative to birth (Before, After, or Both)?Before;After;Both
cervix_gelString5RecommendedInduced Labor: Did the doctor put a gel type of medication directly on the birth mother's cervix?Yes;No
iv_medString15RecommendedInduced Labor: Did the doctor give the birth mother a medication through IV like pitocin?Yes;No;Don't Know
induce_reasonIntegerRecommendedReason for Induced Labor1::51 = water broke (membranes ruptured) prematurely (too early); 2 = Water broke and the contractions didn't get started for more than 24 hours; 3 = Baby past its due date (overdue); 4 = Planned for convenience; 5 = Don't know
pitocin_reasonIntegerRecommendedReason for pitocin1::41 = Contractions stopped; 2 = Baby did not come down the birth canal; 3 = The cervix didn't dilate fast enough; 4 = Other (specify)
other_pitocin_reasonString250RecommendedReason for pitocin: Other
prob_otherString5RecommendedPresence of other abnormality in newborn period (0 - 30) days of lifeYes;No
breast_fed_lengString100RecommendedHow long was breast milk the only source of the baby's nutrition; that is, without supplemental formula or solid food?
breast_fed_start_unknownString50RecommendedBaby's age at start of breast feeding - Don't RememberDon't Remember
formula_start_unknownString50RecommendedBaby's age at start of supplementation with formula and/or solid food - Don't RememberDon't Remember
preg_1_breast_fed_diffString50RecommendedDid the child have difficulty latching onto the breast?Yes;No;Don't Know
smoke_daily_unknownString20RecommendedBirth mother's smoking frequency during breast feeding - Don't KnowDon't Know
alcohol_unknownString20RecommendedBirth mother's alcohol drinking frequency during breast feeding - Don't KnowDon't Know
nursing_medsString100RecommendedDuring breast feeding, which medications did the birth mother take? (May list multiple types)For example: vitamins; antibiotics; antacids; antihistamines; painkillers
nursing_meds_specString1,000RecommendedDuring breast feeding, which medications did the birth mother take? Format: category/name, e.g., painkillers/tylenol.
nursing_meds_durationString1,000RecommendedDuring breast feeding, for how many months did the birth mother use the specified medications? Format: number/name, e.g., 2/Tylenol = for 2 months, took tylenolPrepend DK (Don't Know) for unknown durations
rx_psychString5RecommendedDuring breast feeding, did the birth mother take prescription psychiatric medications?Yes;No
rx_psych_catString100RecommendedDuring breast feeding, what types of psychiatric medications did the birth mother take?For example: anti-depressants; anti-anxiety; anti-psychotics; mood stabilizers
psychiatric_spfyString100RecommendedSpecify psychiatric medications used by birth mother during breast feeding
psychiatric_rx_freqIntegerRecommendedHow many months was the birth mother using the specified psychiatric medication during breast feeding?97 = Don't know
rx_other_gestationString5RecommendedDid the birth mother take any other medications during breast feeding (e.g., herbal)?Yes;Norx
other_rx_spfyString100RecommendedSpecify other medications used by birth mother during breast feeding
rx_1_lngthIntegerRecommendedFor how many months did the birth mother use Other medication during breast feeding?97 = Don't know
wt_gainString5RecommendedEndocrine/Metabolic abnormality: Recent weight gainYes;No
behavior_audio_locString100RecommendedLocation of Behavioral Audiometry Test?
abr_locString100RecommendedLocation of ABR Test?
tympanogram_locString100RecommendedLocation of Tympanogram Test?
otoacoustic_emiss_locString100RecommendedLocation of Otoacoustic Emissions Test?
ct_locString100RecommendedLocation of CAT or CT Scan?
mri_locString100RecommendedLocation of MRI Scan?
mrs_scan_locString100RecommendedLocation of MRS Scan?
spect_scan_locString100RecommendedLocation of SPECT Scan?
pet_scan_locString100RecommendedLocation of PET Scan?
other_scansString5RecommendedWere other scans/imaging tests performed?Yes;No;DK
other_scans_locString100RecommendedLocation of Other Scan?
neuro_eeg_locString100RecommendedLocation of EEG Test?
meg_locString100RecommendedLocation of MEG Test?
other_repeat_test_locString100RecommendedLocation of Other Test (e.g., repeat EEGs, ERPs, etc.)?
anti_yeast_fungiString15RecommendedHave you used anti-yeast or anti-fungal treatments for your child?Yes;No;Not Sure
nystatinString15RecommendedNystatin (Mycostatin)Yes;No;Not Sure
fluconazoleString15RecommendedFluconazole (Diflucan)Yes;No;Not Sure
blindness_fam_hxString300RecommendedSpecify family member with blindness
deafness_fam_hxString300RecommendedSpecify family member with deafness
hearing_dxString300RecommendedHow was hearing trouble diagnosed?
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:

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  • Data Type: Which type of data this element is, e.g. String, Float, File location.
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  • Description: A basic description
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Distribution for DataStructure: nimh_medical_history_ques01 and Element:
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