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CHARGE Family Medical History Form

ucd_mind_cfmh

01

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

Download Definition as
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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
src_subject_idString20RequiredSubject ID how it's defined in lab/project
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired field
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.
interviewmonthIntegerRecommendedInterview Month
interviewdayIntegerRecommendedInterview Day
interviewyearIntegerRecommendedInterview Year
cfmh_oth_condname1String100RecommendedName Other Condition - 1Charge_familymedhist_other_condname1, other_condname1
cfmh_oth_condname2String100RecommendedName Other Condition - 2Charge_familymedhist_other_condname2, other_condname2
cfmh_oth_condname3String100RecommendedName Other Condition - 3Charge_familymedhist_other_condname3, other_condname3
cfmh_oth_condname4String100RecommendedName Other Condition - 4Charge_familymedhist_other_condname4, other_condname4
cfmh_mom_fdalrgyIntegerRecommendedDoes the Child's Mother have a food allergy?1;00 = No; 1 = YesCharge_familymedhist_mother_foodallergy, mother_foodallergy
cfmh_mom_fdalrgy_cmtString255RecommendedSpecific food items the Mother is allergic toCharge_familymedhist_mother_foodallergy_cmt, mother_foodallergy_cmt
cfmh_mom_fdalrgy_ageIntegerRecommendedAge at which the mother's food allergy first appeared(in months)Charge_familymedhist_mother_foodallergy_age, mother_foodallergy_age
cfmh_mom_fdalrgy_pregIntegerRecommendedDid the mother have the food allergy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_foodallergy_preg, mother_foodallergy_preg
cfmh_mom_skinalrgyIntegerRecommendedDoes the Child's Mother have a skin allergy?1;00 = No; 1 = YesCharge_familymedhist_mother_skinallergy, mother_skinallergy
cfmh_mom_skinalrgy_cmtString255RecommendedSpecific skin items the Mother is allergic toCharge_familymedhist_mother_skinallergy_cmt, mother_skinallergy_cmt
cfmh_mom_skinalrgy_ageIntegerRecommendedAge at which the mother's skin allergy first appeared(in months)Charge_familymedhist_mother_skinallergy_age, mother_skinallergy_age
cfmh_mom_skinalrgy_pregIntegerRecommendedDid the mother have the skin allergy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_skinallergy_preg, mother_skinallergy_preg
cfmh_mom_eczemaIntegerRecommendedDoes the Child's Mother have Eczema?1;00 = No; 1 = YesCharge_familymedhist_mother_eczema, mother_eczema
cfmh_mom_eczema_ageIntegerRecommendedAge at which the mother's eczema first appeared(in months)Charge_familymedhist_mother_eczema_age, mother_eczema_age
cfmh_mom_eczema_pregIntegerRecommendedDid the mother have eczema while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_eczema_preg, mother_eczema_preg
cfmh_mom_envalrgyIntegerRecommendedDoes the Child's Mother have an environmental allergy?1;00 = No; 1 = YesCharge_familymedhist_mother_envallergy, mother_envallergy
cfmh_mom_envalrgy_cmtString255RecommendedSpecific environmental items the Mother is allergic toCharge_familymedhist_mother_envallergy_cmt, mother_envallergy_cmt
cfmh_mom_envalrgy_ageIntegerRecommendedAge at which the mother's environmental allergy first appeared(in months)Charge_familymedhist_mother_envallergy_age, mother_envallergy_age
cfmh_mom_envalrgy_pregIntegerRecommendedDid the mother have the environmental allergy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_envallergy_preg, mother_envallergy_preg
cfmh_mom_medalrgyIntegerRecommendedDoes the Child's Mother have a medication allergy?1;00 = No; 1 = YesCharge_familymedhist_mother_medallergy, mother_medallergy
cfmh_mom_medalrgy_cmtString255RecommendedSpecific medication items the Mother is allergic toCharge_familymedhist_mother_medallergy_cmt, mother_medallergy_cmt
cfmh_mom_medalrgy_ageIntegerRecommendedAge at which the mother's medication allergy first appeared(in months)Charge_familymedhist_mother_medallergy_age, mother_medallergy_age
cfmh_mom_medalrgy_pregIntegerRecommendedDid the mother have the medication allergy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_medallergy_preg, mother_medallergy_preg
cfmh_mom_othalrgyIntegerRecommendedDoes the Child's Mother have any other allergies?1;00 = No; 1 = YesCharge_familymedhist_mother_otherallergy, mother_otherallergy
cfmh_mom_othalrgy_cmtString255RecommendedSpecific other items the Mother is allergic toCharge_familymedhist_mother_otherallergy_cmt, mother_otherallergy_cmt
cfmh_mom_othalrgy_ageIntegerRecommendedAge at which the mother's other allergy first appeared(in months)Charge_familymedhist_mother_otherallergy_age, mother_otherallergy_age
cfmh_mom_othalrgy_pregIntegerRecommendedDid the mother have the other allergy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_otherallergy_preg, mother_otherallergy_preg
cfmh_mom_autismIntegerRecommendedDoes the Child's Mother have Autism?1;00 = No; 1 = YesCharge_familymedhist_mother_autism, mother_autism
cfmh_mom_autism_ageIntegerRecommendedAge at which the mother's Autism first appeared(in months)Charge_familymedhist_mother_autism_age, mother_autism_age
cfmh_mom_autism_pregIntegerRecommendedDid the mother have Autism while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_autism_preg, mother_autism_preg
cfmh_mom_aspergersIntegerRecommendedDoes the Child's Mother have Asperger's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_mother_aspergers, mother_aspergers
cfmh_mom_aspergers_ageIntegerRecommendedAge at which the mother's Asperger's Syndrome first appeared(in months)Charge_familymedhist_mother_aspergers_age, mother_aspergers_age
cfmh_mom_aspergers_pregIntegerRecommendedDid the mother have Asperger's Syndrome while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_aspergers_preg, mother_aspergers_preg
cfmh_mom_rettsIntegerRecommendedDoes the Child's Mother have Rett's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_mother_retts, mother_retts
cfmh_mom_retts_ageIntegerRecommendedAge at which the mother's Rett's Syndrome first appeared(in months)Charge_familymedhist_mother_retts_age, mother_retts_age
cfmh_mom_retts_pregIntegerRecommendedDid the mother have Rett's Syndrome while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_retts_preg, mother_retts_preg
cfmh_mom_pddnosIntegerRecommendedDoes the Child's Mother have Autism Spectrum Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_pddnos, mother_pddnos
cfmh_mom_pddnos_cmtString255RecommendedSpecify typeCharge_familymedhist_mother_pddnos_cmt, mother_pddnos_cmt
cfmh_mom_pddnos_ageIntegerRecommendedAge at which Mother's Autism Spectrum Disorder first appeared (in months)Charge_familymedhist_mother_pddnos_age, mother_pddnos_age
cfmh_mom_pddnos_pregIntegerRecommendedDid the Mother have Autism Spectrum Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_pddnos_preg, mother_pddnos_preg
cfmh_mom_spchdelayIntegerRecommendedDoes (did) the Child's Mother have a spch/Language Delay?1;00 = No; 1 = YesCharge_familymedhist_mother_speechdelay, mother_speechdelay
cfmh_mom_spchdelay_ageIntegerRecommendedAge at which the mother's spch/Language Delay first appeared(in months)Charge_familymedhist_mother_speechdelay_age, mother_speechdelay_age
cfmh_mom_spchdelay_pregIntegerRecommendedDid the mother have a spch/Language Delay while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_speechdelay_preg, mother_speechdelay_preg
cfmh_mom_devdelayIntegerRecommendedDoes (did) the Child's Mother have a Developmental Delay?1;00 = No; 1 = YesCharge_familymedhist_mother_devdelay, mother_devdelay
cfmh_mom_devdelay_ageIntegerRecommendedAge at which the mother's Developmental Delay first appeared(in months)Charge_familymedhist_mother_devdelay_age, mother_devdelay_age
cfmh_mom_devdelay_pregIntegerRecommendedDid the mother have a Developmental Delay while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_devdelay_preg, mother_devdelay_preg
cfmh_mom_learndisIntegerRecommendedDoes (did) the Child's Mother have a Learning Disability?1;00 = No; 1 = YesCharge_familymedhist_mother_learndis, mother_learndis
cfmh_mom_learndis_ageIntegerRecommendedAge at which the mother's Learning Disability first appeared(in months)Charge_familymedhist_mother_learndis_age, mother_learndis_age
cfmh_mom_learndis_pregIntegerRecommendedDid the mother have a Learning Disability while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_learndis_preg, mother_learndis_preg
cfmh_mom_seizureIntegerRecommendedDoes (did) the Child's Mother have Seizure Disorder/Epilepsy?1;00 = No; 1 = YesCharge_familymedhist_mother_seizure, mother_seizure
cfmh_mom_seizure_ageIntegerRecommendedAge at which the mother's Seizure Disorder/Epilepsy first appeared(in months)Charge_familymedhist_mother_seizure_age, mother_seizure_age
cfmh_mom_seizure_pregIntegerRecommendedDid the mother have Seizure Disorder/Epilepsy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_seizure_preg, mother_seizure_preg
cfmh_mom_cerpalsyIntegerRecommendedDoes (did) the Child's Mother have Cerebral Palsy?1;00 = No; 1 = YesCharge_familymedhist_mother_cerpalsy, mother_cerpalsy
cfmh_mom_cerpalsy_ageIntegerRecommendedAge at which the mother's Cerebral Palsy first appeared(in months)Charge_familymedhist_mother_cerpalsy_age, mother_cerpalsy_age
cfmh_mom_cerpalsy_pregIntegerRecommendedDid the mother have Cerebral Palsy while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cerpalsy_preg, mother_cerpalsy_preg
cfmh_mom_downssynIntegerRecommendedDoes (did) the Child's Mother have Down's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_mother_downssynd, mother_downssynd
cfmh_mom_downssyn_ageIntegerRecommendedAge at which the mother's Down's Syndrome first appeared(in months)Charge_familymedhist_mother_downssynd_age, mother_downssynd_age
cfmh_mom_downssyn_pregIntegerRecommendedDid the mother have Down's Syndrome while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_downssynd_preg, mother_downssynd_preg
cfmh_mom_mentalretIntegerRecommendedDoes (did) the Child's Mother have Mental Retardation?1;00 = No; 1 = YesCharge_familymedhist_mother_mentalret, mother_mentalret
cfmh_mom_mentalret_ageIntegerRecommendedAge at which the mother's Mental Retardation first appeared(in months)Charge_familymedhist_mother_mentalret_age, mother_mentalret_age
cfmh_mom_mentalret_pregIntegerRecommendedDid the mother have Mental Retardation while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_mentalret_preg, mother_mentalret_preg
cfmh_mom_tubersclIntegerRecommendedDoes (did) the Child's Mother have Tuberous Sclerosis?1;00 = No; 1 = YesCharge_familymedhist_mother_tuberscl, mother_tuberscl
cfmh_mom_tuberscl_ageIntegerRecommendedAge at which the mother's Tuberous Sclerosis first appeared(in months)Charge_familymedhist_mother_tuberscl_age, mother_tuberscl_age
cfmh_mom_tuberscl_pregIntegerRecommendedDid the mother have Tuberous Sclerosis while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_tuberscl_preg, mother_tuberscl_preg
cfmh_mom_fragilexIntegerRecommendedDoes (did) the Child's Mother have Fragile X?1;00 = No; 1 = YesCharge_familymedhist_mother_fragilex, mother_fragilex
cfmh_mom_fragilex_ageIntegerRecommendedAge at which the mother's Fragile X first appeared(in months)Charge_familymedhist_mother_fragilex_age, mother_fragilex_age
cfmh_mom_fragilex_pregIntegerRecommendedDid the mother have Fragile X while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_fragilex_preg, mother_fragilex_preg
cfmh_mom_neuromdIntegerRecommendedDoes (did) the Child's Mother have a Neuromuscular Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_neuromuscdis, mother_neuromuscdis
cfmh_mom_neuromd_ageIntegerRecommendedAge at which the mother's Neuromuscular Disorder first appeared(in months)Charge_familymedhist_mother_neuromuscdis_age, mother_neuromuscdis_age
cfmh_mom_neuromd_pregIntegerRecommendedDid the mother have a Neuromuscular Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_neuromuscdis_preg, mother_neuromuscdis_preg
cfmh_mom_genedisIntegerRecommendedDoes (did) the Child's Mother have a Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_geneticdis, mother_geneticdis
cfmh_mom_genedis_cmtString255RecommendedSpecify mother's Genetic DisorderCharge_familymedhist_mother_geneticdis_cmt, mother_geneticdis_cmt
cfmh_mom_genedis_ageIntegerRecommendedAge at which the mother's Genetic Disorder first appeared(in months)Charge_familymedhist_mother_geneticdis_age, mother_geneticdis_age
cfmh_mom_genedis_pregIntegerRecommendedDid the mother have a Genetic Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_geneticdis_preg, mother_geneticdis_preg
cfmh_mom_genediststIntegerRecommendedWas testing done for the mother's Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_geneticdistest, mother_geneticdistest
cfmh_mom_genedistst_cmtString255RecommendedSpecify testsCharge_familymedhist_mother_geneticdistest_cmt, mother_geneticdistest_cmt
cfmh_mom_genedistst_ageIntegerRecommendedAge at which the mother's tests were done(in months)Charge_familymedhist_mother_geneticdistest_age, mother_geneticdistest_age
cfmh_mom_genedistst_pregIntegerRecommendedDid the mother get tests done while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_geneticdistest_preg, mother_geneticdistest_preg
cfmh_mom_visionimpIntegerRecommendedDoes the Child's Mother have a vision impairment?1;00 = No; 1 = YesCharge_familymedhist_mother_visionimp, mother_visionimp
cfmh_mom_visionimp_ageIntegerRecommendedAge at which the mother's Vision Impairment first appeared(in months)Charge_familymedhist_mother_visionimp_age, mother_visionimp_age
cfmh_mom_visionimp_pregIntegerRecommendedDid the mother have a Vision Impairment while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_visionimp_preg, mother_visionimp_preg
cfmh_mom_visioncorIntegerRecommendedHas the mother's vision impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_mother_visioncor, mother_visioncor
cfmh_mom_visioncor_ageIntegerRecommendedAge at which the mother's Vision Correction done(in months)Charge_familymedhist_mother_visioncor_age, mother_visioncor_age
cfmh_mom_visioncor_pregIntegerRecommendedDid the mother have a Vision Correction while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_visioncor_preg, mother_visioncor_preg
cfmh_mom_hearingimpIntegerRecommendedDoes the Child's Mother have a hearing impairment?1;00 = No; 1 = YesCharge_familymedhist_mother_hearingimp, mother_hearingimp
cfmh_mom_hearingimp_ageIntegerRecommendedAge at which the mother's Hearing Impairment first appeared(in months)Charge_familymedhist_mother_hearingimp_age, mother_hearingimp_age
cfmh_mom_hearingimp_pregIntegerRecommendedDid the mother have a Hearing Impairment while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_hearingimp_preg, mother_hearingimp_preg
cfmh_mom_hearingcorIntegerRecommendedHas the mother's hearing impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_mother_hearingcor, mother_hearingcor
cfmh_mom_hearingcor_ageIntegerRecommendedAge at which the mother's Hearing Correction done(in months)Charge_familymedhist_mother_hearingcor_age, mother_hearingcor_age
cfmh_mom_hearingcor_pregIntegerRecommendedDid the mother have a Hearing Correction while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_hearingcor_preg, mother_hearingcor_preg
cfmh_mom_bipolarIntegerRecommendedDoes (did) the Child's Mother have a Bipolar Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_bipolar, mother_bipolar
cfmh_mom_bipolar_ageIntegerRecommendedAge at which the mother's Bipolar Disorder first appeared(in months)Charge_familymedhist_mother_bipolar_age, mother_bipolar_age
cfmh_mom_bipolar_pregIntegerRecommendedDid the mother have Bipolar Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_bipolar_preg, mother_bipolar_preg
cfmh_mom_depressionIntegerRecommendedDoes (did) the Child's Mother have Depression?1;00 = No; 1 = YesCharge_familymedhist_mother_depression, mother_depression
cfmh_mom_depression_ageIntegerRecommendedAge at which the mother's Depression first appeared(in months)Charge_familymedhist_mother_depression_age, mother_depression_age
cfmh_mom_depression_pregIntegerRecommendedDid the mother have Depression while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_depression_preg, mother_depression_preg
cfmh_mom_anxietyIntegerRecommendedDoes (did) the Child's Mother have an Anxiety Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_anxiety, mother_anxiety
cfmh_mom_anxiety_ageIntegerRecommendedAge at which the mother's Anxiety Disorder first appeared(in months)Charge_familymedhist_mother_anxiety_age, mother_anxiety_age
cfmh_mom_anxiety_pregIntegerRecommendedDid the mother have an Anxiety Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_anxiety_preg, mother_anxiety_preg
cfmh_mom_ocdIntegerRecommendedDoes (did) the Child's Mother have Obsessive Compulsive Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_ocd, mother_ocd
cfmh_mom_ocd_ageIntegerRecommendedAge at which the mother's Obsessive Compulsive Disorder first appeared(in months)Charge_familymedhist_mother_ocd_age, mother_ocd_age
cfmh_mom_ocd_pregIntegerRecommendedDid the mother have Obsessive Compulsive Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_ocd_preg, mother_ocd_preg
cfmh_mom_schizoIntegerRecommendedDoes (did) the Child's Mother have Schizophrenia?1;00 = No; 1 = YesCharge_familymedhist_mother_schizophrenia, mother_schizophrenia
cfmh_mom_schizo_ageIntegerRecommendedAge at which the mother's Schizophrenia first appeared(in months)Charge_familymedhist_mother_schizophrenia_age, mother_schizophrenia_age
cfmh_mom_schizo_pregIntegerRecommendedDid the mother have Schizophrenia while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_schizophrenia_preg, mother_schizophrenia_preg
cfmh_mom_persondisIntegerRecommendedDoes (did) the Child's Mother have a Personality Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_persondis, mother_persondis
cfmh_mom_persondis_cmtString255RecommendedSpecify mother's Personality DisorderCharge_familymedhist_mother_persondis_cmt, mother_persondis_cmt
cfmh_mom_persondis_ageIntegerRecommendedAge at which the mother's Personality Disorder first appeared(in months)Charge_familymedhist_mother_persondis_age, mother_persondis_age
cfmh_mom_persondis_pregIntegerRecommendedDid the mother have a Personality Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_persondis_preg, mother_persondis_preg
cfmh_mom_selfinjIntegerRecommendedDoes (did) the Child's Mother have Self-Injuring Behavior?1;00 = No; 1 = YesCharge_familymedhist_mother_selfinj, mother_selfinj
cfmh_mom_selfinj_ageIntegerRecommendedAge at which the mother's Self-Injuring Behavior first appeared(in months)Charge_familymedhist_mother_selfinj_age, mother_selfinj_age
cfmh_mom_selfinj_pregIntegerRecommendedDid the mother have Self-Injuring Behavior while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_selfinj_preg, mother_selfinj_preg
cfmh_mom_suicideattIntegerRecommendedHas the Child's Mother Attempted Suicide?1;00 = No; 1 = YesCharge_familymedhist_mother_suicideatt, mother_suicideatt
cfmh_mom_suicideatt_ageIntegerRecommendedAge at which the mother first attempted suicide(in months)Charge_familymedhist_mother_suicideatt_age, mother_suicideatt_age
cfmh_mom_suicideatt_pregIntegerRecommendedDid the mother attempt suicide while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_suicideatt_preg, mother_suicideatt_preg
cfmh_mom_psydisIntegerRecommendedDoes (did) the Child's Mother have a Psychiatric Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_psychdis, charge_familymedhist_mother_otherpsychdis, mother_psychdis
cfmh_mom_psydis_cmtString255RecommendedSpecify mother's Psychiatric DisorderCharge_familymedhist_mother_psychdis_cmt, charge_familymedhist_mother_otherpsychdis_cmt, mother_psychdis_cmt
cfmh_mom_psydis_ageIntegerRecommendedAge at which the mother's Psychiatric Disorder first appeared(in months)Charge_familymedhist_mother_psychdis_age, charge_familymedhist_mother_otherpsychdis_age, mother_psychdis_age
cfmh_mom_psydis_pregIntegerRecommendedDid the mother have a Psychiatric Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_psychdis_preg, charge_familymedhist_mother_otherpsychdis_preg, mother_psychdis_preg
cfmh_mom_adhdIntegerRecommendedDoes (did) the Child's Mother have Attention Deficit Hyperactivity Disorder (ADHD)?1;00 = No; 1 = YesCharge_familymedhist_mother_adhd, mother_adhd
cfmh_mom_adhd_ageIntegerRecommendedAge at which the mother's Attention Deficit Hyperactivity Disorder (ADHD) first appeared(in months)Charge_familymedhist_mother_adhd_age, mother_adhd_age
cfmh_mom_adhd_pregIntegerRecommendedDid the mother have Attention Deficit Hyperactivity Disorder (ADHD) while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_adhd_preg, mother_adhd_preg
cfmh_mom_eatingdisIntegerRecommendedDoes (did) the Child's Mother have an Eating Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_eatingdis, mother_eatingdis
cfmh_mom_eatingdis_cmtString255RecommendedSpecify mother's Eating DisorderCharge_familymedhist_mother_eatingdis_cmt, mother_eatingdis_cmt
cfmh_mom_eatingdis_ageIntegerRecommendedAge at which the mother's Eating Disorder first appeared(in months)Charge_familymedhist_mother_eatingdis_age, mother_eatingdis_age
cfmh_mom_eatingdis_pregIntegerRecommendedDid the mother have an Eating Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_eatingdis_preg, mother_eatingdis_preg
cfmh_mom_sleepdisIntegerRecommendedDoes (did) the Child's Mother have a Sleep Disorder?1;00 = No; 1 = YesCharge_familymedhist_mother_sleepdis, mother_sleepdis
cfmh_mom_sleepdis_cmtString255RecommendedSpecify mother's Sleep DisorderCharge_familymedhist_mother_sleepdis_cmt, mother_sleepdis_cmt
cfmh_mom_sleepdis_ageIntegerRecommendedAge at which the mother's Sleep Disorder first appeared(in months)Charge_familymedhist_mother_sleepdis_age, mother_sleepdis_age
cfmh_mom_sleepdis_pregIntegerRecommendedDid the mother have a Sleep Disorder while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_sleepdis_preg, mother_sleepdis_preg
cfmh_mom_abusevicIntegerRecommendedIs the Child's Mother a Victim of Abuse?1;00 = No; 1 = YesCharge_familymedhist_mother_abusevic, mother_abusevic
cfmh_mom_abusevic_ageIntegerRecommendedAge at which the mother's Abuse first occurred(in months)Charge_familymedhist_mother_abusevic_age, mother_abusevic_age
cfmh_mom_abusevic_pregIntegerRecommendedWas the mother being abused while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_abusevic_preg, mother_abusevic_preg
cfmh_mom_subabuseIntegerRecommendedDoes the Child's Mother have a history of Substance Abuse?1;00 = No; 1 = YesCharge_familymedhist_mother_subabuse, mother_subabuse
cfmh_mom_subabuse_cmtString255RecommendedSpecify mother's Substance Abuse TypeCharge_familymedhist_mother_subabuse_cmt, mother_subabuse_cmt
cfmh_mom_subabuse_ageIntegerRecommendedAge at which the mother's Substance Abuse first occurred(in months)Charge_familymedhist_mother_subabuse_age, mother_subabuse_age
cfmh_mom_subabuse_pregIntegerRecommendedDid the mother have Substance Abuse events while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_subabuse_preg, mother_subabuse_preg
cfmh_mom_migraineIntegerRecommendedDoes the Child's Mother have Migraine Headaches?1;00 = No; 1 = YesCharge_familymedhist_mother_migraine, mother_migraine
cfmh_mom_migraine_ageIntegerRecommendedAge at which the mother's Migraine Headaches first appeared(in months)Charge_familymedhist_mother_migraine_age, mother_migraine_age
cfmh_mom_migraine_pregIntegerRecommendedDid the mother have Migraine Headaches while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_migraine_preg, mother_migraine_preg
cfmh_mom_ibsIntegerRecommendedDoes the Child's Mother have Irritable Bowel Syndrome?1;00 = No; 1 = YesCharge_familymedhist_mother_ibs, mother_ibs
cfmh_mom_ibs_ageIntegerRecommendedAge at which the mother's Irritable Bowel Syndrome first appeared(in months)Charge_familymedhist_mother_ibs_age, mother_ibs_age
cfmh_mom_ibs_pregIntegerRecommendedDid the mother have Irritable Bowel Syndrome while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_ibs_preg, mother_ibs_preg
cfmh_mom_gidisIntegerRecommendedDoes the Child's Mother have any Other Gastrointestinal Disorders?1;00 = No; 1 = YesCharge_familymedhist_mother_gidis, charge_familymedhist_mother_othergidis, mother_gidis
cfmh_mom_gidiss_ageIntegerRecommendedAge at which the mother's Other Gastrointestinal Disorders first appeared(in months)Charge_familymedhist_mother_gidiss_age, charge_familymedhist_mother_othergidis_age, mother_gidiss_age
cfmh_mom_gidiss_pregIntegerRecommendedDid the mother have Other Gastrointestinal Disorders while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_gidiss_preg, charge_familymedhist_mother_othergidis_preg, mother_gidiss_preg
cfmh_mom_cancerIntegerRecommendedDoes the Child's Mother have Cancer?1;00 = No; 1 = YesCharge_familymedhist_mother_cancer, mother_cancer
cfmh_mom_cancer_cmtString255RecommendedSpecify mother's Cancer typeCharge_familymedhist_mother_cancer_cmt, mother_cancer_cmt
cfmh_mom_cancer_ageIntegerRecommendedAge at which the mother's Cancer first appeared(in months)Charge_familymedhist_mother_cancer_age, mother_cancer_age
cfmh_mom_cancer_pregIntegerRecommendedDid the mother have Cancer while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cancer_preg, mother_cancer_preg
cfmh_mom_congendefIntegerRecommendedDoes the Child's Mother have a Congenital Defect (Cleft palate, cleft lip, other)?1;00 = No; 1 = YesCharge_familymedhist_mother_congenitaldef, mother_congenitaldef
cfmh_mom_congendef_cmtString255RecommendedSpecify mother's Congenital Defect typeCharge_familymedhist_mother_congenitaldef_cmt, mother_congenitaldef_cmt
cfmh_mom_congendef_ageIntegerRecommendedAge at which the mother's Congenital Defect first appeared(in months)Charge_familymedhist_mother_congenitaldef_age, mother_congenitaldef_age
cfmh_mom_congendef_pregIntegerRecommendedDid the mother have a Congenital Defect while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_congenitaldef_preg, mother_congenitaldef_preg
cfmh_mom_obesityIntegerRecommendedDoes the Child's Mother have Obesity?1;00 = No; 1 = YesCharge_familymedhist_mother_obesity, mother_obesity
cfmh_mom_obesity_ageIntegerRecommendedAge at which the mother's Obesity first appeared(in months)Charge_familymedhist_mother_obesity_age, mother_obesity_age
cfmh_mom_obesity_pregIntegerRecommendedDid the mother have Obesity while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_obesity_preg, mother_obesity_preg
cfmh_mom_sicklecellIntegerRecommendedDoes the Child's Mother have Sickle Cell Anemia?1;00 = No; 1 = YesCharge_familymedhist_mother_sicklecell, mother_sicklecell
cfmh_mom_sicklecell_ageIntegerRecommendedAge at which the mother's Sickle Cell Anemia first appeared(in months)Charge_familymedhist_mother_sicklecell_age, mother_sicklecell_age
cfmh_mom_sicklecell_pregIntegerRecommendedDid the mother have Sickle Cell Anemia while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_sicklecell_preg, mother_sicklecell_preg
cfmh_mom_thyroiddisIntegerRecommendedDoes the Child's Mother have Thyroid Disease?1;00 = No; 1 = YesCharge_familymedhist_mother_thyroiddis, mother_thyroiddis
cfmh_mom_thyroiddis_ageIntegerRecommendedAge at which the mother's Thyroid Disease first appeared(in months)Charge_familymedhist_mother_thyroiddis_age, mother_thyroiddis_age
cfmh_mom_thyroiddis_pregIntegerRecommendedDid the mother have Thyroid Disease while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_thyroiddis_preg, mother_thyroiddis_preg
cfmh_mom_cond1IntegerRecommendedDid the mother have Other condition-11;00 = No; 1 = YesCharge_familymedhist_mother_cond1, mother_cond1
cfmh_mom_cond1_ageIntegerRecommendedAge at which the Condition 1 appeared(in months)Charge_familymedhist_mother_cond1_age, mother_cond1_age
cfmh_mom_cond1_pregIntegerRecommendedDid the mother have Condition 1 while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cond1_preg, mother_cond1_preg
cfmh_mom_cond2IntegerRecommendedDid the mother have Other condition-21;00 = No; 1 = YesCharge_familymedhist_mother_cond2, mother_cond2
cfmh_mom_cond2_ageIntegerRecommendedAge at which the Condition 2 appeared(in months)Charge_familymedhist_mother_cond2_age, mother_cond2_age
cfmh_mom_cond2_pregIntegerRecommendedDid the mother have Condition 2 while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cond2_preg, mother_cond2_preg
cfmh_mom_cond3IntegerRecommendedDid the mother have Other condition-31;00 = No; 1 = YesCharge_familymedhist_mother_cond3, mother_cond3
cfmh_mom_cond3_ageIntegerRecommendedAge at which the Condition 3 appeared(in months)Charge_familymedhist_mother_cond3_age, mother_cond3_age
cfmh_mom_cond3_pregIntegerRecommendedDid the mother have Condition 3 while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cond3_preg, mother_cond3_preg
cfmh_mom_cond4IntegerRecommendedDid the mother have Other condition-41;00 = No; 1 = YesCharge_familymedhist_mother_cond4, mother_cond4
cfmh_mom_cond4_ageIntegerRecommendedAge at which the Condition 4 appeared(in months)Charge_familymedhist_mother_cond4_age, mother_cond4_age
cfmh_mom_cond4_pregIntegerRecommendedDid the mother have Condition 4 while pregnant with the child?1;00 = No; 1 = YesCharge_familymedhist_mother_cond4_preg, mother_cond4_preg
cfmh_dad_fdalrgyIntegerRecommendedDoes the Child's Father have a food allergy?1;00 = No; 1 = YesCharge_familymedhist_father_foodallergy, father_foodallergy
cfmh_dad_fdalrgy_cmtString255RecommendedSpecific food items the Father is allergic toCharge_familymedhist_father_foodallergy_cmt, father_foodallergy_cmt
cfmh_dad_skinalrgyIntegerRecommendedDoes the Child's Father have a skin allergy?1;00 = No; 1 = YesCharge_familymedhist_father_skinallergy, father_skinallergy
cfmh_dad_skinalrgy_cmtString255RecommendedSpecific skin items the Father is allergic toCharge_familymedhist_father_skinallergy_cmt, father_skinallergy_cmt
cfmh_dad_eczemaIntegerRecommendedDoes the Child's Father have Eczema?1;00 = No; 1 = YesCharge_familymedhist_father_eczema, father_eczema
cfmh_dad_envalrgyIntegerRecommendedDoes the Child's Father have an environmental allergy?1;00 = No; 1 = YesCharge_familymedhist_father_envallergy, father_envallergy
cfmh_dad_envalrgy_cmtString255RecommendedSpecific environmental items the Father is allergic toCharge_familymedhist_father_envallergy_cmt, father_envallergy_cmt
cfmh_dad_medalrgyIntegerRecommendedDoes the Child's Father have a medication allergy?1;00 = No; 1 = YesCharge_familymedhist_father_medallergy, father_medallergy
cfmh_dad_medalrgy_cmtString255RecommendedSpecific medication items the Father is allergic toCharge_familymedhist_father_medallergy_cmt, father_medallergy_cmt
cfmh_dad_othalrgyIntegerRecommendedDoes the Child's Father have any other allergies?1;00 = No; 1 = YesCharge_familymedhist_father_otherallergy, father_otherallergy
cfmh_dad_othalrgy_cmtString255RecommendedSpecific other items the Father is allergic toCharge_familymedhist_father_otherallergy_cmt, father_otherallergy_cmt
cfmh_dad_autismIntegerRecommendedDoes the Child's Father have Autism?1;00 = No; 1 = YesCharge_familymedhist_father_autism, father_autism
cfmh_dad_aspergersIntegerRecommendedDoes the Child's Father have Asperger's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_father_aspergers, father_aspergers
cfmh_dad_rettsIntegerRecommendedDoes the Child's Father have Rett's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_father_retts, father_retts
cfmh_dad_pddnosIntegerRecommendedDoes the Child's Father have Autism Spectrum Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_pddnos, father_pddnos
cfmh_dad_pddnos_cmtString255RecommendedSpecify typeCharge_familymedhist_father_pddnos_cmt, father_pddnos_cmt
cfmh_dad_spchdelayIntegerRecommendedDoes (did) the Child's Father have a spch/Language Delay?1;00 = No; 1 = YesCharge_familymedhist_father_speechdelay, father_speechdelay
cfmh_dad_devdelayIntegerRecommendedDoes (did) the Child's Father have a Developmental Delay?1;00 = No; 1 = YesCharge_familymedhist_father_devdelay, father_devdelay
cfmh_dad_learndisIntegerRecommendedDoes (did) the Child's Father have a Learning Disability?1;00 = No; 1 = YesCharge_familymedhist_father_learndis, father_learndis
cfmh_dad_seizureIntegerRecommendedDoes (did) the Child's Father have Seizure Disorder/Epilepsy?1;00 = No; 1 = YesCharge_familymedhist_father_seizure, father_seizure
cfmh_dad_cerpalsyIntegerRecommendedDoes (did) the Child's Father have Cerebral Palsy?1;00 = No; 1 = YesCharge_familymedhist_father_cerpalsy, father_cerpalsy
cfmh_dad_downssyndIntegerRecommendedDoes (did) the Child's Father have Down's Syndrome?1;00 = No; 1 = YesCharge_familymedhist_father_downssynd, father_downssynd
cfmh_dad_mentalretIntegerRecommendedDoes (did) the Child's Father have Mental Retardation?1;00 = No; 1 = YesCharge_familymedhist_father_mentalret, father_mentalret
cfmh_dad_tubersclIntegerRecommendedDoes (did) the Child's Father have Tuberous Sclerosis?1;00 = No; 1 = YesCharge_familymedhist_father_tuberscl, father_tuberscl
cfmh_dad_fragilexIntegerRecommendedDoes (did) the Child's Father have Fragile X?1;00 = No; 1 = YesCharge_familymedhist_father_fragilex, father_fragilex
cfmh_dad_neuromdIntegerRecommendedDoes (did) the Child's Father have a Neuromuscular Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_neuromuscdis, father_neuromuscdis
cfmh_dad_genedisIntegerRecommendedDoes (did) the Child's Father have a Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_geneticdis, father_geneticdis
cfmh_dad_genedis_cmtString255RecommendedSpecify Father's Genetic DisorderCharge_familymedhist_father_geneticdis_cmt, father_geneticdis_cmt
cfmh_dad_genediststIntegerRecommendedWas testing done for the Father's Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_geneticdistest, father_geneticdistest
cfmh_dad_genedistst_cmtString255RecommendedSpecify testsCharge_familymedhist_father_geneticdistest_cmt, father_geneticdistest_cmt
cfmh_dad_visionimpIntegerRecommendedDoes the Child's Father have a vision impairment?1;00 = No; 1 = YesCharge_familymedhist_father_visionimp, father_visionimp
cfmh_dad_visioncorIntegerRecommendedHas the father's vision impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_father_visioncor, father_visioncor
cfmh_dad_hearingimpIntegerRecommendedDoes the Child's Father have a hearing impairment?1;00 = No; 1 = YesCharge_familymedhist_father_hearingimp, father_hearingimp
cfmh_dad_hearingcorIntegerRecommendedHas the father's hearing impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_father_hearingcor, father_hearingcor
cfmh_dad_bipolarIntegerRecommendedDoes (did) the Child's Father have a Bipolar Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_bipolar, father_bipolar
cfmh_dad_depressionIntegerRecommendedDoes (did) the Child's Father have Depression?1;00 = No; 1 = YesCharge_familymedhist_father_depression, father_depression
cfmh_dad_anxietyIntegerRecommendedDoes (did) the Child's Father have an Anxiety Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_anxiety, father_anxiety
cfmh_dad_ocdIntegerRecommendedDoes (did) the Child's Father have Obsessive Compulsive Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_ocd, father_ocd
cfmh_dad_schizoIntegerRecommendedDoes (did) the Child's Father have Schizophrenia?1;00 = No; 1 = YesCharge_familymedhist_father_schizophrenia, father_schizophrenia
cfmh_dad_persondisIntegerRecommendedDoes (did) the Child's Father have a Personality Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_persondis, father_persondis
cfmh_dad_persondis_cmtString255RecommendedSpecify father's Personality DisorderCharge_familymedhist_father_persondis_cmt, father_persondis_cmt
cfmh_dad_selfinjIntegerRecommendedDoes (did) the Child's Father have Self-Injuring Behavior?1;00 = No; 1 = YesCharge_familymedhist_father_selfinj, father_selfinj
cfmh_dad_suicideattIntegerRecommendedHas the Child's Father Attempted Suicide?1;00 = No; 1 = YesCharge_familymedhist_father_suicideatt, father_suicideatt
cfmh_dad_othpsydisIntegerRecommendedDoes (did) the Child's Father have a Psychiatric Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_otherpsychdis, father_otherpsychdis
cfmh_dad_othpsydis_cmtString255RecommendedSpecify father's Psychiatric DisorderCharge_familymedhist_father_otherpsychdis_cmt, father_otherpsychdis_cmt
cfmh_dad_adhdIntegerRecommendedDoes (did) the Child's Father have Attention Deficit Hyperactivity Disorder (ADHD)?1;00 = No; 1 = YesCharge_familymedhist_father_adhd, father_adhd
cfmh_dad_eatingdisIntegerRecommendedDoes (did) the Child's Father have an Eating Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_eatingdis, father_eatingdis
cfmh_dad_eatingdis_cmtString255RecommendedSpecify father's Eating DisorderCharge_familymedhist_father_eatingdis_cmt, father_eatingdis_cmt
cfmh_dad_sleepdisIntegerRecommendedDoes (did) the Child's Father have a Sleep Disorder?1;00 = No; 1 = YesCharge_familymedhist_father_sleepdis, father_sleepdis
cfmh_dad_sleepdis_cmtString255RecommendedSpecify type of Sleep Disorder the Child's Father hasCharge_familymedhist_father_sleepdis_cmt, father_sleepdis_cmt
cfmh_dad_abusevicIntegerRecommendedIs the Child's Father a Victim of Abuse?1;00 = No; 1 = YesCharge_familymedhist_father_abusevic, father_abusevic
cfmh_dad_subabuseIntegerRecommendedDoes the Child's Father have a history of Substance Abuse?1;00 = No; 1 = YesCharge_familymedhist_father_subabuse, father_subabuse
cfmh_dad_subabuse_cmtString255RecommendedSpecify father's Substance Abuse TypeCharge_familymedhist_father_subabuse_cmt, father_subabuse_cmt
cfmh_dad_migraineIntegerRecommendedDoes the Child's Father have Migraine Headaches?1;00 = No; 1 = YesCharge_familymedhist_father_migraine, father_migraine
cfmh_dad_ibsIntegerRecommendedDoes the Child's Father have Irritable Bowel Syndrome?1;00 = No; 1 = YesCharge_familymedhist_father_ibs, father_ibs
cfmh_dad_othgidisIntegerRecommendedDoes the Child's Father have any Other Gastrointestinal Disorders?1;00 = No; 1 = YesCharge_familymedhist_father_othergidis, father_othergidis
cfmh_dad_cancerIntegerRecommendedDoes the Child's Father have Cancer?1;00 = No; 1 = YesCharge_familymedhist_father_cancer, father_cancer
cfmh_dad_cancer_cmtString255RecommendedSpecify father's Cancer typeCharge_familymedhist_father_cancer_cmt, father_cancer_cmt
cfmh_dad_congendefIntegerRecommendedDoes the Child's Father have a Congenital Defect?1;00 = No; 1 = YesCharge_familymedhist_father_congenitaldef, father_congenitaldef
cfmh_dad_congendef_cmtString255RecommendedSpecify father's Congenital Defect typeCharge_familymedhist_father_congenitaldef_cmt, father_congenitaldef_cmt
cfmh_dad_obesityIntegerRecommendedDoes the Child's Father have Obesity?1;00 = No; 1 = YesCharge_familymedhist_father_obesity, father_obesity
cfmh_dad_sicklecellIntegerRecommendedDoes the Child's Father have Sickle Cell Anemia?1;00 = No; 1 = YesCharge_familymedhist_father_sicklecell, father_sicklecell
cfmh_dad_thyroiddisIntegerRecommendedDoes the Child's Father have Thyroid Disease?1;00 = No; 1 = YesCharge_familymedhist_father_thyroiddis, father_thyroiddis
cfmh_dad_othcond1IntegerRecommendedDid the father have Other condition-11;00 = No; 1 = YesCharge_familymedhist_father_othercond1, father_othercond1
cfmh_dad_othcond2IntegerRecommendedDid the father have Other condition-21;00 = No; 1 = YesCharge_familymedhist_father_othercond2, father_othercond2
cfmh_dad_othcond3IntegerRecommendedDid the father have Other condition-31;00 = No; 1 = YesCharge_familymedhist_father_othercond3, father_othercond3
cfmh_dad_othcond4IntegerRecommendedDid the father have Other condition-41;00 = No; 1 = YesCharge_familymedhist_father_othercond4, father_othercond4
cfmh_othr_fdalrgyIntegerRecommendedFood Allergy1;00 = No; 1 = YesCharge_familymedhist_othmem_foodallergy, charge_familymedhist_othermem_foodallergy, othmem_foodallergy
cfmh_othr_fdalrgy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_foodallergy_cmt, charge_familymedhist_othermem_foodallergy_cmt, othmem_foodallergy_cmt
cfmh_othr_fdalrgy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a food allergyCharge_familymedhist_othmem_foodallergy_type, charge_familymedhist_othermem_foodallergy_type, othmem_foodallergy_type
cfmh_othr_skinalrgyIntegerRecommendedSkin Allergy1;00 = No; 1 = YesCharge_familymedhist_othmem_skinallergy, charge_familymedhist_othermem_skinallergy, othmem_skinallergy
cfmh_othr_skinalrgy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_skinallergy_cmt, charge_familymedhist_othermem_skinallergy_cmt, othmem_skinallergy_cmt
cfmh_othr_skinalrgy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergyCharge_familymedhist_othmem_skinallergy_type, charge_familymedhist_othermem_skinallergy_type, othmem_skinallergy_type
cfmh_othr_eczemaIntegerRecommendedEczema1;00 = No; 1 = YesCharge_familymedhist_othmem_eczema, charge_familymedhist_othermem_eczema, othmem_eczema
cfmh_othr_eczema_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have eczemaCharge_familymedhist_othmem_eczema_type, charge_familymedhist_othermem_eczema_type, othmem_eczema_type
cfmh_othr_envalrgyIntegerRecommendedEnvironmental1;00 = No; 1 = YesCharge_familymedhist_othmem_envallergy, charge_familymedhist_othermem_envallergy, othmem_envallergy
cfmh_othr_envalrgy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_envallergy_cmt, charge_familymedhist_othermem_envallergy_cmt, othmem_envallergy_cmt
cfmh_othr_envalrgy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an environmental allergyCharge_familymedhist_othmem_envallergy_type, charge_familymedhist_othermem_envallergy_type, othmem_envallergy_type
cfmh_othr_medalrgyIntegerRecommendedMedication1;00 = No; 1 = YesCharge_familymedhist_othmem_medallergy, charge_familymedhist_othermem_medallergy, othmem_medallergy
cfmh_othr_medalrgy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_medallergy_cmt, charge_familymedhist_othermem_medallergy_cmt, othmem_medallergy_cmt
cfmh_othr_medalrgy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a medication allergyCharge_familymedhist_othmem_medallergy_type, charge_familymedhist_othermem_medallergy_type, othmem_medallergy_type
cfmh_othr_othalrgyIntegerRecommendedOther1;00 = No; 1 = YesCharge_familymedhist_othmem_otherallergy, charge_familymedhist_othermem_otherallergy, othmem_otherallergy
cfmh_othr_othalrgy_cmtString255RecommendedSpecific TypeCharge_familymedhist_othmem_otherallergy_cmt, charge_familymedhist_othermem_otherallergy_cmt, othmem_otherallergy_cmt
cfmh_othr_othalrgy_typeString100RecommendedList other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an other allergyCharge_familymedhist_othmem_otherallergy_type, charge_familymedhist_othermem_otherallergy_type, othmem_otherallergy_type
cfmh_othr_autismIntegerRecommendedAutism1;00 = No; 1 = YesCharge_familymedhist_othmem_autism, charge_familymedhist_othermem_autism, othmem_autism
cfmh_othr_autism_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_autism_type, charge_familymedhist_othermem_autism_type, othmem_autism_type
cfmh_othr_aspergersIntegerRecommendedAsperger's Syndrome1;00 = No; 1 = YesCharge_familymedhist_othmem_aspergers, charge_familymedhist_othermem_aspergers, othmem_aspergers
cfmh_othr_aspergers_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_aspergers_type, charge_familymedhist_othermem_aspergers_type, othmem_aspergers_type
cfmh_othr_rettsIntegerRecommendedRett's Syndrome1;00 = No; 1 = YesCharge_familymedhist_othmem_retts, charge_familymedhist_othermem_retts, othmem_retts_type
cfmh_othr_retts_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_retts_type, charge_familymedhist_othermem_retts_type, othmem_retts
cfmh_othr_pddnosIntegerRecommendedAutism Spectrum Disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_pddnos, charge_familymedhist_othermem_pddnos, othmem_pddnos
cfmh_othr_pddnos_cmtString255RecommendedSpecify TypeCharge_familymedhist_othmem_pddnos_cmt, charge_familymedhist_othermem_pddnos_cmt
cfmh_othr_pddnos_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_pddnos_type, charge_familymedhist_othermem_pddnos_type, othmem_pddnos_type
cfmh_othr_spchdelayIntegerRecommendedspch/Language Delay1;00 = No; 1 = YesCharge_familymedhist_othmem_speechdelay, charge_familymedhist_othermem_speechdelay, othmem_speechdelay
cfmh_othr_spchdelay_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_speechdelay_type, charge_familymedhist_othermem_speechdelay_type, othmem_speechdelay_type
cfmh_othr_devdelayIntegerRecommendedDevelopmental Delay1;00 = No; 1 = YesCharge_familymedhist_othmem_devdelay, charge_familymedhist_othermem_devdelay, othmem_devdelay
cfmh_othr_devdelay_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_devdelay_type, charge_familymedhist_othermem_devdelay_type, othmem_devdelay_type
cfmh_othr_learndisIntegerRecommendedLearning Disability1;00 = No; 1 = YesCharge_familymedhist_othmem_learndis, charge_familymedhist_othermem_learndis, othmem_learndis
cfmh_othr_learndis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_learndis_type, charge_familymedhist_othermem_learndis_type, othmem_learndis_type
cfmh_othr_seizureIntegerRecommendedSeizure disorder/Epilepsy1;00 = No; 1 = YesCharge_familymedhist_othmem_seizure, charge_familymedhist_othermem_seizure, othmem_seizure
cfmh_othr_seizure_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_seizure_type, charge_familymedhist_othermem_seizure_type, othmem_seizure_type
cfmh_othr_cerpalsyIntegerRecommendedCerebral Palsy1;00 = No; 1 = YesCharge_familymedhist_othmem_cerpalsy, charge_familymedhist_othermem_cerpalsy, othmem_cerpalsy
cfmh_othr_cerpalsy_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_cerpalsy_type, charge_familymedhist_othermem_cerpalsy_type, othmem_cerpalsy_type
cfmh_othr_downssyndIntegerRecommendedDown's Syndrome1;00 = No; 1 = YesCharge_familymedhist_othmem_downssynd, charge_familymedhist_othermem_downssynd, othmem_downssynd
cfmh_othr_downssynd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_downssynd_type, charge_familymedhist_othermem_downssynd_type, othmem_downssynd_type
cfmh_othr_mentalretIntegerRecommendedMental Retardation1;00 = No; 1 = YesCharge_familymedhist_othmem_mentalret, charge_familymedhist_othermem_mentalret, othmem_mentalret
cfmh_othr_mentalret_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_mentalret_type, charge_familymedhist_othermem_mentalret_type, othmem_mentalret_type
cfmh_othr_tubersclIntegerRecommendedTuberous Sclerosis1;00 = No; 1 = YesCharge_familymedhist_othmem_tuberscl, charge_familymedhist_othermem_tuberscl, othmem_tuberscl
cfmh_othr_tuberscl_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_tuberscl_type, charge_familymedhist_othermem_tuberscl_type, othmem_tuberscl_type
cfmh_othr_fragilexIntegerRecommendedFragile X1;00 = No; 1 = YesCharge_familymedhist_othmem_fragilex, charge_familymedhist_othermem_fragilex, othmem_fragilex
cfmh_othr_fragilex_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_fragilex_type, charge_familymedhist_othermem_fragilex_type, othmem_fragilex_type
cfmh_othr_neuromdIntegerRecommendedNeuromuscular disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_neuromuscdis, charge_familymedhist_othermem_neuromuscdis, othmem_neuromuscdis
cfmh_othr_neuromd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_neuromuscdis_type, charge_familymedhist_othermem_neuromuscdis_type, othmem_neuromuscdis_type
cfmh_othr_genedisIntegerRecommendedKnown Genetic Disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_geneticdis, charge_familymedhist_othermem_geneticdis, othmem_geneticdis
cfmh_othr_genedis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_geneticdis_cmt, charge_familymedhist_othermem_geneticdis_cmt, othmem_geneticdis_cmt
cfmh_othr_genedis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_geneticdis_type, charge_familymedhist_othermem_geneticdis_type, othmem_geneticdistest_type
cfmh_othr_genediststIntegerRecommendedTesting Done1;00 = No; 1 = YesCharge_familymedhist_othmem_geneticdistest, charge_familymedhist_othermem_geneticdistest, othmem_geneticdistest
cfmh_othr_genedistst_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_geneticdistest_cmt, charge_familymedhist_othermem_geneticdistest_cmt, othmem_geneticdistest_cmt
cfmh_othr_genedistst_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_geneticdistest_type, charge_familymedhist_othermem_geneticdistest_type, othmem_geneticdis_type
cfmh_othr_visionimpIntegerRecommendedVision impairment1;00 = No; 1 = YesCharge_familymedhist_othmem_visionimp, charge_familymedhist_othermem_visionimp, othmem_visionimp
cfmh_othr_visionimp_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_visionimp_type, charge_familymedhist_othermem_visionimp_type, othmem_visionimp_type
cfmh_othr_visioncorIntegerRecommendedVision corrected?1;00 = No; 1 = YesCharge_familymedhist_othmem_visioncor, charge_familymedhist_othermem_visioncor, othmem_visioncor
cfmh_othr_visioncor_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_visioncor_type, charge_familymedhist_othermem_visioncor_type, othmem_visioncor_type
cfmh_othr_hearingimpIntegerRecommendedHearing impairment1;00 = No; 1 = YesCharge_familymedhist_othmem_hearingimp, charge_familymedhist_othermem_hearingimp, othmem_hearingimp
cfmh_othr_hearingimp_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_hearingimp_type, charge_familymedhist_othermem_hearingimp_type, othmem_hearingimp_type
cfmh_othr_hearingcorIntegerRecommendedHearing corrected?1;00 = No; 1 = YesCharge_familymedhist_othmem_hearingcor, charge_familymedhist_othermem_hearingcor, othmem_hearingcor
cfmh_othr_hearingcor_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_hearingcor_type, charge_familymedhist_othermem_hearingcor_type, othmem_hearingcor_type
cfmh_othr_bipolarIntegerRecommendedBipolar disorder (Manic/depression)1;00 = No; 1 = YesCharge_familymedhist_othmem_bipolar, charge_familymedhist_othermem_bipolar, othmem_bipolar
cfmh_othr_bipolar_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_bipolar_type, charge_familymedhist_othermem_bipolar_type, othmem_bipolar_type
cfmh_othr_depressionIntegerRecommendedDepression1;00 = No; 1 = YesCharge_familymedhist_othmem_depression, charge_familymedhist_othermem_depression, othmem_depression
cfmh_othr_depression_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_depression_type, charge_familymedhist_othermem_depression_type, othmem_depression_type
cfmh_othr_anxietyIntegerRecommendedAnxiety disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_anxiety, charge_familymedhist_othermem_anxiety, othmem_anxiety
cfmh_othr_anxiety_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_anxiety_type, charge_familymedhist_othermem_anxiety_type, othmem_anxiety_type
cfmh_othr_ocdIntegerRecommendedObsessive compulsive disorder1;0; -90 = No; 1 = Yes; -9 = Not knownCharge_familymedhist_othmem_ocd, charge_familymedhist_othermem_ocd, othmem_ocd
cfmh_othr_ocd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_ocd_type, charge_familymedhist_othermem_ocd_type, othmem_ocd_type
cfmh_othr_schizoIntegerRecommendedSchizophrenia1;00 = No; 1 = YesCharge_familymedhist_othmem_schizophrenia, charge_familymedhist_othermem_schizophrenia, othmem_schizophrenia
cfmh_othr_schizo_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_schizophrenia_type, charge_familymedhist_othermem_schizophrenia_type, othmem_schizophrenia_type
cfmh_othr_persondisIntegerRecommendedPersonality disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_persondis, charge_familymedhist_othermem_persondis, othmem_persondis
cfmh_othr_persondis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_persondis_cmt, charge_familymedhist_othermem_persondis_cmt, othmem_persondis_cmt
cfmh_othr_persondis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_persondis_type, charge_familymedhist_othermem_persondis_type, othmem_persondis_type
cfmh_othr_selfinjIntegerRecommendedSelf-injuring behavior1;00 = No; 1 = YesCharge_familymedhist_othmem_selfinj, charge_familymedhist_othermem_selfinj, othmem_selfinj
cfmh_othr_selfinj_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_selfinj_type, charge_familymedhist_othermem_selfinj_type, othmem_selfinj_type
cfmh_othr_suicideattIntegerRecommendedSuicide attempt/suicide1;00 = No; 1 = YesCharge_familymedhist_othmem_suicideatt, charge_familymedhist_othermem_suicideatt, othmem_suicideatt
cfmh_othr_suicideatt_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_suicideatt_type, charge_familymedhist_othermem_suicideatt_type, othmem_suicideatt_type
cfmh_othr_othpsydisIntegerRecommendedOther psychiatric disorder1;00 = No; 1 = YesCharge_familymedhist_othmem_otherpsychdis, charge_familymedhist_othermem_otherpsychdis, othmem_otherpsychdis
cfmh_othr_othpsydis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_otherpsychdis_cmt, charge_familymedhist_othermem_otherpsychdis_cmt, othmem_otherpsychdis_cmt
cfmh_othr_othpsydis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_otherpsychdis_type, charge_familymedhist_othermem_otherpsychdis_type, othmem_otherpsychdis_type
cfmh_othr_adhdIntegerRecommendedAttention deficit hyperactivity disorder (ADHD)1;00 = No; 1 = YesCharge_familymedhist_othmem_adhd, charge_familymedhist_othermem_adhd, othmem_adhd
cfmh_othr_adhd_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_adhd_type, charge_familymedhist_othermem_adhd_type, othmem_adhd_type
cfmh_othr_eatingdisIntegerRecommendedEating disorder. Bulimia, Anorexia1;00 = No; 1 = YesCharge_familymedhist_othmem_eatingdis, charge_familymedhist_othermem_eatingdis, othmem_eatingdis
cfmh_othr_eatingdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_eatingdis_cmt, charge_familymedhist_othermem_eatingdis_cmt, othmem_eatingdis_cmt
cfmh_othr_eatingdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_eatingdis_type, charge_familymedhist_othermem_eatingdis_type, othmem_eatingdis_type
cfmh_othr_sleepdisIntegerRecommendedSleep disorder. Insomnia, Narcolepsy1;00 = No; 1 = YesCharge_familymedhist_othmem_sleepdis, charge_familymedhist_othermem_sleepdis, othmem_sleepdis
cfmh_othr_sleepdis_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_sleepdis_cmt, charge_familymedhist_othermem_sleepdis_cmt, othmem_sleepdis_cmt
cfmh_othr_sleepdis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_sleepdis_type, charge_familymedhist_othermem_sleepdis_type, othmem_sleepdis_type
cfmh_othr_abusevicIntegerRecommendedVictim of abuse1;00 = No; 1 = YesCharge_familymedhist_othmem_abusevic, charge_familymedhist_othermem_abusevic, othmem_abusevic
cfmh_othr_abusevic_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_abusevic_type, charge_familymedhist_othermem_abusevic_type, othmem_abusevic_type
cfmh_othr_subabuseIntegerRecommendedSubstance abuse1;00 = No; 1 = YesCharge_familymedhist_othmem_subabuse, charge_familymedhist_othermem_subabuse, othmem_subabuse
cfmh_othr_subabuse_cmtString255RecommendedSpecify Type:Charge_familymedhist_othmem_subabuse_cmt, charge_familymedhist_othermem_subabuse_cmt, othmem_subabuse_cmt
cfmh_othr_subabuse_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_subabuse_type, charge_familymedhist_othermem_subabuse_type, othmem_subabuse_type
cfmh_othr_migraineIntegerRecommendedMigraine headaches0;1; -90 = No; 1 = Yes; -9=unknownCharge_familymedhist_othmem_migraine, charge_familymedhist_othermem_migraine, othmem_migraine
cfmh_othr_migraine_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_migraine_type, charge_familymedhist_othermem_migraine_type, othmem_migraine_type
cfmh_othr_ibsIntegerRecommendedIrritable bowel syndrome1;00 = No; 1 = YesCharge_familymedhist_othmem_ibs, charge_familymedhist_othermem_ibs, othmem_ibs
cfmh_othr_ibstypeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_ibstype, charge_familymedhist_othermem_ibs_type, othmem_ibstype
cfmh_othr_othgidisIntegerRecommendedOther Gastrointestinal disorders1;00 = No; 1 = YesCharge_familymedhist_othmem_othergidis, charge_familymedhist_othermem_othergidis, othmem_othergidis
cfmh_othr_othgidis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_othergidis_type, charge_familymedhist_othermem_othergidis_type, othmem_othergidis_type
cfmh_othr_cancerIntegerRecommendedCancer1;00 = No; 1 = YesCharge_familymedhist_othmem_cancer, charge_familymedhist_othermem_cancer, othmem_cancer
cfmh_othr_cancer_cmtString255RecommendedCancer. Specify TypeCharge_familymedhist_othmem_cancer_cmt, charge_familymedhist_othermem_cancer_cmt, othmem_cancer_cmt
cfmh_othr_cancer_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_cancer_type, charge_familymedhist_othermem_cancer_type, othmem_cancer_type
cfmh_othr_congendefIntegerRecommendedCongenital Defect (Cleft palate, Cleft lip)1;00 = No; 1 = YesCharge_familymedhist_othmem_congenitaldef, charge_familymedhist_othermem_congenitaldef, othmem_congenitaldef
cfmh_othr_congendef_cmtString255RecommendedCongenital Defect :OtherCharge_familymedhist_othmem_congenitaldef_cmt, charge_familymedhist_othermem_congenitaldef_cmt, othmem_congenitaldef_cmt
cfmh_othr_congendef_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_congenitaldef_type, charge_familymedhist_othermem_congenitaldef_type, othmem_congenitaldef_type
cfmh_othr_obesityIntegerRecommendedObesity1;00 = No; 1 = YesCharge_familymedhist_othmem_obesity, charge_familymedhist_othermem_obesity, othmem_obesity
cfmh_othr_obesity_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_obesity_type, charge_familymedhist_othermem_obesity_type, othmem_obesity_type
cfmh_othr_sicklecellIntegerRecommendedSickle cell anemia1;00 = No; 1 = YesCharge_familymedhist_othmem_sicklecell, charge_familymedhist_othermem_sicklecell, othmem_sicklecell
cfmh_othr_sicklecell_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_sicklecell_type, charge_familymedhist_othermem_sicklecell_type, othmem_sicklecell_type
cfmh_othr_thyroiddisIntegerRecommendedThyroid Disease1;0; -90 = No; 1 = Yes; -9=UnknownCharge_familymedhist_othmem_thyroiddis, charge_familymedhist_othermem_thyroiddis, othmem_thyroiddis
cfmh_othr_thyroiddis_typeString100RecommendedIf yes, Indicate Family Member codeCharge_familymedhist_othmem_thyroiddis_type, charge_familymedhist_othermem_thyroiddis_type, othmem_thyroiddis_type
cfmh_othr_othcond1IntegerRecommendedDid the relatives have Other condition-11;00 = No; 1 = YesCharge_familymedhist_othmem_othercond1, charge_familymedhist_othermem_othercond1, othmem_othercond1
cfmh_othr_othcondlist1String100RecommendedList relatives having Other condition -1Charge_familymedhist_othmem_othercondlist1, charge_familymedhist_othermem_othercondlist1, othmem_othercondlist1
cfmh_othr_othcond2IntegerRecommendedDid the relatives have Other condition-21;00 = No; 1 = YesCharge_familymedhist_othmem_othercond2, charge_familymedhist_othermem_othercond2, othmem_othercond2
cfmh_othr_othcondlist2String100RecommendedList relatives having Other condition -2Charge_familymedhist_othmem_othercondlist2, charge_familymedhist_othermem_othercondlist2, othmem_othercondlist2
cfmh_othr_othcond3IntegerRecommendedDid the relatives have Other condition-31;00 = No; 1 = YesCharge_familymedhist_othmem_othercond3, charge_familymedhist_othermem_othercond3, othmem_othercond3
cfmh_othr_othcondlist3String100RecommendedList relatives having Other condition -3Charge_familymedhist_othmem_othercondlist3, charge_familymedhist_othermem_othercondlist3, othmem_othercondlist3
cfmh_othr_othcond4IntegerRecommendedDid the relatives have Other condition-41;00 = No; 1 = YesCharge_familymedhist_othmem_othercond4, charge_familymedhist_othermem_othercond4, othmem_othercond4
cfmh_othr_othcondlist4String100RecommendedList relatives having Other condition -4Charge_familymedhist_othmem_othercondlist4, charge_familymedhist_othermem_othercondlist4, othmem_othercondlist4
cfmh_fmw_chd_sis1IntegerRecommendedS1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis1
cfmh_fmw_chd_sis2IntegerRecommendedS2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis2
cfmh_fmw_chd_sis3IntegerRecommendedS3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis3
cfmh_fmw_chd_sis4IntegerRecommendedS4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis4
cfmh_fmw_chd_sis5IntegerRecommendedS5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis5
cfmh_fmw_chd_sis6IntegerRecommendedS6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis6
cfmh_fmw_chd_sis7IntegerRecommendedS7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_sis7
cfmh_fmw_chd_bro1IntegerRecommendedB1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro1
cfmh_fmw_chd_bro2IntegerRecommendedB2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro2
cfmh_fmw_chd_bro3IntegerRecommendedB3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro3
cfmh_fmw_chd_bro4IntegerRecommendedB4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro4
cfmh_fmw_chd_bro5IntegerRecommendedB5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro5
cfmh_fmw_chd_bro6IntegerRecommendedB6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro6
cfmh_fmw_chd_bro7IntegerRecommendedB7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_bro7
cfmh_fmw_chd_ma1IntegerRecommendedMA1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA1
cfmh_fmw_chd_ma2IntegerRecommendedMA2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA2
cfmh_fmw_chd_ma3IntegerRecommendedMA3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA3
cfmh_fmw_chd_ma4IntegerRecommendedMA4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA4
cfmh_fmw_chd_ma5IntegerRecommendedMA5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA5
cfmh_fmw_chd_ma6IntegerRecommendedMA6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA6
cfmh_fmw_chd_ma7IntegerRecommendedMA7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MA7
cfmh_fmw_chd_mu1IntegerRecommendedMU1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU1
cfmh_fmw_chd_mu2IntegerRecommendedMU2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU2
cfmh_fmw_chd_mu3IntegerRecommendedMU3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU3
cfmh_fmw_chd_mu4IntegerRecommendedMU4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU4
cfmh_fmw_chd_mu5IntegerRecommendedMU5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU5
cfmh_fmw_chd_mu6IntegerRecommendedMU6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU6
cfmh_fmw_chd_mu7IntegerRecommendedMU7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_MU7
cfmh_fmw_chd_pa1IntegerRecommendedPA1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA1
cfmh_fmw_chd_pa2IntegerRecommendedPA2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA2
cfmh_fmw_chd_pa3IntegerRecommendedPA3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA3
cfmh_fmw_chd_pa4IntegerRecommendedPA4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA4
cfmh_fmw_chd_pa5IntegerRecommendedPA5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA5
cfmh_fmw_chd_pa6IntegerRecommendedPA6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA6
cfmh_fmw_chd_pa7IntegerRecommendedPA7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PA7
cfmh_fmw_chd_pu1IntegerRecommendedPU1 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU1
cfmh_fmw_chd_pu2IntegerRecommendedPU2 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU2
cfmh_fmw_chd_pu3IntegerRecommendedPU3 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU3
cfmh_fmw_chd_pu4IntegerRecommendedPU4 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU4
cfmh_fmw_chd_pu5IntegerRecommendedPU5 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU5
cfmh_fmw_chd_pu6IntegerRecommendedPU6 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU6
cfmh_fmw_chd_pu7IntegerRecommendedPU7 - half1;21 = Paternal; 2 = MaternalCharge_familymedhist_fmw_child_PU7
cfmh_oth_condname1_momString100RecommendedName Other Condition - 1Charge_familymedhist_other_condname1_mother
cfmh_oth_condname2_momString100RecommendedName Other Condition - 2Charge_familymedhist_other_condname2_mother
cfmh_oth_condname3_momString100RecommendedName Other Condition - 3Charge_familymedhist_other_condname3_mother
cfmh_oth_condname4_momString100RecommendedName Other Condition - 4Charge_familymedhist_other_condname4_mother
cfmh_oth_condname1_dadString100RecommendedName Other Condition - 1Charge_familymedhist_other_condname1_father
cfmh_oth_condname2_dadString100RecommendedName Other Condition - 2Charge_familymedhist_other_condname2_father
cfmh_oth_condname3_dadString100RecommendedName Other Condition - 3Charge_familymedhist_other_condname3_father
cfmh_oth_condname4_dadString100RecommendedName Other Condition - 4Charge_familymedhist_other_condname4_father
cfmh_oth_condname1_othrString100RecommendedName Other Condition - 1Charge_familymedhist_other_condname1_othmem
cfmh_oth_condname2_othrString100RecommendedName Other Condition - 2Charge_familymedhist_other_condname2_othmem
cfmh_oth_condname3_othrString100RecommendedName Other Condition - 3Charge_familymedhist_other_condname3_othmem
cfmh_oth_condname4_othrString100RecommendedName Other Condition - 4Charge_familymedhist_other_condname4_othmem
cfmh_comments_miscString100RecommendedMisc. comments on study, interview, etc.Charge_familymedhist_comments_misc
cfmh_chd_fdalrgyIntegerRequiredDoes the Child have a food allergy?0::2;9990 = No; 1 = Yes; 2=SuspectedCharge_familymedhist_child_foodallergy, child_foodallergy
cfmh_chd_fdalrgy_cmtString255RecommendedSpecific food items the Child is allergic toCharge_familymedhist_child_foodallergy_cmt, child_foodallergy_cmt
cfmh_chd_skinalrgyIntegerRequiredDoes the Child have a skin allergy?1;0;9990 = No; 1 = YesCharge_familymedhist_child_skinallergy, child_skinallergy
cfmh_chd_alrgy_skinalrgy_cmtString255RecommendedSpecific skin items the Child is allergic toCharge_familymedhist_child_allergy_skinallergy_cmt, child_allergy_skinallergy_cmt
cfmh_chd_eczemaIntegerRecommendedDoes the Child have Eczema?1;00 = No; 1 = YesCharge_familymedhist_child_eczema, child_eczema
cfmh_chd_envalrgyIntegerRequiredDoes the Child have an environmental allergy?0::2;9990 = No; 1 = Yes; 2=suspectedCharge_familymedhist_child_envallergy, child_envallergy
cfmh_chd_envalrgy_cmtString255RecommendedSpecific environmental items the Child is allergic toCharge_familymedhist_child_envallergy_cmt, child_envallergy_cmt
cfmh_chd_medalrgyIntegerRequiredDoes the Child have a medication allergy?0::2;9990 = No; 1 = Yes; 2=SuspectedCharge_familymedhist_child_medallergy, child_medallergy
cfmh_chd_medalrgy_cmtString255RecommendedSpecific medication items the Child is allergic toCharge_familymedhist_child_medallergy_cmt, child_medallergy_cmt
cfmh_chd_othalrgyIntegerRecommendedDoes the Child have any other allergies?1;00 = No; 1 = YesCharge_familymedhist_child_otherallergy, child_otherallergy
cfmh_chd_othalrgy_cmtString255RecommendedSpecific other items the Child is allergic toCharge_familymedhist_child_otherallergy_cmt, child_otherallergy_cmt
cfmh_chd_autismIntegerRequiredDoes the Child have Autism?1;0;9990 = No; 1 = YesCharge_familymedhist_child_autism, child_autism
cfmh_chd_aspergersIntegerRequiredDoes the Child have Asperger's Syndrome?1;0;9990 = No; 1 = YesCharge_familymedhist_child_aspergers, child_aspergers
cfmh_chd_rettsIntegerRequiredDoes the Child have Rett's Syndrome?1;0;9990 = No; 1 = YesCharge_familymedhist_child_retts, child_retts
cfmh_chd_pddnosIntegerRequiredDoes the child have Autism Spectrum Disorder?1;0;9990 = No; 1 = YesCharge_familymedhist_child_pddnos, child_pddnos
cfmh_chd_pddnos_cmtString255RecommendedSpecify typeCharge_familymedhist_child_pddnos_cmt, child_pddnos_cmt
cfmh_chd_spchdelayIntegerRecommendedDoes (did) the Child have a spch/Language Delay?1;00 = No; 1 = YesCharge_familymedhist_child_speechdelay, child_speechdelay
cfmh_chd_devdelayIntegerRecommendedDoes (did) the Child have a Developmental Delay?1;00 = No; 1 = YesCharge_familymedhist_child_devdelay, child_devdelay
cfmh_chd_learndisIntegerRequiredDoes (did) the Child have a Learning Disability?1;0;9990 = No; 1 = YesCharge_familymedhist_child_learndis, child_learndis
cfmh_chd_seizureIntegerRequiredDoes (did) the Child have Seizure Disorder/Epilepsy?1;0;999; -70 = No; 1 = Yes; ; -7=Refused; 999=NA/NKCharge_familymedhist_child_seizure, child_seizure
cfmh_chd_cerpalsyIntegerRequiredDoes (did) the Child have Cerebral Palsy?1;0;9990 = No; 1 = YesCharge_familymedhist_child_cerpalsy, child_cerpalsy
cfmh_chd_downssyndIntegerRequiredDoes (did) the Child have Down's Syndrome?1;0;9990 = No; 1 = YesCharge_familymedhist_child_downssynd, child_downssynd
cfmh_chd_mentalretIntegerRecommendedDoes (did) the Child have Mental Retardation?1;00 = No; 1 = YesCharge_familymedhist_child_mentalret, child_mentalret
cfmh_chd_tubersclIntegerRequiredDoes (did) the Child have Tuberous Sclerosis?1;0;9990 = No; 1 = YesCharge_familymedhist_child_tuberscl, child_tuberscl
cfmh_chd_fragilexIntegerRequiredDoes (did) the Child have Fragile X?
1;0;999
0 = No; 1 = YesCharge_familymedhist_child_fragilex, child_fragilex
cfmh_chd_neuromdIntegerRecommendedDoes (did) the Child have a Neuromuscular Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_neuromuscdis, child_neuromuscdis
cfmh_chd_genedisIntegerRecommendedDoes (did) the Child have a Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_geneticdis, child_geneticdis
cfmh_chd_genedis_cmtString255RecommendedSpecify Child's Genetic DisorderCharge_familymedhist_child_geneticdis_cmt, child_geneticdis_cmt
cfmh_chd_genediststIntegerRecommendedWas testing done for the Child's Genetic Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_geneticdistest, child_geneticdistest
cfmh_chd_genedistst_cmtString255RecommendedSpecify testsCharge_familymedhist_child_geneticdistest_cmt, child_geneticdistest_cmt
cfmh_chd_visionimpIntegerRecommendedDoes the Child have a vision impairment?1;00 = No; 1 = YesCharge_familymedhist_child_visionimp, child_visionimp
cfmh_chd_visioncorIntegerRecommendedHas the child's vision impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_child_visioncor, child_visioncor
cfmh_chd_hearingimpIntegerRecommendedDoes the patient have a hearing impairment?1;00 = No; 1 = YesCharge_familymedhist_child_hearingimp, child_hearingimp
cfmh_chd_hearingcorIntegerRecommendedHas the child's hearing impairment been corrected?1;00 = No; 1 = YesCharge_familymedhist_child_hearingcor, child_hearingcor
cfmh_chd_bipolarIntegerRequiredDoes (did) the subject have a Bipolar Disorder?1;0;999;90 = No; 1 = YesCharge_familymedhist_child_bipolar, child_bipolar
cfmh_chd_depressionIntegerRequiredDoes (did) the Child have Depression?1;0;9990 = No; 1 = YesCharge_familymedhist_child_depression, child_depression
cfmh_chd_anxietyIntegerRecommendedDoes (did) the Child have an Anxiety Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_anxiety, child_anxiety
cfmh_chd_ocdIntegerRequiredDoes (did) the Child have Obsessive Compulsive Disorder?1;0;9990 = No; 1 = YesCharge_familymedhist_child_ocd, child_ocd
cfmh_chd_schizoIntegerRequiredDoes (did) the Child have Schizophrenia?0::2;999; -70 = No; 1 = Yes; 2=Probable;-7=Refused; 999=NA/NK/missingCharge_familymedhist_child_schizophrenia, child_schizophrenia
cfmh_chd_persondisIntegerRecommendedDoes (did) the Child have a Personality Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_persondis, child_persondis
cfmh_chd_persondis_cmtString255RecommendedSpecify Child's Personality DisorderCharge_familymedhist_child_persondis_cmt, child_persondis_cmt
cfmh_chd_selfinjIntegerRecommendedDoes (did) the Child have Self-Injuring Behavior?1;00 = No; 1 = YesCharge_familymedhist_child_selfinj, child_selfinj
cfmh_chd_suicideattIntegerRecommendedHas the Child Attempted Suicide?0::2; -70 = No; 1 = Yes; 2=not sure; -7=RefusedCharge_familymedhist_child_suicideatt, child_suicideatt
cfmh_chd_othpsydisIntegerRecommendedDoes (did) the Child have a Psychiatric Disorder?1;0; -7;-90 = No; 1 = Yes; -7=Refused; -9=UnknownCharge_familymedhist_child_otherpsychdis, child_otherpsychdis
cfmh_chd_othpsydis_cmtString255RecommendedSpecify Child's Psychiatric DisorderCharge_familymedhist_child_otherpsychdis_cmt, child_otherpsychdis_cmt
cfmh_chd_adhdIntegerRequiredDoes (did) the Child have Attention Deficit Hyperactivity Disorder (ADHD)?1;0;9990 = No; 1 = YesCharge_familymedhist_child_adhd, child_adhd
cfmh_chd_eatingdisIntegerRecommendedDoes (did) the Child have an Eating Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_eatingdis, child_eatingdis
cfmh_chd_eatingdis_cmtString255RecommendedSpecify Child's Eating DisorderCharge_familymedhist_child_eatingdis_cmt, child_eatingdis_cmt
cfmh_chd_sleepdisIntegerRecommendedDoes (did) the Child have a Sleep Disorder?1;00 = No; 1 = YesCharge_familymedhist_child_sleepdis, child_sleepdis
cfmh_chd_sleepdis_cmtString255RecommendedSpecify type of sleep disorder child hasCharge_familymedhist_child_sleepdis_cmt, child_sleepdis_cmt
cfmh_chd_abusevicIntegerRecommendedIs the Child a Victim of Abuse?1;00 = No; 1 = YesCharge_familymedhist_child_abusevic, child_abusevic
cfmh_chd_subabuseIntegerRecommendedIs the Child Substance of Abuse?1;00 = No; 1 = YesCharge_familymedhist_child_subabuse, child_subabuse
cfmh_chd_subabuse_cmtString255RecommendedSpecify Child's Substance AbuseCharge_familymedhist_child_subabuse_cmt, child_subabuse_cmt
cfmh_chd_migraineIntegerRequiredDoes the Child have Migraine Headaches?1;0;9990 = No; 1 = YesCharge_familymedhist_child_migraine, child_migraine
cfmh_chd_ibsIntegerRequiredDoes the Child have Irritable Bowel Syndrome?1;0;9990 = No; 1 = YesCharge_familymedhist_child_ibs, child_ibs
cfmh_chd_othgidisIntegerRecommendedDoes the Child have any Other Gastrointestinal Disorders?1;00 = No; 1 = YesCharge_familymedhist_child_othergidis, child_othergidis
cfmh_chd_cancerIntegerRecommendedDoes the Child have Cancer?1;00 = No; 1 = YesCharge_familymedhist_child_cancer, child_cancer
cfmh_chd_cancer_cmtString255RecommendedSpecify Child's Cancer typeCharge_familymedhist_child_cancer_cmt, child_cancer_cmt
cfmh_chd_congendefIntegerRecommendedDoes the Child have a Congenital Defect (Cleft palate, cleft lip, other)?1;00 = No; 1 = YesCharge_familymedhist_child_congenitaldef, child_congenitaldef
cfmh_chd_congendef_cmtString255RecommendedSpecify Child's Congenital Defect typeCharge_familymedhist_child_congenitaldef_cmt, child_congenitaldef_cmt
cfmh_chd_obesityIntegerRecommendedDoes the Child have Obesity?1;00 = No; 1 = YesCharge_familymedhist_child_obesity, child_obesity
cfmh_chd_sicklecellIntegerRecommendedDoes the Child have Sickle Cell Anemia?1;00 = No; 1 = YesCharge_familymedhist_child_sicklecell, child_sicklecell
cfmh_chd_thyroiddisIntegerRequiredDoes the Child have Thyroid Disease?1;0;999; -70 = No; 1 = Yes; -7=Refused; 999=NA/NKCharge_familymedhist_child_thyroiddis, child_thyroiddis
cfmh_chd_othcond1IntegerRecommendedDid the child have Other Condition - 11;00 = No; 1 = YesCharge_familymedhist_child_othercond1, child_othercond1
cfmh_chd_othcond2IntegerRecommendedDid the child have Other Condition - 21;00 = No; 1 = YesCharge_familymedhist_child_othercond2, child_othercond2
cfmh_chd_othcond3IntegerRecommendedDid the child have Other Condition - 31;00 = No; 1 = YesCharge_familymedhist_child_othercond3, child_othercond3
cfmh_chd_othcond4IntegerRecommendedDid the child have Other Condition - 41;00 = No; 1 = YesCharge_familymedhist_child_othercond4, child_othercond4
genderString20RequiredSex of the subjectM;FM = Male; F = Female
Data Structure

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

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
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Distribution for DataStructure: ucd_mind_cfmh01 and Element:
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Filters for multiple data elements within a structure are supported. Selections across multiple data structures will be supported in a future version of NDA.