|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
|
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
|
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
|
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0::1440
|
Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
|
|
Query
|
interviewmonth |
Integer |
|
Recommended |
Interview Month |
|
|
|
Query
|
interviewday |
Integer |
|
Recommended |
Interview Day |
|
|
|
Query
|
interviewyear |
Integer |
|
Recommended |
Interview Year |
|
|
|
|
cfmh_oth_condname1 |
String |
100
|
Recommended |
Name Other Condition - 1 |
|
|
Charge_familymedhist_other_condname1, other_condname1 |
|
cfmh_oth_condname2 |
String |
100
|
Recommended |
Name Other Condition - 2 |
|
|
Charge_familymedhist_other_condname2, other_condname2 |
|
cfmh_oth_condname3 |
String |
100
|
Recommended |
Name Other Condition - 3 |
|
|
Charge_familymedhist_other_condname3, other_condname3 |
|
cfmh_oth_condname4 |
String |
100
|
Recommended |
Name Other Condition - 4 |
|
|
Charge_familymedhist_other_condname4, other_condname4 |
Query
|
cfmh_mom_fdalrgy |
Integer |
|
Recommended |
Does the Child's Mother have a food allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_foodallergy, mother_foodallergy |
Query
|
cfmh_mom_fdalrgy_cmt |
String |
255
|
Recommended |
Specific food items the Mother is allergic to |
|
|
Charge_familymedhist_mother_foodallergy_cmt, mother_foodallergy_cmt |
Query
|
cfmh_mom_fdalrgy_age |
Integer |
|
Recommended |
Age at which the mother's food allergy first appeared(in months) |
|
|
Charge_familymedhist_mother_foodallergy_age, mother_foodallergy_age |
Query
|
cfmh_mom_fdalrgy_preg |
Integer |
|
Recommended |
Did the mother have the food allergy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_foodallergy_preg, mother_foodallergy_preg |
Query
|
cfmh_mom_skinalrgy |
Integer |
|
Recommended |
Does the Child's Mother have a skin allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_skinallergy, mother_skinallergy |
Query
|
cfmh_mom_skinalrgy_cmt |
String |
255
|
Recommended |
Specific skin items the Mother is allergic to |
|
|
Charge_familymedhist_mother_skinallergy_cmt, mother_skinallergy_cmt |
Query
|
cfmh_mom_skinalrgy_age |
Integer |
|
Recommended |
Age at which the mother's skin allergy first appeared(in months) |
|
|
Charge_familymedhist_mother_skinallergy_age, mother_skinallergy_age |
Query
|
cfmh_mom_skinalrgy_preg |
Integer |
|
Recommended |
Did the mother have the skin allergy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_skinallergy_preg, mother_skinallergy_preg |
Query
|
cfmh_mom_eczema |
Integer |
|
Recommended |
Does the Child's Mother have Eczema? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_eczema, mother_eczema |
Query
|
cfmh_mom_eczema_age |
Integer |
|
Recommended |
Age at which the mother's eczema first appeared(in months) |
|
|
Charge_familymedhist_mother_eczema_age, mother_eczema_age |
Query
|
cfmh_mom_eczema_preg |
Integer |
|
Recommended |
Did the mother have eczema while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_eczema_preg, mother_eczema_preg |
Query
|
cfmh_mom_envalrgy |
Integer |
|
Recommended |
Does the Child's Mother have an environmental allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_envallergy, mother_envallergy |
Query
|
cfmh_mom_envalrgy_cmt |
String |
255
|
Recommended |
Specific environmental items the Mother is allergic to |
|
|
Charge_familymedhist_mother_envallergy_cmt, mother_envallergy_cmt |
Query
|
cfmh_mom_envalrgy_age |
Integer |
|
Recommended |
Age at which the mother's environmental allergy first appeared(in months) |
|
|
Charge_familymedhist_mother_envallergy_age, mother_envallergy_age |
Query
|
cfmh_mom_envalrgy_preg |
Integer |
|
Recommended |
Did the mother have the environmental allergy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_envallergy_preg, mother_envallergy_preg |
Query
|
cfmh_mom_medalrgy |
Integer |
|
Recommended |
Does the Child's Mother have a medication allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_medallergy, mother_medallergy |
|
cfmh_mom_medalrgy_cmt |
String |
255
|
Recommended |
Specific medication items the Mother is allergic to |
|
|
Charge_familymedhist_mother_medallergy_cmt, mother_medallergy_cmt |
Query
|
cfmh_mom_medalrgy_age |
Integer |
|
Recommended |
Age at which the mother's medication allergy first appeared(in months) |
|
|
Charge_familymedhist_mother_medallergy_age, mother_medallergy_age |
Query
|
cfmh_mom_medalrgy_preg |
Integer |
|
Recommended |
Did the mother have the medication allergy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_medallergy_preg, mother_medallergy_preg |
Query
|
cfmh_mom_othalrgy |
Integer |
|
Recommended |
Does the Child's Mother have any other allergies? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_otherallergy, mother_otherallergy |
Query
|
cfmh_mom_othalrgy_cmt |
String |
255
|
Recommended |
Specific other items the Mother is allergic to |
|
|
Charge_familymedhist_mother_otherallergy_cmt, mother_otherallergy_cmt |
Query
|
cfmh_mom_othalrgy_age |
Integer |
|
Recommended |
Age at which the mother's other allergy first appeared(in months) |
|
|
Charge_familymedhist_mother_otherallergy_age, mother_otherallergy_age |
Query
|
cfmh_mom_othalrgy_preg |
Integer |
|
Recommended |
Did the mother have the other allergy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_otherallergy_preg, mother_otherallergy_preg |
Query
|
cfmh_mom_autism |
Integer |
|
Recommended |
Does the Child's Mother have Autism? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_autism, mother_autism |
Query
|
cfmh_mom_autism_age |
Integer |
|
Recommended |
Age at which the mother's Autism first appeared(in months) |
|
|
Charge_familymedhist_mother_autism_age, mother_autism_age |
Query
|
cfmh_mom_autism_preg |
Integer |
|
Recommended |
Did the mother have Autism while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_autism_preg, mother_autism_preg |
Query
|
cfmh_mom_aspergers |
Integer |
|
Recommended |
Does the Child's Mother have Asperger's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_aspergers, mother_aspergers |
Query
|
cfmh_mom_aspergers_age |
Integer |
|
Recommended |
Age at which the mother's Asperger's Syndrome first appeared(in months) |
|
|
Charge_familymedhist_mother_aspergers_age, mother_aspergers_age |
Query
|
cfmh_mom_aspergers_preg |
Integer |
|
Recommended |
Did the mother have Asperger's Syndrome while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_aspergers_preg, mother_aspergers_preg |
Query
|
cfmh_mom_retts |
Integer |
|
Recommended |
Does the Child's Mother have Rett's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_retts, mother_retts |
Query
|
cfmh_mom_retts_age |
Integer |
|
Recommended |
Age at which the mother's Rett's Syndrome first appeared(in months) |
|
|
Charge_familymedhist_mother_retts_age, mother_retts_age |
Query
|
cfmh_mom_retts_preg |
Integer |
|
Recommended |
Did the mother have Rett's Syndrome while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_retts_preg, mother_retts_preg |
Query
|
cfmh_mom_pddnos |
Integer |
|
Recommended |
Does the Child's Mother have Autism Spectrum Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_pddnos, mother_pddnos |
|
cfmh_mom_pddnos_cmt |
String |
255
|
Recommended |
Specify type |
|
|
Charge_familymedhist_mother_pddnos_cmt, mother_pddnos_cmt |
Query
|
cfmh_mom_pddnos_age |
Integer |
|
Recommended |
Age at which Mother's Autism Spectrum Disorder first appeared (in months) |
|
|
Charge_familymedhist_mother_pddnos_age, mother_pddnos_age |
Query
|
cfmh_mom_pddnos_preg |
Integer |
|
Recommended |
Did the Mother have Autism Spectrum Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_pddnos_preg, mother_pddnos_preg |
Query
|
cfmh_mom_spchdelay |
Integer |
|
Recommended |
Does (did) the Child's Mother have a spch/Language Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_speechdelay, mother_speechdelay |
Query
|
cfmh_mom_spchdelay_age |
Integer |
|
Recommended |
Age at which the mother's spch/Language Delay first appeared(in months) |
|
|
Charge_familymedhist_mother_speechdelay_age, mother_speechdelay_age |
Query
|
cfmh_mom_spchdelay_preg |
Integer |
|
Recommended |
Did the mother have a spch/Language Delay while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_speechdelay_preg, mother_speechdelay_preg |
Query
|
cfmh_mom_devdelay |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Developmental Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_devdelay, mother_devdelay |
Query
|
cfmh_mom_devdelay_age |
Integer |
|
Recommended |
Age at which the mother's Developmental Delay first appeared(in months) |
|
|
Charge_familymedhist_mother_devdelay_age, mother_devdelay_age |
Query
|
cfmh_mom_devdelay_preg |
Integer |
|
Recommended |
Did the mother have a Developmental Delay while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_devdelay_preg, mother_devdelay_preg |
Query
|
cfmh_mom_learndis |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Learning Disability? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_learndis, mother_learndis |
Query
|
cfmh_mom_learndis_age |
Integer |
|
Recommended |
Age at which the mother's Learning Disability first appeared(in months) |
|
|
Charge_familymedhist_mother_learndis_age, mother_learndis_age |
Query
|
cfmh_mom_learndis_preg |
Integer |
|
Recommended |
Did the mother have a Learning Disability while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_learndis_preg, mother_learndis_preg |
Query
|
cfmh_mom_seizure |
Integer |
|
Recommended |
Does (did) the Child's Mother have Seizure Disorder/Epilepsy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_seizure, mother_seizure |
Query
|
cfmh_mom_seizure_age |
Integer |
|
Recommended |
Age at which the mother's Seizure Disorder/Epilepsy first appeared(in months) |
|
|
Charge_familymedhist_mother_seizure_age, mother_seizure_age |
Query
|
cfmh_mom_seizure_preg |
Integer |
|
Recommended |
Did the mother have Seizure Disorder/Epilepsy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_seizure_preg, mother_seizure_preg |
Query
|
cfmh_mom_cerpalsy |
Integer |
|
Recommended |
Does (did) the Child's Mother have Cerebral Palsy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cerpalsy, mother_cerpalsy |
Query
|
cfmh_mom_cerpalsy_age |
Integer |
|
Recommended |
Age at which the mother's Cerebral Palsy first appeared(in months) |
|
|
Charge_familymedhist_mother_cerpalsy_age, mother_cerpalsy_age |
Query
|
cfmh_mom_cerpalsy_preg |
Integer |
|
Recommended |
Did the mother have Cerebral Palsy while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cerpalsy_preg, mother_cerpalsy_preg |
Query
|
cfmh_mom_downssyn |
Integer |
|
Recommended |
Does (did) the Child's Mother have Down's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_downssynd, mother_downssynd |
Query
|
cfmh_mom_downssyn_age |
Integer |
|
Recommended |
Age at which the mother's Down's Syndrome first appeared(in months) |
|
|
Charge_familymedhist_mother_downssynd_age, mother_downssynd_age |
Query
|
cfmh_mom_downssyn_preg |
Integer |
|
Recommended |
Did the mother have Down's Syndrome while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_downssynd_preg, mother_downssynd_preg |
Query
|
cfmh_mom_mentalret |
Integer |
|
Recommended |
Does (did) the Child's Mother have Mental Retardation? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_mentalret, mother_mentalret |
Query
|
cfmh_mom_mentalret_age |
Integer |
|
Recommended |
Age at which the mother's Mental Retardation first appeared(in months) |
|
|
Charge_familymedhist_mother_mentalret_age, mother_mentalret_age |
Query
|
cfmh_mom_mentalret_preg |
Integer |
|
Recommended |
Did the mother have Mental Retardation while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_mentalret_preg, mother_mentalret_preg |
Query
|
cfmh_mom_tuberscl |
Integer |
|
Recommended |
Does (did) the Child's Mother have Tuberous Sclerosis? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_tuberscl, mother_tuberscl |
Query
|
cfmh_mom_tuberscl_age |
Integer |
|
Recommended |
Age at which the mother's Tuberous Sclerosis first appeared(in months) |
|
|
Charge_familymedhist_mother_tuberscl_age, mother_tuberscl_age |
Query
|
cfmh_mom_tuberscl_preg |
Integer |
|
Recommended |
Did the mother have Tuberous Sclerosis while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_tuberscl_preg, mother_tuberscl_preg |
Query
|
cfmh_mom_fragilex |
Integer |
|
Recommended |
Does (did) the Child's Mother have Fragile X? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_fragilex, mother_fragilex |
Query
|
cfmh_mom_fragilex_age |
Integer |
|
Recommended |
Age at which the mother's Fragile X first appeared(in months) |
|
|
Charge_familymedhist_mother_fragilex_age, mother_fragilex_age |
Query
|
cfmh_mom_fragilex_preg |
Integer |
|
Recommended |
Did the mother have Fragile X while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_fragilex_preg, mother_fragilex_preg |
Query
|
cfmh_mom_neuromd |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Neuromuscular Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_neuromuscdis, mother_neuromuscdis |
Query
|
cfmh_mom_neuromd_age |
Integer |
|
Recommended |
Age at which the mother's Neuromuscular Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_neuromuscdis_age, mother_neuromuscdis_age |
Query
|
cfmh_mom_neuromd_preg |
Integer |
|
Recommended |
Did the mother have a Neuromuscular Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_neuromuscdis_preg, mother_neuromuscdis_preg |
Query
|
cfmh_mom_genedis |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_geneticdis, mother_geneticdis |
Query
|
cfmh_mom_genedis_cmt |
String |
255
|
Recommended |
Specify mother's Genetic Disorder |
|
|
Charge_familymedhist_mother_geneticdis_cmt, mother_geneticdis_cmt |
Query
|
cfmh_mom_genedis_age |
Integer |
|
Recommended |
Age at which the mother's Genetic Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_geneticdis_age, mother_geneticdis_age |
Query
|
cfmh_mom_genedis_preg |
Integer |
|
Recommended |
Did the mother have a Genetic Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_geneticdis_preg, mother_geneticdis_preg |
Query
|
cfmh_mom_genedistst |
Integer |
|
Recommended |
Was testing done for the mother's Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_geneticdistest, mother_geneticdistest |
Query
|
cfmh_mom_genedistst_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_mother_geneticdistest_cmt, mother_geneticdistest_cmt |
Query
|
cfmh_mom_genedistst_age |
Integer |
|
Recommended |
Age at which the mother's tests were done(in months) |
|
|
Charge_familymedhist_mother_geneticdistest_age, mother_geneticdistest_age |
Query
|
cfmh_mom_genedistst_preg |
Integer |
|
Recommended |
Did the mother get tests done while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_geneticdistest_preg, mother_geneticdistest_preg |
Query
|
cfmh_mom_visionimp |
Integer |
|
Recommended |
Does the Child's Mother have a vision impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_visionimp, mother_visionimp |
Query
|
cfmh_mom_visionimp_age |
Integer |
|
Recommended |
Age at which the mother's Vision Impairment first appeared(in months) |
|
|
Charge_familymedhist_mother_visionimp_age, mother_visionimp_age |
Query
|
cfmh_mom_visionimp_preg |
Integer |
|
Recommended |
Did the mother have a Vision Impairment while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_visionimp_preg, mother_visionimp_preg |
Query
|
cfmh_mom_visioncor |
Integer |
|
Recommended |
Has the mother's vision impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_visioncor, mother_visioncor |
Query
|
cfmh_mom_visioncor_age |
Integer |
|
Recommended |
Age at which the mother's Vision Correction done(in months) |
|
|
Charge_familymedhist_mother_visioncor_age, mother_visioncor_age |
Query
|
cfmh_mom_visioncor_preg |
Integer |
|
Recommended |
Did the mother have a Vision Correction while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_visioncor_preg, mother_visioncor_preg |
Query
|
cfmh_mom_hearingimp |
Integer |
|
Recommended |
Does the Child's Mother have a hearing impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_hearingimp, mother_hearingimp |
Query
|
cfmh_mom_hearingimp_age |
Integer |
|
Recommended |
Age at which the mother's Hearing Impairment first appeared(in months) |
|
|
Charge_familymedhist_mother_hearingimp_age, mother_hearingimp_age |
Query
|
cfmh_mom_hearingimp_preg |
Integer |
|
Recommended |
Did the mother have a Hearing Impairment while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_hearingimp_preg, mother_hearingimp_preg |
Query
|
cfmh_mom_hearingcor |
Integer |
|
Recommended |
Has the mother's hearing impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_hearingcor, mother_hearingcor |
Query
|
cfmh_mom_hearingcor_age |
Integer |
|
Recommended |
Age at which the mother's Hearing Correction done(in months) |
|
|
Charge_familymedhist_mother_hearingcor_age, mother_hearingcor_age |
Query
|
cfmh_mom_hearingcor_preg |
Integer |
|
Recommended |
Did the mother have a Hearing Correction while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_hearingcor_preg, mother_hearingcor_preg |
Query
|
cfmh_mom_bipolar |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Bipolar Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_bipolar, mother_bipolar |
Query
|
cfmh_mom_bipolar_age |
Integer |
|
Recommended |
Age at which the mother's Bipolar Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_bipolar_age, mother_bipolar_age |
Query
|
cfmh_mom_bipolar_preg |
Integer |
|
Recommended |
Did the mother have Bipolar Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_bipolar_preg, mother_bipolar_preg |
Query
|
cfmh_mom_depression |
Integer |
|
Recommended |
Does (did) the Child's Mother have Depression? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_depression, mother_depression |
Query
|
cfmh_mom_depression_age |
Integer |
|
Recommended |
Age at which the mother's Depression first appeared(in months) |
|
|
Charge_familymedhist_mother_depression_age, mother_depression_age |
Query
|
cfmh_mom_depression_preg |
Integer |
|
Recommended |
Did the mother have Depression while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_depression_preg, mother_depression_preg |
Query
|
cfmh_mom_anxiety |
Integer |
|
Recommended |
Does (did) the Child's Mother have an Anxiety Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_anxiety, mother_anxiety |
Query
|
cfmh_mom_anxiety_age |
Integer |
|
Recommended |
Age at which the mother's Anxiety Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_anxiety_age, mother_anxiety_age |
Query
|
cfmh_mom_anxiety_preg |
Integer |
|
Recommended |
Did the mother have an Anxiety Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_anxiety_preg, mother_anxiety_preg |
Query
|
cfmh_mom_ocd |
Integer |
|
Recommended |
Does (did) the Child's Mother have Obsessive Compulsive Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_ocd, mother_ocd |
Query
|
cfmh_mom_ocd_age |
Integer |
|
Recommended |
Age at which the mother's Obsessive Compulsive Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_ocd_age, mother_ocd_age |
Query
|
cfmh_mom_ocd_preg |
Integer |
|
Recommended |
Did the mother have Obsessive Compulsive Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_ocd_preg, mother_ocd_preg |
Query
|
cfmh_mom_schizo |
Integer |
|
Recommended |
Does (did) the Child's Mother have Schizophrenia? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_schizophrenia, mother_schizophrenia |
Query
|
cfmh_mom_schizo_age |
Integer |
|
Recommended |
Age at which the mother's Schizophrenia first appeared(in months) |
|
|
Charge_familymedhist_mother_schizophrenia_age, mother_schizophrenia_age |
Query
|
cfmh_mom_schizo_preg |
Integer |
|
Recommended |
Did the mother have Schizophrenia while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_schizophrenia_preg, mother_schizophrenia_preg |
Query
|
cfmh_mom_persondis |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Personality Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_persondis, mother_persondis |
|
cfmh_mom_persondis_cmt |
String |
255
|
Recommended |
Specify mother's Personality Disorder |
|
|
Charge_familymedhist_mother_persondis_cmt, mother_persondis_cmt |
Query
|
cfmh_mom_persondis_age |
Integer |
|
Recommended |
Age at which the mother's Personality Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_persondis_age, mother_persondis_age |
Query
|
cfmh_mom_persondis_preg |
Integer |
|
Recommended |
Did the mother have a Personality Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_persondis_preg, mother_persondis_preg |
Query
|
cfmh_mom_selfinj |
Integer |
|
Recommended |
Does (did) the Child's Mother have Self-Injuring Behavior? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_selfinj, mother_selfinj |
Query
|
cfmh_mom_selfinj_age |
Integer |
|
Recommended |
Age at which the mother's Self-Injuring Behavior first appeared(in months) |
|
|
Charge_familymedhist_mother_selfinj_age, mother_selfinj_age |
Query
|
cfmh_mom_selfinj_preg |
Integer |
|
Recommended |
Did the mother have Self-Injuring Behavior while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_selfinj_preg, mother_selfinj_preg |
Query
|
cfmh_mom_suicideatt |
Integer |
|
Recommended |
Has the Child's Mother Attempted Suicide? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_suicideatt, mother_suicideatt |
Query
|
cfmh_mom_suicideatt_age |
Integer |
|
Recommended |
Age at which the mother first attempted suicide(in months) |
|
|
Charge_familymedhist_mother_suicideatt_age, mother_suicideatt_age |
Query
|
cfmh_mom_suicideatt_preg |
Integer |
|
Recommended |
Did the mother attempt suicide while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_suicideatt_preg, mother_suicideatt_preg |
Query
|
cfmh_mom_psydis |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Psychiatric Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_psychdis, charge_familymedhist_mother_otherpsychdis, mother_psychdis |
|
cfmh_mom_psydis_cmt |
String |
255
|
Recommended |
Specify mother's Psychiatric Disorder |
|
|
Charge_familymedhist_mother_psychdis_cmt, charge_familymedhist_mother_otherpsychdis_cmt, mother_psychdis_cmt |
Query
|
cfmh_mom_psydis_age |
Integer |
|
Recommended |
Age at which the mother's Psychiatric Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_psychdis_age, charge_familymedhist_mother_otherpsychdis_age, mother_psychdis_age |
Query
|
cfmh_mom_psydis_preg |
Integer |
|
Recommended |
Did the mother have a Psychiatric Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_psychdis_preg, charge_familymedhist_mother_otherpsychdis_preg, mother_psychdis_preg |
Query
|
cfmh_mom_adhd |
Integer |
|
Recommended |
Does (did) the Child's Mother have Attention Deficit Hyperactivity Disorder (ADHD)? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_adhd, mother_adhd |
Query
|
cfmh_mom_adhd_age |
Integer |
|
Recommended |
Age at which the mother's Attention Deficit Hyperactivity Disorder (ADHD) first appeared(in months) |
|
|
Charge_familymedhist_mother_adhd_age, mother_adhd_age |
Query
|
cfmh_mom_adhd_preg |
Integer |
|
Recommended |
Did the mother have Attention Deficit Hyperactivity Disorder (ADHD) while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_adhd_preg, mother_adhd_preg |
Query
|
cfmh_mom_eatingdis |
Integer |
|
Recommended |
Does (did) the Child's Mother have an Eating Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_eatingdis, mother_eatingdis |
Query
|
cfmh_mom_eatingdis_cmt |
String |
255
|
Recommended |
Specify mother's Eating Disorder |
|
|
Charge_familymedhist_mother_eatingdis_cmt, mother_eatingdis_cmt |
Query
|
cfmh_mom_eatingdis_age |
Integer |
|
Recommended |
Age at which the mother's Eating Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_eatingdis_age, mother_eatingdis_age |
Query
|
cfmh_mom_eatingdis_preg |
Integer |
|
Recommended |
Did the mother have an Eating Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_eatingdis_preg, mother_eatingdis_preg |
Query
|
cfmh_mom_sleepdis |
Integer |
|
Recommended |
Does (did) the Child's Mother have a Sleep Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_sleepdis, mother_sleepdis |
Query
|
cfmh_mom_sleepdis_cmt |
String |
255
|
Recommended |
Specify mother's Sleep Disorder |
|
|
Charge_familymedhist_mother_sleepdis_cmt, mother_sleepdis_cmt |
Query
|
cfmh_mom_sleepdis_age |
Integer |
|
Recommended |
Age at which the mother's Sleep Disorder first appeared(in months) |
|
|
Charge_familymedhist_mother_sleepdis_age, mother_sleepdis_age |
Query
|
cfmh_mom_sleepdis_preg |
Integer |
|
Recommended |
Did the mother have a Sleep Disorder while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_sleepdis_preg, mother_sleepdis_preg |
Query
|
cfmh_mom_abusevic |
Integer |
|
Recommended |
Is the Child's Mother a Victim of Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_abusevic, mother_abusevic |
Query
|
cfmh_mom_abusevic_age |
Integer |
|
Recommended |
Age at which the mother's Abuse first occurred(in months) |
|
|
Charge_familymedhist_mother_abusevic_age, mother_abusevic_age |
Query
|
cfmh_mom_abusevic_preg |
Integer |
|
Recommended |
Was the mother being abused while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_abusevic_preg, mother_abusevic_preg |
Query
|
cfmh_mom_subabuse |
Integer |
|
Recommended |
Does the Child's Mother have a history of Substance Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_subabuse, mother_subabuse |
Query
|
cfmh_mom_subabuse_cmt |
String |
255
|
Recommended |
Specify mother's Substance Abuse Type |
|
|
Charge_familymedhist_mother_subabuse_cmt, mother_subabuse_cmt |
Query
|
cfmh_mom_subabuse_age |
Integer |
|
Recommended |
Age at which the mother's Substance Abuse first occurred(in months) |
|
|
Charge_familymedhist_mother_subabuse_age, mother_subabuse_age |
Query
|
cfmh_mom_subabuse_preg |
Integer |
|
Recommended |
Did the mother have Substance Abuse events while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_subabuse_preg, mother_subabuse_preg |
Query
|
cfmh_mom_migraine |
Integer |
|
Recommended |
Does the Child's Mother have Migraine Headaches? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_migraine, mother_migraine |
Query
|
cfmh_mom_migraine_age |
Integer |
|
Recommended |
Age at which the mother's Migraine Headaches first appeared(in months) |
|
|
Charge_familymedhist_mother_migraine_age, mother_migraine_age |
Query
|
cfmh_mom_migraine_preg |
Integer |
|
Recommended |
Did the mother have Migraine Headaches while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_migraine_preg, mother_migraine_preg |
Query
|
cfmh_mom_ibs |
Integer |
|
Recommended |
Does the Child's Mother have Irritable Bowel Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_ibs, mother_ibs |
Query
|
cfmh_mom_ibs_age |
Integer |
|
Recommended |
Age at which the mother's Irritable Bowel Syndrome first appeared(in months) |
|
|
Charge_familymedhist_mother_ibs_age, mother_ibs_age |
Query
|
cfmh_mom_ibs_preg |
Integer |
|
Recommended |
Did the mother have Irritable Bowel Syndrome while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_ibs_preg, mother_ibs_preg |
Query
|
cfmh_mom_gidis |
Integer |
|
Recommended |
Does the Child's Mother have any Other Gastrointestinal Disorders? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_gidis, charge_familymedhist_mother_othergidis, mother_gidis |
Query
|
cfmh_mom_gidiss_age |
Integer |
|
Recommended |
Age 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 |
Query
|
cfmh_mom_gidiss_preg |
Integer |
|
Recommended |
Did the mother have Other Gastrointestinal Disorders while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_gidiss_preg, charge_familymedhist_mother_othergidis_preg, mother_gidiss_preg |
Query
|
cfmh_mom_cancer |
Integer |
|
Recommended |
Does the Child's Mother have Cancer? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cancer, mother_cancer |
Query
|
cfmh_mom_cancer_cmt |
String |
255
|
Recommended |
Specify mother's Cancer type |
|
|
Charge_familymedhist_mother_cancer_cmt, mother_cancer_cmt |
Query
|
cfmh_mom_cancer_age |
Integer |
|
Recommended |
Age at which the mother's Cancer first appeared(in months) |
|
|
Charge_familymedhist_mother_cancer_age, mother_cancer_age |
Query
|
cfmh_mom_cancer_preg |
Integer |
|
Recommended |
Did the mother have Cancer while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cancer_preg, mother_cancer_preg |
Query
|
cfmh_mom_congendef |
Integer |
|
Recommended |
Does the Child's Mother have a Congenital Defect (Cleft palate, cleft lip, other)? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_congenitaldef, mother_congenitaldef |
Query
|
cfmh_mom_congendef_cmt |
String |
255
|
Recommended |
Specify mother's Congenital Defect type |
|
|
Charge_familymedhist_mother_congenitaldef_cmt, mother_congenitaldef_cmt |
Query
|
cfmh_mom_congendef_age |
Integer |
|
Recommended |
Age at which the mother's Congenital Defect first appeared(in months) |
|
|
Charge_familymedhist_mother_congenitaldef_age, mother_congenitaldef_age |
Query
|
cfmh_mom_congendef_preg |
Integer |
|
Recommended |
Did the mother have a Congenital Defect while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_congenitaldef_preg, mother_congenitaldef_preg |
Query
|
cfmh_mom_obesity |
Integer |
|
Recommended |
Does the Child's Mother have Obesity? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_obesity, mother_obesity |
Query
|
cfmh_mom_obesity_age |
Integer |
|
Recommended |
Age at which the mother's Obesity first appeared(in months) |
|
|
Charge_familymedhist_mother_obesity_age, mother_obesity_age |
Query
|
cfmh_mom_obesity_preg |
Integer |
|
Recommended |
Did the mother have Obesity while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_obesity_preg, mother_obesity_preg |
Query
|
cfmh_mom_sicklecell |
Integer |
|
Recommended |
Does the Child's Mother have Sickle Cell Anemia? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_sicklecell, mother_sicklecell |
Query
|
cfmh_mom_sicklecell_age |
Integer |
|
Recommended |
Age at which the mother's Sickle Cell Anemia first appeared(in months) |
|
|
Charge_familymedhist_mother_sicklecell_age, mother_sicklecell_age |
Query
|
cfmh_mom_sicklecell_preg |
Integer |
|
Recommended |
Did the mother have Sickle Cell Anemia while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_sicklecell_preg, mother_sicklecell_preg |
Query
|
cfmh_mom_thyroiddis |
Integer |
|
Recommended |
Does the Child's Mother have Thyroid Disease? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_thyroiddis, mother_thyroiddis |
Query
|
cfmh_mom_thyroiddis_age |
Integer |
|
Recommended |
Age at which the mother's Thyroid Disease first appeared(in months) |
|
|
Charge_familymedhist_mother_thyroiddis_age, mother_thyroiddis_age |
Query
|
cfmh_mom_thyroiddis_preg |
Integer |
|
Recommended |
Did the mother have Thyroid Disease while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_thyroiddis_preg, mother_thyroiddis_preg |
Query
|
cfmh_mom_cond1 |
Integer |
|
Recommended |
Did the mother have Other condition-1 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond1, mother_cond1 |
Query
|
cfmh_mom_cond1_age |
Integer |
|
Recommended |
Age at which the Condition 1 appeared(in months) |
|
|
Charge_familymedhist_mother_cond1_age, mother_cond1_age |
Query
|
cfmh_mom_cond1_preg |
Integer |
|
Recommended |
Did the mother have Condition 1 while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond1_preg, mother_cond1_preg |
Query
|
cfmh_mom_cond2 |
Integer |
|
Recommended |
Did the mother have Other condition-2 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond2, mother_cond2 |
Query
|
cfmh_mom_cond2_age |
Integer |
|
Recommended |
Age at which the Condition 2 appeared(in months) |
|
|
Charge_familymedhist_mother_cond2_age, mother_cond2_age |
Query
|
cfmh_mom_cond2_preg |
Integer |
|
Recommended |
Did the mother have Condition 2 while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond2_preg, mother_cond2_preg |
Query
|
cfmh_mom_cond3 |
Integer |
|
Recommended |
Did the mother have Other condition-3 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond3, mother_cond3 |
Query
|
cfmh_mom_cond3_age |
Integer |
|
Recommended |
Age at which the Condition 3 appeared(in months) |
|
|
Charge_familymedhist_mother_cond3_age, mother_cond3_age |
Query
|
cfmh_mom_cond3_preg |
Integer |
|
Recommended |
Did the mother have Condition 3 while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond3_preg, mother_cond3_preg |
Query
|
cfmh_mom_cond4 |
Integer |
|
Recommended |
Did the mother have Other condition-4 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond4, mother_cond4 |
Query
|
cfmh_mom_cond4_age |
Integer |
|
Recommended |
Age at which the Condition 4 appeared(in months) |
|
|
Charge_familymedhist_mother_cond4_age, mother_cond4_age |
Query
|
cfmh_mom_cond4_preg |
Integer |
|
Recommended |
Did the mother have Condition 4 while pregnant with the child? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_mother_cond4_preg, mother_cond4_preg |
Query
|
cfmh_dad_fdalrgy |
Integer |
|
Recommended |
Does the Child's Father have a food allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_foodallergy, father_foodallergy |
Query
|
cfmh_dad_fdalrgy_cmt |
String |
255
|
Recommended |
Specific food items the Father is allergic to |
|
|
Charge_familymedhist_father_foodallergy_cmt, father_foodallergy_cmt |
Query
|
cfmh_dad_skinalrgy |
Integer |
|
Recommended |
Does the Child's Father have a skin allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_skinallergy, father_skinallergy |
Query
|
cfmh_dad_skinalrgy_cmt |
String |
255
|
Recommended |
Specific skin items the Father is allergic to |
|
|
Charge_familymedhist_father_skinallergy_cmt, father_skinallergy_cmt |
Query
|
cfmh_dad_eczema |
Integer |
|
Recommended |
Does the Child's Father have Eczema? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_eczema, father_eczema |
Query
|
cfmh_dad_envalrgy |
Integer |
|
Recommended |
Does the Child's Father have an environmental allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_envallergy, father_envallergy |
Query
|
cfmh_dad_envalrgy_cmt |
String |
255
|
Recommended |
Specific environmental items the Father is allergic to |
|
|
Charge_familymedhist_father_envallergy_cmt, father_envallergy_cmt |
Query
|
cfmh_dad_medalrgy |
Integer |
|
Recommended |
Does the Child's Father have a medication allergy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_medallergy, father_medallergy |
Query
|
cfmh_dad_medalrgy_cmt |
String |
255
|
Recommended |
Specific medication items the Father is allergic to |
|
|
Charge_familymedhist_father_medallergy_cmt, father_medallergy_cmt |
Query
|
cfmh_dad_othalrgy |
Integer |
|
Recommended |
Does the Child's Father have any other allergies? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_otherallergy, father_otherallergy |
Query
|
cfmh_dad_othalrgy_cmt |
String |
255
|
Recommended |
Specific other items the Father is allergic to |
|
|
Charge_familymedhist_father_otherallergy_cmt, father_otherallergy_cmt |
Query
|
cfmh_dad_autism |
Integer |
|
Recommended |
Does the Child's Father have Autism? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_autism, father_autism |
Query
|
cfmh_dad_aspergers |
Integer |
|
Recommended |
Does the Child's Father have Asperger's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_aspergers, father_aspergers |
Query
|
cfmh_dad_retts |
Integer |
|
Recommended |
Does the Child's Father have Rett's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_retts, father_retts |
Query
|
cfmh_dad_pddnos |
Integer |
|
Recommended |
Does the Child's Father have Autism Spectrum Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_pddnos, father_pddnos |
|
cfmh_dad_pddnos_cmt |
String |
255
|
Recommended |
Specify type |
|
|
Charge_familymedhist_father_pddnos_cmt, father_pddnos_cmt |
Query
|
cfmh_dad_spchdelay |
Integer |
|
Recommended |
Does (did) the Child's Father have a spch/Language Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_speechdelay, father_speechdelay |
Query
|
cfmh_dad_devdelay |
Integer |
|
Recommended |
Does (did) the Child's Father have a Developmental Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_devdelay, father_devdelay |
Query
|
cfmh_dad_learndis |
Integer |
|
Recommended |
Does (did) the Child's Father have a Learning Disability? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_learndis, father_learndis |
Query
|
cfmh_dad_seizure |
Integer |
|
Recommended |
Does (did) the Child's Father have Seizure Disorder/Epilepsy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_seizure, father_seizure |
Query
|
cfmh_dad_cerpalsy |
Integer |
|
Recommended |
Does (did) the Child's Father have Cerebral Palsy? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_cerpalsy, father_cerpalsy |
Query
|
cfmh_dad_downssynd |
Integer |
|
Recommended |
Does (did) the Child's Father have Down's Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_downssynd, father_downssynd |
Query
|
cfmh_dad_mentalret |
Integer |
|
Recommended |
Does (did) the Child's Father have Mental Retardation? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_mentalret, father_mentalret |
Query
|
cfmh_dad_tuberscl |
Integer |
|
Recommended |
Does (did) the Child's Father have Tuberous Sclerosis? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_tuberscl, father_tuberscl |
Query
|
cfmh_dad_fragilex |
Integer |
|
Recommended |
Does (did) the Child's Father have Fragile X? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_fragilex, father_fragilex |
Query
|
cfmh_dad_neuromd |
Integer |
|
Recommended |
Does (did) the Child's Father have a Neuromuscular Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_neuromuscdis, father_neuromuscdis |
Query
|
cfmh_dad_genedis |
Integer |
|
Recommended |
Does (did) the Child's Father have a Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_geneticdis, father_geneticdis |
|
cfmh_dad_genedis_cmt |
String |
255
|
Recommended |
Specify Father's Genetic Disorder |
|
|
Charge_familymedhist_father_geneticdis_cmt, father_geneticdis_cmt |
Query
|
cfmh_dad_genedistst |
Integer |
|
Recommended |
Was testing done for the Father's Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_geneticdistest, father_geneticdistest |
|
cfmh_dad_genedistst_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_father_geneticdistest_cmt, father_geneticdistest_cmt |
Query
|
cfmh_dad_visionimp |
Integer |
|
Recommended |
Does the Child's Father have a vision impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_visionimp, father_visionimp |
Query
|
cfmh_dad_visioncor |
Integer |
|
Recommended |
Has the father's vision impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_visioncor, father_visioncor |
Query
|
cfmh_dad_hearingimp |
Integer |
|
Recommended |
Does the Child's Father have a hearing impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_hearingimp, father_hearingimp |
Query
|
cfmh_dad_hearingcor |
Integer |
|
Recommended |
Has the father's hearing impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_hearingcor, father_hearingcor |
Query
|
cfmh_dad_bipolar |
Integer |
|
Recommended |
Does (did) the Child's Father have a Bipolar Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_bipolar, father_bipolar |
Query
|
cfmh_dad_depression |
Integer |
|
Recommended |
Does (did) the Child's Father have Depression? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_depression, father_depression |
Query
|
cfmh_dad_anxiety |
Integer |
|
Recommended |
Does (did) the Child's Father have an Anxiety Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_anxiety, father_anxiety |
Query
|
cfmh_dad_ocd |
Integer |
|
Recommended |
Does (did) the Child's Father have Obsessive Compulsive Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_ocd, father_ocd |
Query
|
cfmh_dad_schizo |
Integer |
|
Recommended |
Does (did) the Child's Father have Schizophrenia? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_schizophrenia, father_schizophrenia |
Query
|
cfmh_dad_persondis |
Integer |
|
Recommended |
Does (did) the Child's Father have a Personality Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_persondis, father_persondis |
|
cfmh_dad_persondis_cmt |
String |
255
|
Recommended |
Specify father's Personality Disorder |
|
|
Charge_familymedhist_father_persondis_cmt, father_persondis_cmt |
Query
|
cfmh_dad_selfinj |
Integer |
|
Recommended |
Does (did) the Child's Father have Self-Injuring Behavior? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_selfinj, father_selfinj |
Query
|
cfmh_dad_suicideatt |
Integer |
|
Recommended |
Has the Child's Father Attempted Suicide? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_suicideatt, father_suicideatt |
Query
|
cfmh_dad_othpsydis |
Integer |
|
Recommended |
Does (did) the Child's Father have a Psychiatric Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_otherpsychdis, father_otherpsychdis |
Query
|
cfmh_dad_othpsydis_cmt |
String |
255
|
Recommended |
Specify father's Psychiatric Disorder |
|
|
Charge_familymedhist_father_otherpsychdis_cmt, father_otherpsychdis_cmt |
Query
|
cfmh_dad_adhd |
Integer |
|
Recommended |
Does (did) the Child's Father have Attention Deficit Hyperactivity Disorder (ADHD)? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_adhd, father_adhd |
Query
|
cfmh_dad_eatingdis |
Integer |
|
Recommended |
Does (did) the Child's Father have an Eating Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_eatingdis, father_eatingdis |
|
cfmh_dad_eatingdis_cmt |
String |
255
|
Recommended |
Specify father's Eating Disorder |
|
|
Charge_familymedhist_father_eatingdis_cmt, father_eatingdis_cmt |
Query
|
cfmh_dad_sleepdis |
Integer |
|
Recommended |
Does (did) the Child's Father have a Sleep Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_sleepdis, father_sleepdis |
Query
|
cfmh_dad_sleepdis_cmt |
String |
255
|
Recommended |
Specify type of Sleep Disorder the Child's Father has |
|
|
Charge_familymedhist_father_sleepdis_cmt, father_sleepdis_cmt |
Query
|
cfmh_dad_abusevic |
Integer |
|
Recommended |
Is the Child's Father a Victim of Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_abusevic, father_abusevic |
Query
|
cfmh_dad_subabuse |
Integer |
|
Recommended |
Does the Child's Father have a history of Substance Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_subabuse, father_subabuse |
Query
|
cfmh_dad_subabuse_cmt |
String |
255
|
Recommended |
Specify father's Substance Abuse Type |
|
|
Charge_familymedhist_father_subabuse_cmt, father_subabuse_cmt |
Query
|
cfmh_dad_migraine |
Integer |
|
Recommended |
Does the Child's Father have Migraine Headaches? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_migraine, father_migraine |
Query
|
cfmh_dad_ibs |
Integer |
|
Recommended |
Does the Child's Father have Irritable Bowel Syndrome? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_ibs, father_ibs |
Query
|
cfmh_dad_othgidis |
Integer |
|
Recommended |
Does the Child's Father have any Other Gastrointestinal Disorders? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_othergidis, father_othergidis |
Query
|
cfmh_dad_cancer |
Integer |
|
Recommended |
Does the Child's Father have Cancer? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_cancer, father_cancer |
|
cfmh_dad_cancer_cmt |
String |
255
|
Recommended |
Specify father's Cancer type |
|
|
Charge_familymedhist_father_cancer_cmt, father_cancer_cmt |
Query
|
cfmh_dad_congendef |
Integer |
|
Recommended |
Does the Child's Father have a Congenital Defect? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_congenitaldef, father_congenitaldef |
|
cfmh_dad_congendef_cmt |
String |
255
|
Recommended |
Specify father's Congenital Defect type |
|
|
Charge_familymedhist_father_congenitaldef_cmt, father_congenitaldef_cmt |
Query
|
cfmh_dad_obesity |
Integer |
|
Recommended |
Does the Child's Father have Obesity? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_obesity, father_obesity |
Query
|
cfmh_dad_sicklecell |
Integer |
|
Recommended |
Does the Child's Father have Sickle Cell Anemia? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_sicklecell, father_sicklecell |
Query
|
cfmh_dad_thyroiddis |
Integer |
|
Recommended |
Does the Child's Father have Thyroid Disease? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_thyroiddis, father_thyroiddis |
Query
|
cfmh_dad_othcond1 |
Integer |
|
Recommended |
Did the father have Other condition-1 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_othercond1, father_othercond1 |
Query
|
cfmh_dad_othcond2 |
Integer |
|
Recommended |
Did the father have Other condition-2 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_othercond2, father_othercond2 |
Query
|
cfmh_dad_othcond3 |
Integer |
|
Recommended |
Did the father have Other condition-3 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_othercond3, father_othercond3 |
Query
|
cfmh_dad_othcond4 |
Integer |
|
Recommended |
Did the father have Other condition-4 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_father_othercond4, father_othercond4 |
Query
|
cfmh_othr_fdalrgy |
Integer |
|
Recommended |
Food Allergy |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_foodallergy, charge_familymedhist_othermem_foodallergy, othmem_foodallergy |
|
cfmh_othr_fdalrgy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_foodallergy_cmt, charge_familymedhist_othermem_foodallergy_cmt, othmem_foodallergy_cmt |
Query
|
cfmh_othr_fdalrgy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a food allergy |
|
|
Charge_familymedhist_othmem_foodallergy_type, charge_familymedhist_othermem_foodallergy_type, othmem_foodallergy_type |
Query
|
cfmh_othr_skinalrgy |
Integer |
|
Recommended |
Skin Allergy |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_skinallergy, charge_familymedhist_othermem_skinallergy, othmem_skinallergy |
Query
|
cfmh_othr_skinalrgy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_skinallergy_cmt, charge_familymedhist_othermem_skinallergy_cmt, othmem_skinallergy_cmt |
Query
|
cfmh_othr_skinalrgy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergy |
|
|
Charge_familymedhist_othmem_skinallergy_type, charge_familymedhist_othermem_skinallergy_type, othmem_skinallergy_type |
Query
|
cfmh_othr_eczema |
Integer |
|
Recommended |
Eczema |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_eczema, charge_familymedhist_othermem_eczema, othmem_eczema |
Query
|
cfmh_othr_eczema_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have eczema |
|
|
Charge_familymedhist_othmem_eczema_type, charge_familymedhist_othermem_eczema_type, othmem_eczema_type |
Query
|
cfmh_othr_envalrgy |
Integer |
|
Recommended |
Environmental |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_envallergy, charge_familymedhist_othermem_envallergy, othmem_envallergy |
|
cfmh_othr_envalrgy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_envallergy_cmt, charge_familymedhist_othermem_envallergy_cmt, othmem_envallergy_cmt |
|
cfmh_othr_envalrgy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an environmental allergy |
|
|
Charge_familymedhist_othmem_envallergy_type, charge_familymedhist_othermem_envallergy_type, othmem_envallergy_type |
Query
|
cfmh_othr_medalrgy |
Integer |
|
Recommended |
Medication |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_medallergy, charge_familymedhist_othermem_medallergy, othmem_medallergy |
Query
|
cfmh_othr_medalrgy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_medallergy_cmt, charge_familymedhist_othermem_medallergy_cmt, othmem_medallergy_cmt |
Query
|
cfmh_othr_medalrgy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a medication allergy |
|
|
Charge_familymedhist_othmem_medallergy_type, charge_familymedhist_othermem_medallergy_type, othmem_medallergy_type |
Query
|
cfmh_othr_othalrgy |
Integer |
|
Recommended |
Other |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_otherallergy, charge_familymedhist_othermem_otherallergy, othmem_otherallergy |
Query
|
cfmh_othr_othalrgy_cmt |
String |
255
|
Recommended |
Specific Type |
|
|
Charge_familymedhist_othmem_otherallergy_cmt, charge_familymedhist_othermem_otherallergy_cmt, othmem_otherallergy_cmt |
Query
|
cfmh_othr_othalrgy_type |
String |
100
|
Recommended |
List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an other allergy |
|
|
Charge_familymedhist_othmem_otherallergy_type, charge_familymedhist_othermem_otherallergy_type, othmem_otherallergy_type |
Query
|
cfmh_othr_autism |
Integer |
|
Recommended |
Autism |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_autism, charge_familymedhist_othermem_autism, othmem_autism |
Query
|
cfmh_othr_autism_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_autism_type, charge_familymedhist_othermem_autism_type, othmem_autism_type |
Query
|
cfmh_othr_aspergers |
Integer |
|
Recommended |
Asperger's Syndrome |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_aspergers, charge_familymedhist_othermem_aspergers, othmem_aspergers |
Query
|
cfmh_othr_aspergers_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_aspergers_type, charge_familymedhist_othermem_aspergers_type, othmem_aspergers_type |
Query
|
cfmh_othr_retts |
Integer |
|
Recommended |
Rett's Syndrome |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_retts, charge_familymedhist_othermem_retts, othmem_retts_type |
|
cfmh_othr_retts_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_retts_type, charge_familymedhist_othermem_retts_type, othmem_retts |
Query
|
cfmh_othr_pddnos |
Integer |
|
Recommended |
Autism Spectrum Disorder |
0::2
|
0 = No; 1 = Yes; 2 = Cannot be ruled out
|
Charge_familymedhist_othmem_pddnos, charge_familymedhist_othermem_pddnos, othmem_pddnos |
|
cfmh_othr_pddnos_cmt |
String |
255
|
Recommended |
Specify Type |
|
|
Charge_familymedhist_othmem_pddnos_cmt, charge_familymedhist_othermem_pddnos_cmt |
Query
|
cfmh_othr_pddnos_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_pddnos_type, charge_familymedhist_othermem_pddnos_type, othmem_pddnos_type |
Query
|
cfmh_othr_spchdelay |
Integer |
|
Recommended |
spch/Language Delay |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_speechdelay, charge_familymedhist_othermem_speechdelay, othmem_speechdelay |
Query
|
cfmh_othr_spchdelay_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_speechdelay_type, charge_familymedhist_othermem_speechdelay_type, othmem_speechdelay_type |
Query
|
cfmh_othr_devdelay |
Integer |
|
Recommended |
Developmental Delay |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_devdelay, charge_familymedhist_othermem_devdelay, othmem_devdelay |
Query
|
cfmh_othr_devdelay_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_devdelay_type, charge_familymedhist_othermem_devdelay_type, othmem_devdelay_type |
Query
|
cfmh_othr_learndis |
Integer |
|
Recommended |
Learning Disability |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_learndis, charge_familymedhist_othermem_learndis, othmem_learndis |
Query
|
cfmh_othr_learndis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_learndis_type, charge_familymedhist_othermem_learndis_type, othmem_learndis_type |
Query
|
cfmh_othr_seizure |
Integer |
|
Recommended |
Seizure disorder/Epilepsy |
0;1;-9
|
0 = No; 1 = Yes; -9 = Not applicable or Missing
|
Charge_familymedhist_othmem_seizure, charge_familymedhist_othermem_seizure, othmem_seizure |
Query
|
cfmh_othr_seizure_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_seizure_type, charge_familymedhist_othermem_seizure_type, othmem_seizure_type |
Query
|
cfmh_othr_cerpalsy |
Integer |
|
Recommended |
Cerebral Palsy |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_cerpalsy, charge_familymedhist_othermem_cerpalsy, othmem_cerpalsy |
Query
|
cfmh_othr_cerpalsy_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_cerpalsy_type, charge_familymedhist_othermem_cerpalsy_type, othmem_cerpalsy_type |
Query
|
cfmh_othr_downssynd |
Integer |
|
Recommended |
Down's Syndrome |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_downssynd, charge_familymedhist_othermem_downssynd, othmem_downssynd |
Query
|
cfmh_othr_downssynd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_downssynd_type, charge_familymedhist_othermem_downssynd_type, othmem_downssynd_type |
Query
|
cfmh_othr_mentalret |
Integer |
|
Recommended |
Mental Retardation |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_mentalret, charge_familymedhist_othermem_mentalret, othmem_mentalret |
Query
|
cfmh_othr_mentalret_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_mentalret_type, charge_familymedhist_othermem_mentalret_type, othmem_mentalret_type |
Query
|
cfmh_othr_tuberscl |
Integer |
|
Recommended |
Tuberous Sclerosis |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_tuberscl, charge_familymedhist_othermem_tuberscl, othmem_tuberscl |
|
cfmh_othr_tuberscl_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_tuberscl_type, charge_familymedhist_othermem_tuberscl_type, othmem_tuberscl_type |
Query
|
cfmh_othr_fragilex |
Integer |
|
Recommended |
Fragile X |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_fragilex, charge_familymedhist_othermem_fragilex, othmem_fragilex |
|
cfmh_othr_fragilex_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_fragilex_type, charge_familymedhist_othermem_fragilex_type, othmem_fragilex_type |
Query
|
cfmh_othr_neuromd |
Integer |
|
Recommended |
Neuromuscular disorder |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_neuromuscdis, charge_familymedhist_othermem_neuromuscdis, othmem_neuromuscdis |
Query
|
cfmh_othr_neuromd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_neuromuscdis_type, charge_familymedhist_othermem_neuromuscdis_type, othmem_neuromuscdis_type |
Query
|
cfmh_othr_genedis |
Integer |
|
Recommended |
Known Genetic Disorder |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_geneticdis, charge_familymedhist_othermem_geneticdis, othmem_geneticdis |
Query
|
cfmh_othr_genedis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_geneticdis_cmt, charge_familymedhist_othermem_geneticdis_cmt, othmem_geneticdis_cmt |
Query
|
cfmh_othr_genedis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_geneticdis_type, charge_familymedhist_othermem_geneticdis_type, othmem_geneticdistest_type |
Query
|
cfmh_othr_genedistst |
Integer |
|
Recommended |
Testing Done |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_geneticdistest, charge_familymedhist_othermem_geneticdistest, othmem_geneticdistest |
Query
|
cfmh_othr_genedistst_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_geneticdistest_cmt, charge_familymedhist_othermem_geneticdistest_cmt, othmem_geneticdistest_cmt |
Query
|
cfmh_othr_genedistst_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_geneticdistest_type, charge_familymedhist_othermem_geneticdistest_type, othmem_geneticdis_type |
Query
|
cfmh_othr_visionimp |
Integer |
|
Recommended |
Vision impairment |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_visionimp, charge_familymedhist_othermem_visionimp, othmem_visionimp |
|
cfmh_othr_visionimp_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_visionimp_type, charge_familymedhist_othermem_visionimp_type, othmem_visionimp_type |
Query
|
cfmh_othr_visioncor |
Integer |
|
Recommended |
Vision corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_visioncor, charge_familymedhist_othermem_visioncor, othmem_visioncor |
|
cfmh_othr_visioncor_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_visioncor_type, charge_familymedhist_othermem_visioncor_type, othmem_visioncor_type |
Query
|
cfmh_othr_hearingimp |
Integer |
|
Recommended |
Hearing impairment |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_hearingimp, charge_familymedhist_othermem_hearingimp, othmem_hearingimp |
Query
|
cfmh_othr_hearingimp_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_hearingimp_type, charge_familymedhist_othermem_hearingimp_type, othmem_hearingimp_type |
Query
|
cfmh_othr_hearingcor |
Integer |
|
Recommended |
Hearing corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_hearingcor, charge_familymedhist_othermem_hearingcor, othmem_hearingcor |
Query
|
cfmh_othr_hearingcor_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_hearingcor_type, charge_familymedhist_othermem_hearingcor_type, othmem_hearingcor_type |
Query
|
cfmh_othr_bipolar |
Integer |
|
Recommended |
Bipolar disorder (Manic/depression) |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_bipolar, charge_familymedhist_othermem_bipolar, othmem_bipolar |
Query
|
cfmh_othr_bipolar_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_bipolar_type, charge_familymedhist_othermem_bipolar_type, othmem_bipolar_type |
Query
|
cfmh_othr_depression |
Integer |
|
Recommended |
Depression |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_depression, charge_familymedhist_othermem_depression, othmem_depression |
|
cfmh_othr_depression_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_depression_type, charge_familymedhist_othermem_depression_type, othmem_depression_type |
Query
|
cfmh_othr_anxiety |
Integer |
|
Recommended |
Anxiety disorder |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_anxiety, charge_familymedhist_othermem_anxiety, othmem_anxiety |
Query
|
cfmh_othr_anxiety_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_anxiety_type, charge_familymedhist_othermem_anxiety_type, othmem_anxiety_type |
Query
|
cfmh_othr_ocd |
Integer |
|
Recommended |
Obsessive compulsive disorder |
1;0; -9
|
0 = No; 1 = Yes; -9 = Not known
|
Charge_familymedhist_othmem_ocd, charge_familymedhist_othermem_ocd, othmem_ocd |
Query
|
cfmh_othr_ocd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_ocd_type, charge_familymedhist_othermem_ocd_type, othmem_ocd_type |
Query
|
cfmh_othr_schizo |
Integer |
|
Recommended |
Schizophrenia |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_schizophrenia, charge_familymedhist_othermem_schizophrenia, othmem_schizophrenia |
Query
|
cfmh_othr_schizo_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_schizophrenia_type, charge_familymedhist_othermem_schizophrenia_type, othmem_schizophrenia_type |
Query
|
cfmh_othr_persondis |
Integer |
|
Recommended |
Personality disorder |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_persondis, charge_familymedhist_othermem_persondis, othmem_persondis |
|
cfmh_othr_persondis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_persondis_cmt, charge_familymedhist_othermem_persondis_cmt, othmem_persondis_cmt |
|
cfmh_othr_persondis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_persondis_type, charge_familymedhist_othermem_persondis_type, othmem_persondis_type |
Query
|
cfmh_othr_selfinj |
Integer |
|
Recommended |
Self-injuring behavior |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_selfinj, charge_familymedhist_othermem_selfinj, othmem_selfinj |
Query
|
cfmh_othr_selfinj_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_selfinj_type, charge_familymedhist_othermem_selfinj_type, othmem_selfinj_type |
Query
|
cfmh_othr_suicideatt |
Integer |
|
Recommended |
Suicide attempt/suicide |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_suicideatt, charge_familymedhist_othermem_suicideatt, othmem_suicideatt |
Query
|
cfmh_othr_suicideatt_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_suicideatt_type, charge_familymedhist_othermem_suicideatt_type, othmem_suicideatt_type |
Query
|
cfmh_othr_othpsydis |
Integer |
|
Recommended |
Other psychiatric disorder |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_otherpsychdis, charge_familymedhist_othermem_otherpsychdis, othmem_otherpsychdis |
Query
|
cfmh_othr_othpsydis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_otherpsychdis_cmt, charge_familymedhist_othermem_otherpsychdis_cmt, othmem_otherpsychdis_cmt |
Query
|
cfmh_othr_othpsydis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_otherpsychdis_type, charge_familymedhist_othermem_otherpsychdis_type, othmem_otherpsychdis_type |
Query
|
cfmh_othr_adhd |
Integer |
|
Recommended |
Attention deficit hyperactivity disorder (ADHD) |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_adhd, charge_familymedhist_othermem_adhd, othmem_adhd |
Query
|
cfmh_othr_adhd_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_adhd_type, charge_familymedhist_othermem_adhd_type, othmem_adhd_type |
Query
|
cfmh_othr_eatingdis |
Integer |
|
Recommended |
Eating disorder. Bulimia, Anorexia |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_eatingdis, charge_familymedhist_othermem_eatingdis, othmem_eatingdis |
Query
|
cfmh_othr_eatingdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_eatingdis_cmt, charge_familymedhist_othermem_eatingdis_cmt, othmem_eatingdis_cmt |
Query
|
cfmh_othr_eatingdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_eatingdis_type, charge_familymedhist_othermem_eatingdis_type, othmem_eatingdis_type |
Query
|
cfmh_othr_sleepdis |
Integer |
|
Recommended |
Sleep disorder. Insomnia, Narcolepsy |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_sleepdis, charge_familymedhist_othermem_sleepdis, othmem_sleepdis |
Query
|
cfmh_othr_sleepdis_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_sleepdis_cmt, charge_familymedhist_othermem_sleepdis_cmt, othmem_sleepdis_cmt |
Query
|
cfmh_othr_sleepdis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_sleepdis_type, charge_familymedhist_othermem_sleepdis_type, othmem_sleepdis_type |
Query
|
cfmh_othr_abusevic |
Integer |
|
Recommended |
Victim of abuse |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_abusevic, charge_familymedhist_othermem_abusevic, othmem_abusevic |
Query
|
cfmh_othr_abusevic_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_abusevic_type, charge_familymedhist_othermem_abusevic_type, othmem_abusevic_type |
Query
|
cfmh_othr_subabuse |
Integer |
|
Recommended |
Substance abuse |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_subabuse, charge_familymedhist_othermem_subabuse, othmem_subabuse |
Query
|
cfmh_othr_subabuse_cmt |
String |
255
|
Recommended |
Specify Type: |
|
|
Charge_familymedhist_othmem_subabuse_cmt, charge_familymedhist_othermem_subabuse_cmt, othmem_subabuse_cmt |
Query
|
cfmh_othr_subabuse_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_subabuse_type, charge_familymedhist_othermem_subabuse_type, othmem_subabuse_type |
Query
|
cfmh_othr_migraine |
Integer |
|
Recommended |
Migraine headaches |
0;1; -9
|
0 = No; 1 = Yes; -9=unknown
|
Charge_familymedhist_othmem_migraine, charge_familymedhist_othermem_migraine, othmem_migraine |
Query
|
cfmh_othr_migraine_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_migraine_type, charge_familymedhist_othermem_migraine_type, othmem_migraine_type |
Query
|
cfmh_othr_ibs |
Integer |
|
Recommended |
Irritable bowel syndrome |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_ibs, charge_familymedhist_othermem_ibs, othmem_ibs |
Query
|
cfmh_othr_ibstype |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_ibstype, charge_familymedhist_othermem_ibs_type, othmem_ibstype |
Query
|
cfmh_othr_othgidis |
Integer |
|
Recommended |
Other Gastrointestinal disorders |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_othergidis, charge_familymedhist_othermem_othergidis, othmem_othergidis |
Query
|
cfmh_othr_othgidis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_othergidis_type, charge_familymedhist_othermem_othergidis_type, othmem_othergidis_type |
Query
|
cfmh_othr_cancer |
Integer |
|
Recommended |
Cancer |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_cancer, charge_familymedhist_othermem_cancer, othmem_cancer |
|
cfmh_othr_cancer_cmt |
String |
255
|
Recommended |
Cancer. Specify Type |
|
|
Charge_familymedhist_othmem_cancer_cmt, charge_familymedhist_othermem_cancer_cmt, othmem_cancer_cmt |
|
cfmh_othr_cancer_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_cancer_type, charge_familymedhist_othermem_cancer_type, othmem_cancer_type |
Query
|
cfmh_othr_congendef |
Integer |
|
Recommended |
Congenital Defect (Cleft palate, Cleft lip) |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_congenitaldef, charge_familymedhist_othermem_congenitaldef, othmem_congenitaldef |
Query
|
cfmh_othr_congendef_cmt |
String |
255
|
Recommended |
Congenital Defect :Other |
|
|
Charge_familymedhist_othmem_congenitaldef_cmt, charge_familymedhist_othermem_congenitaldef_cmt, othmem_congenitaldef_cmt |
Query
|
cfmh_othr_congendef_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_congenitaldef_type, charge_familymedhist_othermem_congenitaldef_type, othmem_congenitaldef_type |
Query
|
cfmh_othr_obesity |
Integer |
|
Recommended |
Obesity |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_obesity, charge_familymedhist_othermem_obesity, othmem_obesity |
Query
|
cfmh_othr_obesity_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_obesity_type, charge_familymedhist_othermem_obesity_type, othmem_obesity_type |
Query
|
cfmh_othr_sicklecell |
Integer |
|
Recommended |
Sickle cell anemia |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_sicklecell, charge_familymedhist_othermem_sicklecell, othmem_sicklecell |
|
cfmh_othr_sicklecell_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_sicklecell_type, charge_familymedhist_othermem_sicklecell_type, othmem_sicklecell_type |
Query
|
cfmh_othr_thyroiddis |
Integer |
|
Recommended |
Thyroid Disease |
1;0; -9
|
0 = No; 1 = Yes; -9=Unknown
|
Charge_familymedhist_othmem_thyroiddis, charge_familymedhist_othermem_thyroiddis, othmem_thyroiddis |
Query
|
cfmh_othr_thyroiddis_type |
String |
100
|
Recommended |
If yes, Indicate Family Member code |
|
|
Charge_familymedhist_othmem_thyroiddis_type, charge_familymedhist_othermem_thyroiddis_type, othmem_thyroiddis_type |
Query
|
cfmh_othr_othcond1 |
Integer |
|
Recommended |
Did the relatives have Other condition-1 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_othercond1, charge_familymedhist_othermem_othercond1, othmem_othercond1 |
|
cfmh_othr_othcondlist1 |
String |
100
|
Recommended |
List relatives having Other condition -1 |
|
|
Charge_familymedhist_othmem_othercondlist1, charge_familymedhist_othermem_othercondlist1, othmem_othercondlist1 |
Query
|
cfmh_othr_othcond2 |
Integer |
|
Recommended |
Did the relatives have Other condition-2 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_othercond2, charge_familymedhist_othermem_othercond2, othmem_othercond2 |
Query
|
cfmh_othr_othcondlist2 |
String |
100
|
Recommended |
List relatives having Other condition -2 |
|
|
Charge_familymedhist_othmem_othercondlist2, charge_familymedhist_othermem_othercondlist2, othmem_othercondlist2 |
Query
|
cfmh_othr_othcond3 |
Integer |
|
Recommended |
Did the relatives have Other condition-3 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_othercond3, charge_familymedhist_othermem_othercond3, othmem_othercond3 |
Query
|
cfmh_othr_othcondlist3 |
String |
100
|
Recommended |
List relatives having Other condition -3 |
|
|
Charge_familymedhist_othmem_othercondlist3, charge_familymedhist_othermem_othercondlist3, othmem_othercondlist3 |
Query
|
cfmh_othr_othcond4 |
Integer |
|
Recommended |
Did the relatives have Other condition-4 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_othmem_othercond4, charge_familymedhist_othermem_othercond4, othmem_othercond4 |
Query
|
cfmh_othr_othcondlist4 |
String |
100
|
Recommended |
List relatives having Other condition -4 |
|
|
Charge_familymedhist_othmem_othercondlist4, charge_familymedhist_othermem_othercondlist4, othmem_othercondlist4 |
Query
|
cfmh_fmw_chd_sis1 |
Integer |
|
Recommended |
S1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis1 |
Query
|
cfmh_fmw_chd_sis2 |
Integer |
|
Recommended |
S2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis2 |
Query
|
cfmh_fmw_chd_sis3 |
Integer |
|
Recommended |
S3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis3 |
Query
|
cfmh_fmw_chd_sis4 |
Integer |
|
Recommended |
S4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis4 |
Query
|
cfmh_fmw_chd_sis5 |
Integer |
|
Recommended |
S5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis5 |
Query
|
cfmh_fmw_chd_sis6 |
Integer |
|
Recommended |
S6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis6 |
Query
|
cfmh_fmw_chd_sis7 |
Integer |
|
Recommended |
S7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_sis7 |
Query
|
cfmh_fmw_chd_bro1 |
Integer |
|
Recommended |
B1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro1 |
Query
|
cfmh_fmw_chd_bro2 |
Integer |
|
Recommended |
B2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro2 |
Query
|
cfmh_fmw_chd_bro3 |
Integer |
|
Recommended |
B3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro3 |
Query
|
cfmh_fmw_chd_bro4 |
Integer |
|
Recommended |
B4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro4 |
Query
|
cfmh_fmw_chd_bro5 |
Integer |
|
Recommended |
B5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro5 |
Query
|
cfmh_fmw_chd_bro6 |
Integer |
|
Recommended |
B6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro6 |
Query
|
cfmh_fmw_chd_bro7 |
Integer |
|
Recommended |
B7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_bro7 |
Query
|
cfmh_fmw_chd_ma1 |
Integer |
|
Recommended |
MA1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA1 |
Query
|
cfmh_fmw_chd_ma2 |
Integer |
|
Recommended |
MA2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA2 |
Query
|
cfmh_fmw_chd_ma3 |
Integer |
|
Recommended |
MA3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA3 |
Query
|
cfmh_fmw_chd_ma4 |
Integer |
|
Recommended |
MA4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA4 |
Query
|
cfmh_fmw_chd_ma5 |
Integer |
|
Recommended |
MA5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA5 |
Query
|
cfmh_fmw_chd_ma6 |
Integer |
|
Recommended |
MA6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA6 |
Query
|
cfmh_fmw_chd_ma7 |
Integer |
|
Recommended |
MA7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MA7 |
Query
|
cfmh_fmw_chd_mu1 |
Integer |
|
Recommended |
MU1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU1 |
Query
|
cfmh_fmw_chd_mu2 |
Integer |
|
Recommended |
MU2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU2 |
Query
|
cfmh_fmw_chd_mu3 |
Integer |
|
Recommended |
MU3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU3 |
Query
|
cfmh_fmw_chd_mu4 |
Integer |
|
Recommended |
MU4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU4 |
Query
|
cfmh_fmw_chd_mu5 |
Integer |
|
Recommended |
MU5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU5 |
Query
|
cfmh_fmw_chd_mu6 |
Integer |
|
Recommended |
MU6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU6 |
Query
|
cfmh_fmw_chd_mu7 |
Integer |
|
Recommended |
MU7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_MU7 |
Query
|
cfmh_fmw_chd_pa1 |
Integer |
|
Recommended |
PA1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA1 |
Query
|
cfmh_fmw_chd_pa2 |
Integer |
|
Recommended |
PA2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA2 |
Query
|
cfmh_fmw_chd_pa3 |
Integer |
|
Recommended |
PA3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA3 |
Query
|
cfmh_fmw_chd_pa4 |
Integer |
|
Recommended |
PA4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA4 |
Query
|
cfmh_fmw_chd_pa5 |
Integer |
|
Recommended |
PA5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA5 |
Query
|
cfmh_fmw_chd_pa6 |
Integer |
|
Recommended |
PA6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA6 |
Query
|
cfmh_fmw_chd_pa7 |
Integer |
|
Recommended |
PA7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PA7 |
Query
|
cfmh_fmw_chd_pu1 |
Integer |
|
Recommended |
PU1 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU1 |
Query
|
cfmh_fmw_chd_pu2 |
Integer |
|
Recommended |
PU2 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU2 |
Query
|
cfmh_fmw_chd_pu3 |
Integer |
|
Recommended |
PU3 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU3 |
Query
|
cfmh_fmw_chd_pu4 |
Integer |
|
Recommended |
PU4 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU4 |
Query
|
cfmh_fmw_chd_pu5 |
Integer |
|
Recommended |
PU5 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU5 |
Query
|
cfmh_fmw_chd_pu6 |
Integer |
|
Recommended |
PU6 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU6 |
Query
|
cfmh_fmw_chd_pu7 |
Integer |
|
Recommended |
PU7 - half |
1;2
|
1 = Paternal; 2 = Maternal
|
Charge_familymedhist_fmw_child_PU7 |
Query
|
cfmh_oth_condname1_mom |
String |
100
|
Recommended |
Name Other Condition - 1 |
|
|
Charge_familymedhist_other_condname1_mother |
Query
|
cfmh_oth_condname2_mom |
String |
100
|
Recommended |
Name Other Condition - 2 |
|
|
Charge_familymedhist_other_condname2_mother |
Query
|
cfmh_oth_condname3_mom |
String |
100
|
Recommended |
Name Other Condition - 3 |
|
|
Charge_familymedhist_other_condname3_mother |
Query
|
cfmh_oth_condname4_mom |
String |
100
|
Recommended |
Name Other Condition - 4 |
|
|
Charge_familymedhist_other_condname4_mother |
Query
|
cfmh_oth_condname1_dad |
String |
100
|
Recommended |
Name Other Condition - 1 |
|
|
Charge_familymedhist_other_condname1_father |
Query
|
cfmh_oth_condname2_dad |
String |
100
|
Recommended |
Name Other Condition - 2 |
|
|
Charge_familymedhist_other_condname2_father |
|
cfmh_oth_condname3_dad |
String |
100
|
Recommended |
Name Other Condition - 3 |
|
|
Charge_familymedhist_other_condname3_father |
|
cfmh_oth_condname4_dad |
String |
100
|
Recommended |
Name Other Condition - 4 |
|
|
Charge_familymedhist_other_condname4_father |
|
cfmh_oth_condname1_othr |
String |
100
|
Recommended |
Name Other Condition - 1 |
|
|
Charge_familymedhist_other_condname1_othmem |
Query
|
cfmh_oth_condname2_othr |
String |
100
|
Recommended |
Name Other Condition - 2 |
|
|
Charge_familymedhist_other_condname2_othmem |
Query
|
cfmh_oth_condname3_othr |
String |
100
|
Recommended |
Name Other Condition - 3 |
|
|
Charge_familymedhist_other_condname3_othmem |
Query
|
cfmh_oth_condname4_othr |
String |
100
|
Recommended |
Name Other Condition - 4 |
|
|
Charge_familymedhist_other_condname4_othmem |
|
cfmh_comments_misc |
String |
100
|
Recommended |
Misc. comments on study, interview, etc. |
|
|
Charge_familymedhist_comments_misc |
Query
|
cfmh_chd_fdalrgy |
Integer |
|
Required |
Does the Child have a food allergy? |
0::2;999
|
0 = No; 1 = Yes; 2=Suspected
|
Charge_familymedhist_child_foodallergy, child_foodallergy |
Query
|
cfmh_chd_fdalrgy_cmt |
String |
255
|
Recommended |
Specific food items the Child is allergic to |
|
|
Charge_familymedhist_child_foodallergy_cmt, child_foodallergy_cmt |
Query
|
cfmh_chd_skinalrgy |
Integer |
|
Required |
Does the Child have a skin allergy? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_skinallergy, child_skinallergy |
Query
|
cfmh_chd_alrgy_skinalrgy_cmt |
String |
255
|
Recommended |
Specific skin items the Child is allergic to |
|
|
Charge_familymedhist_child_allergy_skinallergy_cmt, child_allergy_skinallergy_cmt |
Query
|
cfmh_chd_eczema |
Integer |
|
Recommended |
Does the Child have Eczema? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_eczema, child_eczema |
Query
|
cfmh_chd_envalrgy |
Integer |
|
Required |
Does the Child have an environmental allergy? |
0::2;999
|
0 = No; 1 = Yes; 2=suspected
|
Charge_familymedhist_child_envallergy, child_envallergy |
Query
|
cfmh_chd_envalrgy_cmt |
String |
255
|
Recommended |
Specific environmental items the Child is allergic to |
|
|
Charge_familymedhist_child_envallergy_cmt, child_envallergy_cmt |
Query
|
cfmh_chd_medalrgy |
Integer |
|
Required |
Does the Child have a medication allergy? |
0::2;999
|
0 = No; 1 = Yes; 2=Suspected
|
Charge_familymedhist_child_medallergy, child_medallergy |
Query
|
cfmh_chd_medalrgy_cmt |
String |
255
|
Recommended |
Specific medication items the Child is allergic to |
|
|
Charge_familymedhist_child_medallergy_cmt, child_medallergy_cmt |
Query
|
cfmh_chd_othalrgy |
Integer |
|
Recommended |
Does the Child have any other allergies? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_otherallergy, child_otherallergy |
Query
|
cfmh_chd_othalrgy_cmt |
String |
255
|
Recommended |
Specific other items the Child is allergic to |
|
|
Charge_familymedhist_child_otherallergy_cmt, child_otherallergy_cmt |
Query
|
cfmh_chd_autism |
Integer |
|
Required |
Does the Child have Autism? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_autism, child_autism |
Query
|
cfmh_chd_aspergers |
Integer |
|
Required |
Does the Child have Asperger's Syndrome? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_aspergers, child_aspergers |
Query
|
cfmh_chd_retts |
Integer |
|
Required |
Does the Child have Rett's Syndrome? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_retts, child_retts |
Query
|
cfmh_chd_pddnos |
Integer |
|
Required |
Does the child have Autism Spectrum Disorder? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_pddnos, child_pddnos |
|
cfmh_chd_pddnos_cmt |
String |
255
|
Recommended |
Specify type |
|
|
Charge_familymedhist_child_pddnos_cmt, child_pddnos_cmt |
Query
|
cfmh_chd_spchdelay |
Integer |
|
Recommended |
Does (did) the Child have a spch/Language Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_speechdelay, child_speechdelay |
Query
|
cfmh_chd_devdelay |
Integer |
|
Recommended |
Does (did) the Child have a Developmental Delay? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_devdelay, child_devdelay |
Query
|
cfmh_chd_learndis |
Integer |
|
Required |
Does (did) the Child have a Learning Disability? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_learndis, child_learndis |
Query
|
cfmh_chd_seizure |
Integer |
|
Required |
Does (did) the Child have Seizure Disorder/Epilepsy? |
1;0;999; -7
|
0 = No; 1 = Yes; ; -7=Refused; 999=NA/NK
|
Charge_familymedhist_child_seizure, child_seizure |
Query
|
cfmh_chd_cerpalsy |
Integer |
|
Required |
Has she/he ever been to a doctor for any of these things…Cerebral Palsy /Parálisis Cerebral |
1;0;999
|
0 = No; 1 = Yes //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
|
Charge_familymedhist_child_cerpalsy, child_cerpalsy |
Query
|
cfmh_chd_downssynd |
Integer |
|
Required |
Does (did) the Child have Down's Syndrome? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_downssynd, child_downssynd |
Query
|
cfmh_chd_mentalret |
Integer |
|
Recommended |
Does (did) the Child have Mental Retardation? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_mentalret, child_mentalret |
Query
|
cfmh_chd_tuberscl |
Integer |
|
Required |
Does (did) the Child have Tuberous Sclerosis? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_tuberscl, child_tuberscl |
Query
|
cfmh_chd_fragilex |
Integer |
|
Required |
Does (did) the Child have Fragile X? |
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_fragilex, child_fragilex |
Query
|
cfmh_chd_neuromd |
Integer |
|
Recommended |
Does (did) the Child have a Neuromuscular Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_neuromuscdis, child_neuromuscdis |
Query
|
cfmh_chd_genedis |
Integer |
|
Recommended |
Does (did) the Child have a Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_geneticdis, child_geneticdis |
|
cfmh_chd_genedis_cmt |
String |
255
|
Recommended |
Specify Child's Genetic Disorder |
|
|
Charge_familymedhist_child_geneticdis_cmt, child_geneticdis_cmt |
Query
|
cfmh_chd_genedistst |
Integer |
|
Recommended |
Was testing done for the Child's Genetic Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_geneticdistest, child_geneticdistest |
Query
|
cfmh_chd_genedistst_cmt |
String |
255
|
Recommended |
Specify tests |
|
|
Charge_familymedhist_child_geneticdistest_cmt, child_geneticdistest_cmt |
Query
|
cfmh_chd_visionimp |
Integer |
|
Recommended |
Does the Child have a vision impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_visionimp, child_visionimp |
Query
|
cfmh_chd_visioncor |
Integer |
|
Recommended |
Has the child's vision impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_visioncor, child_visioncor |
Query
|
cfmh_chd_hearingimp |
Integer |
|
Recommended |
Does the patient have a hearing impairment? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_hearingimp, child_hearingimp |
Query
|
cfmh_chd_hearingcor |
Integer |
|
Recommended |
Has the child's hearing impairment been corrected? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_hearingcor, child_hearingcor |
Query
|
cfmh_chd_bipolar |
Integer |
|
Required |
Does (did) the subject have a Bipolar Disorder? |
1;0;999;9
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_bipolar, child_bipolar |
Query
|
cfmh_chd_depression |
Integer |
|
Required |
Does (did) the Child have Depression? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_depression, child_depression |
Query
|
cfmh_chd_anxiety |
Integer |
|
Recommended |
Does (did) the Child have an Anxiety Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_anxiety, child_anxiety |
Query
|
cfmh_chd_ocd |
Integer |
|
Required |
Does (did) the Child have Obsessive Compulsive Disorder? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_ocd, child_ocd |
Query
|
cfmh_chd_schizo |
Integer |
|
Required |
Does (did) the Participant have Schizophrenia? |
0::2;999; -7
|
0 = No; 1 = Yes; 2=Probable;-7=Refused; 999=NA/NK/missing
|
Charge_familymedhist_child_schizophrenia, child_schizophrenia |
Query
|
cfmh_chd_persondis |
Integer |
|
Recommended |
Does (did) the Child have a Personality Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_persondis, child_persondis |
|
cfmh_chd_persondis_cmt |
String |
255
|
Recommended |
Specify Child's Personality Disorder |
|
|
Charge_familymedhist_child_persondis_cmt, child_persondis_cmt |
Query
|
cfmh_chd_selfinj |
Integer |
|
Recommended |
Does (did) the Child have Self-Injuring Behavior? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_selfinj, child_selfinj |
Query
|
cfmh_chd_suicideatt |
Integer |
|
Recommended |
Has the Child Attempted Suicide? |
0::2; -7
|
0 = No; 1 = Yes; 2=not sure; -7=Refused
|
Charge_familymedhist_child_suicideatt, child_suicideatt |
Query
|
cfmh_chd_othpsydis |
Integer |
|
Recommended |
Does (did) the Child have a Psychiatric Disorder? |
1;0; -7;-9
|
0 = No; 1 = Yes; -7=Refused; -9=Unknown
|
Charge_familymedhist_child_otherpsychdis, child_otherpsychdis |
|
cfmh_chd_othpsydis_cmt |
String |
255
|
Recommended |
Specify Child's Psychiatric Disorder |
|
|
Charge_familymedhist_child_otherpsychdis_cmt, child_otherpsychdis_cmt |
Query
|
cfmh_chd_adhd |
Integer |
|
Required |
Does (did) the Child have Attention Deficit Hyperactivity Disorder (ADHD)? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_adhd, child_adhd |
Query
|
cfmh_chd_eatingdis |
Integer |
|
Recommended |
Does (did) the Child have an Eating Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_eatingdis, child_eatingdis |
Query
|
cfmh_chd_eatingdis_cmt |
String |
255
|
Recommended |
Specify Child's Eating Disorder |
|
|
Charge_familymedhist_child_eatingdis_cmt, child_eatingdis_cmt |
Query
|
cfmh_chd_sleepdis |
Integer |
|
Recommended |
Does (did) the Child have a Sleep Disorder? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_sleepdis, child_sleepdis |
Query
|
cfmh_chd_sleepdis_cmt |
String |
255
|
Recommended |
Specify type of sleep disorder child has |
|
|
Charge_familymedhist_child_sleepdis_cmt, child_sleepdis_cmt |
Query
|
cfmh_chd_abusevic |
Integer |
|
Recommended |
Is the Child a Victim of Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_abusevic, child_abusevic |
Query
|
cfmh_chd_subabuse |
Integer |
|
Recommended |
Is the Child Substance of Abuse? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_subabuse, child_subabuse |
|
cfmh_chd_subabuse_cmt |
String |
255
|
Recommended |
Specify Child's Substance Abuse |
|
|
Charge_familymedhist_child_subabuse_cmt, child_subabuse_cmt |
Query
|
cfmh_chd_migraine |
Integer |
|
Required |
Does the Child have Migraine Headaches? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_migraine, child_migraine |
Query
|
cfmh_chd_ibs |
Integer |
|
Required |
Does the Child have Irritable Bowel Syndrome? |
1;0;999
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_ibs, child_ibs |
Query
|
cfmh_chd_othgidis |
Integer |
|
Recommended |
Does the Child have any Other Gastrointestinal Disorders? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_othergidis, child_othergidis |
Query
|
cfmh_chd_cancer |
Integer |
|
Recommended |
Does the Child have Cancer? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_cancer, child_cancer |
|
cfmh_chd_cancer_cmt |
String |
255
|
Recommended |
Specify Child's Cancer type |
|
|
Charge_familymedhist_child_cancer_cmt, child_cancer_cmt |
Query
|
cfmh_chd_congendef |
Integer |
|
Recommended |
Does the Child have a Congenital Defect (Cleft palate, cleft lip, other)? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_congenitaldef, child_congenitaldef |
Query
|
cfmh_chd_congendef_cmt |
String |
255
|
Recommended |
Specify Child's Congenital Defect type |
|
|
Charge_familymedhist_child_congenitaldef_cmt, child_congenitaldef_cmt |
Query
|
cfmh_chd_obesity |
Integer |
|
Recommended |
Does the Child have Obesity? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_obesity, child_obesity |
Query
|
cfmh_chd_sicklecell |
Integer |
|
Recommended |
Does the Child have Sickle Cell Anemia? |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_sicklecell, child_sicklecell |
Query
|
cfmh_chd_thyroiddis |
Integer |
|
Required |
Does the Child have Thyroid Disease? |
1;0;999; -7
|
0 = No; 1 = Yes; -7=Refused; 999=NA/NK
|
Charge_familymedhist_child_thyroiddis, child_thyroiddis |
Query
|
cfmh_chd_othcond1 |
Integer |
|
Recommended |
Did the child have Other Condition - 1 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_othercond1, child_othercond1 |
Query
|
cfmh_chd_othcond2 |
Integer |
|
Recommended |
Did the child have Other Condition - 2 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_othercond2, child_othercond2 |
Query
|
cfmh_chd_othcond3 |
Integer |
|
Recommended |
Did the child have Other Condition - 3 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_othercond3, child_othercond3 |
Query
|
cfmh_chd_othcond4 |
Integer |
|
Recommended |
Did the child have Other Condition - 4 |
1;0
|
0 = No; 1 = Yes
|
Charge_familymedhist_child_othercond4, child_othercond4 |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |