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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Clinical Medical History

1,704 Shared Subjects

N/A
Clinical Assessments
Med History
11/01/2016
medh01
02/21/2024
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
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 child_id, hcpa_id, record_id, subject
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY date_of_interview_contact
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. age, mcd1
sex String 20 Required Sex of subject at birth
M;F; O; NR
M = Male; F = Female; O=Other; NR = Not reported gender, mcd3, sex
Query visit String 60 Recommended Visit name
Query medh1 Integer Recommended Medical history/physical exam completed in the past 30 days 0;1 0=No; 1=Yes
Query medh2 Integer Recommended Allergies 1::3 1=no significant history; 2=past; 3= present medical_10
medh3 String 200 Recommended Allergies. Details/amount
Query medh4 Integer Recommended Cardiovascular 1::3 1=no significant history; 2=past; 3= present medical_3
medh5 String 200 Recommended Cardiovascular Details/amount
Query medh6 Integer Recommended Dermatological 1::3 1=no significant history; 2=past; 3= present
medh7 String 200 Recommended Dermatological. Details/amount
medh8 String 200 Recommended Endocrine. Details/amount
Query medh9 Integer Recommended Endocrine/ 1::3 1=no significant history; 2=past; 3= present medical_4
Query medh10 Integer Recommended Gastrointestinal 1::3 1=no significant history; 2=past; 3= present medical_5
medh11 String 200 Recommended Gastrointestinal. Details/amount
Query medh12 Integer Recommended Genitourinary 1::3 1=no significant history; 2=past; 3= present medical_6
medh13 String 200 Recommended Genitourinary. Details/amount
Query medh14 Integer Recommended Is the participant pregnant or planning to become pregnant during the study period 0::2 0=No; 1=Yes; 2=NA
Query medh15 Integer Recommended Hematological 1::3 1=no significant history; 2=past; 3= present
medh16 String 200 Recommended Hematological. Details/amount
Query medh17 Integer Recommended Hepatic 1::3 1=no significant history; 2=past; 3= present
medh18 String 200 Recommended Hepatic. Details/amount
Query medh19 Integer Recommended Immunological 1::3 1=no significant history; 2=past; 3= present
medh20 String 200 Recommended Immunological. Details/amount
Query medh21 Integer Recommended Metabolic 1::3 1=no significant history; 2=past; 3= present
medh22 String 200 Recommended Metabolic. Details/amount
Query medh23 Integer Recommended Musculoskeletal 1::3 1=no significant history; 2=past; 3= present medical_7
medh24 String 200 Recommended Musculoskeletal. Details/amount
Query medh25 Integer Recommended Neoplastic 1::3 1=no significant history; 2=past; 3= present
medh26 String 200 Recommended Neoplastic. Details/amount
Query medh27 Integer Recommended Neurological 1::3 1=no significant history; 2=past; 3= present medical_1
medh28 String 200 Recommended Neurological. Details/amount
medh29 String 200 Recommended Other med history (Specify)
Query medh30 Integer Recommended Other med history 1::3 1=no significant history; 2=past; 3= present medical_9
medh31 String 200 Recommended Other med history. Details/amount
Query medh32 Integer Recommended Respiratory 1::3 1=no significant history; 2=past; 3= present medical_2
medh33 String 200 Recommended Respiratory. Details/amount
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data comments, mh_notes
Query medhx_celiac Integer Recommended Celiac Disease 0::2 0 = No, 1 = Yes, 2 = Not sure
version_form String 121 Recommended Form used/assessment name
ghq_8 Integer Recommended Current smoker. How many cigarettes have you smoked in the past 24 hours? 1 :: 200 esq1
avnumcig Integer Recommended Average Number of Cigarettes esq2
pehxmen Integer Recommended History of menstruation 0;1 0 = No; 1 = Yes esq8_fem_1
urine_last_menstrual_pd_days String 25 Recommended Urine Measures: Number of days since last menstrual period (Date sample taken - Date of last menstruation) esq8_fem_2
menstrualcycle3_y Integer Recommended Is your menstrual cycle regular? 0::3 1 = Yes; 0 = No; 2 = Don't know; 3 = Refuse to answer; The following questions are about the history of your menstrual cycle. If you do not remember specific details, just try to answer as best you can. esq8_fem_3, q4
mchq_18 String 500 Recommended Do you have regular menstrual cycles. If no, explain esq8_fem_4
contr Integer Recommended Currently taking any type of hormonal contraceptive? 0;1 0=No; 1=Yes esq9_fem, q5
esq1_wk String 90 Recommended Past week drug/alcohol use: Substance 1
esq2_wk String 90 Recommended Past week drug/alcohol use: Substance 2
esq3_wk String 90 Recommended Past week drug/alcohol use: Substance 3
esq4_wk String 90 Recommended Past week drug/alcohol use: Substance 4
esq5_wk String 90 Recommended Past week drug/alcohol use: Substance 5
esq6_wk String 90 Recommended Past week drug/alcohol use: Substance 6
esq7_wk String 90 Recommended Past week drug/alcohol use: Substance 7
esq8_wk String 90 Recommended Past week drug/alcohol use: Substance 8
esq1_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 1
esq2_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 2
esq3_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 3
esq4_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 4
esq5_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 5
esq6_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 6
esq7_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 7
esq8_24hr String 90 Recommended Past 24 hr drug/alcohol use: Substance 8
esq3 Integer Recommended Other tobacco/nicotine products in past 24 hrs 0::1; -9 0=no; 1=yes; -9=missing
esq3_1 String 200 Recommended If used other tobacco/nicotine products in past 24 hours: What kind and how much?
esq4_cofftea Integer Recommended How many cups of coffee/tea in past 24 hrs
esq4_soda Integer Recommended Glasses of soda in past 24 hrs
esq5_cofftea Integer Recommended How many cups of coffee/tea in average day
esq5_soda Integer Recommended Glasses of soda in average day
esq6 Integer Recommended How much time spent exercising in past 24 hrs 0::3; -9 0=less than 1 hour; 1=1-3 hours per week; 2=4-5 hours per week; 3=more than 5 hours; -9=missing
esq7 Integer Recommended How much time spent exercising per week 0::4; -9 0=less than 1 hour; 1=1-3 hours per week; 2=4-5 hours per week; 3=6-10 hours per week; 4=more than 10 hours per week; -9=missing
esq8 Integer Recommended Gums bleeding 0::1; -9 0=no; 1=yes; -9=missing
medical_8 Integer Recommended ASD or Communication Disorder 1::3 1=no significant history; 2=past; 3= present
dental1 Integer Recommended Do you currently have any of the following dental hardware?: Lower Retainer 0;1 1 = Yes ; 0 = No
dental2 Integer Recommended Do you currently have any of the following dental hardware?: Lower Spacer 0;1 1 = Yes ; 0 = No
dental2_1 String 30 Recommended Lower Spacer: If yes: How many?
dental3 Integer Recommended Do you currently have any of the following dental hardware?: Metal fillings (amalgam, silver, gold)? 0;1 1 = Yes ; 0 = No
dental3_1 String 30 Recommended Metal fillings (amalgam, silver, gold)? If Yes, How many on top?
dental3_2 String 30 Recommended Metal fillings (amalgam, silver, gold)? If Yes, How many on bottom?
dental4 Integer Recommended Do you currently have any of the following dental hardware?: Crowns? 0;1 1 = Yes ; 0 = No
dental4_1 String 30 Recommended Crowns? If Yes, How many on top?
dental4_2 String 30 Recommended Crowns? If Yes, How many on bottom?
dental5 Integer Recommended Do you currently have any of the following dental hardware?: Gold teeth? 0;1 1 = Yes ; 0 = No
dental5_1 String 30 Recommended Gold teeth? If Yes, How many on top?
dental5_2 String 30 Recommended Gold teeth? If Yes, How many on bottom?
dental6 Integer Recommended Do you currently have any of the following dental hardware?: Any other metal posts, implants or anything else? 0;1 1 = Yes ; 0 = No
dental6_1 String 86 Recommended Any other metal posts, implants or anything else? If Yes, What?
dental6_2 String 50 Recommended Any other metal posts, implants or anything else? If Yes, Where?
mh6a2 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - To help you sleep? 0;1 0 = No; 1 = Yes
mh6a3 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - To feel less depressed? 0;1 0 = No; 1 = Yes
mh6a4 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - For headaches? 0;1 0 = No; 1 = Yes
mh6a5 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - To have more energy? 0;1 0 = No; 1 = Yes
mh6a6 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - Women Only: For birth control? 0;1 0 = No; 1 = Yes
mh6a7 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - Containing steroids? 0;1 0 = No; 1 = Yes
baseline_m_008 Integer Recommended In the past six months, how many emergency room visits were for medical problems not related to a psychiatric or mental health problem? mh4c
sf1 Integer Recommended In general, would you say your health is: 1::5;888 1= Excellent; 2= Very Good; 3= Good; 4= Fair; 5= Poor ; 888=Don't Know/not sure mh1
tosurg Integer Recommended Number of outpatient surgery mh4b
mh2 Integer Recommended MH2 Has your health always been (ANSWER IN MH1); or has it been better or worse? 1;2;5;6 1=No, Worse;2=No, better; 5=Yes, Same; 6=Both better and worse
mh4a Integer Recommended MH4a How many times have you been in a hospital overnight (including surgery and pregnancy); excluding psychiatric or substance abuse treatment?
mh5 Integer Recommended MH5 In the last 6 months; how many visits have you made to a doctor; clinic; or emergency room for your physical health? DO NOT COUNT CHIROPRACTORS OR ROUTINE PHYSICALS.
mh6a1 Integer Recommended Have you ever taken any medications prescribed to you by a doctor for 12 months or longer for the following reasons: DO NOT COUNT OTC. - To make you feel less nervous? 0;1 0 = No; 1 = Yes
mcd8 Integer Recommended 7-day post-discharge follow-up with outpatient mental health care 0;1 0 = No; 1 = Yes
mcd9 Integer Recommended 30-day post-discharge follow-up with outpatient mental health care 0;1 0 = No; 1 = Yes
encounter1_019 String 100 Recommended Primary ICD Diagnosis Code mcd5
site String 101 Recommended Site Study Site
study String 100 Recommended Study; The code for each individual study
mcd2 Integer Recommended 7-day hospital inpatient all-cause readmission 0;1 0 = No; 1 = Yes
mcd4 Integer Recommended 30-day hospital inpatient all-cause readmission 0;1 0 = No; 1 = Yes
mcd6 Integer Recommended 7-day post-discharge follow-up with outpatient medical care 0;1 0 = No; 1 = Yes
mcd7 Integer Recommended 30-day post-discharge follow-up with outpatient medical care 0;1 0 = No; 1 = Yes
ph_119 Integer Recommended Has your child been to the Emergency Room within the past year? 0;1;6;7 0 = No; 1 = Yes; 6 = Don't know ; 7 = Refuse to answer medhx_4a
medhis_6q_drug7 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 7 medhx_6q_drug7
medhis_6q_drug8 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 8 medhx_6q_drug8
medhis_6q_drug9 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 9 medhx_6q_drug9
medhis_6q_drug10 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 10 medhx_6q_drug10
medhis_6q_drug11 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 11 medhx_6q_drug11
medhis_6q_drug12 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 12 medhx_6q_drug12
medhis_6q_drug13 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 13 medhx_6q_drug13
medhis_6q_drug14 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 14 medhx_6q_drug14
medhis_6q_drug15 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 15 medhx_6q_drug15
medhis_6q_drug16 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 16 medhx_6q_drug16
ph_9 Integer Recommended Has your child ever had a seizure or fit? 0::1; 9998 0 = No (If No, please go to Question 10); 1 = Yes; 9998 = Did not answer medhx_6p
medhis_6q_drug17 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 17 medhx_6q_drug17
medhis_6q_drug18 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 18 medhx_6q_drug18
medhis_6q_drug19 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 19 medhx_6q_drug19
medhis_6q_drug20 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 20 medhx_6q_drug20
medhis_6q_drug21 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 21 medhx_6q_drug21
medhis_6q_drug22 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 22 medhx_6q_drug22
medhis_6q_drug23 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 23 medhx_6q_drug23
medhis_6q_drug24 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 24 medhx_6q_drug24
medhis_6q_drug25 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 25 medhx_6q_drug25
medhis_6q_drug26 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 26 medhx_6q_drug26
ph_9a Integer Recommended How many seizures or fits has your child ever had? #: 0::1200; 9998 Number of occurrences; 9998 = N/A medhx_6p_notes
medhis_6q_drug27 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 27 medhx_6q_drug27
medhis_6q_drug28 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 28 medhx_6q_drug28
medhis_6q_drug29 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 29 medhx_6q_drug29
medhis_6q_drug30 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 30 medhx_6q_drug30
medhis_6r Integer Recommended Has your child ever had a gunshot wound? 0;1 0 = No ; 1 = Yes medhx_6r
medhis_6r_notes String 150 Recommended If your child has had a gunshot wound, how many times? medhx_6r_notes
medhis_6s Integer Recommended Has your child had a wound from knife or any other weapon 0;1 0 = No ; 1 = Yes medhx_6s
medhis_6s_times String 150 Recommended If your child has had a wound from knife or any other weapon, how many times? medhx_6s_times
medhis_6t Integer Recommended Has your child had any other severe harm done? 0;1 0 = No ; 1 = Yes medhx_6t
medhis_6t_describe String 150 Recommended If your child has had other severe harm, please fill in: medhx_6t_describe
ph_neuro9 Integer Recommended Has your child ever had a serious head injury (whether unconscious or not)? 0;1 0 = No; 1 = Yes medhx_6i
medhis_6t_times String 150 Recommended If your child has had other severe harm, how many times? medhx_6t_times
medhis_8b_describe String 400 Recommended If your child has ever been in the hospital overnight or longer, please describe: medhx_8b_describe
medhis_9a Integer Recommended Has your child ever had general anesthesia or sedation for any surgery or procedure? 0;1;6 1 = Yes ; 0 = No ; 6 = Don''t know medhx_9a
medhis_9b String 150 Recommended If your child has ever had general anesthesia or sedation for any surgery or procedure, how many times? medhx_9b
medhis_9c String 150 Recommended If your child has ever had general anesthesia or sedation for any surgery or procedure, at what age for the most recent time? medhx_9c
q17_b14 Integer Recommended Has she/he ever been to a doctor for any of these things…Problems with Heart /Problemas del corazón 0::2 0 = No, 1 = Yes, 2 = Not sure//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. medhx_2o
seq1c_2 Integer Recommended Has a health or education professoinal told you that your child has any of the following conditions? : Traumatic brain injury
1;2;-99;77;88
2= No;1= Yes ; -99= N/A ; 77= Refused ; 88= Missing medhx_2c
w1_m_cu_hrng Integer Recommended Has she/he ever been to a doctor for any of these things…Hearing Problem /Problema Auditivo 0;1; -888; -999 0 = No; 1 = Yes; -999 = missing; -888 = not applicable//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. medhx_2i
wk_allergies Integer Recommended Has she/he ever been to a doctor for any of these things…Allergies /Alergias 0;1 No = 0; Yes = 1 medhx_2b
cfmh_chd_seizure Integer Recommended Does (did) the Child have Seizure Disorder/Epilepsy? 1;0;999; -7 0 = No; 1 = Yes; ; -7=Refused; 999=NA/NK medhx_2h
wk_asthma Integer Recommended Has she/he ever been to a doctor for any of these things…Asthma /Asma 0;1 No = 0; Yes = 1;//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. medhx_2a
baseline_k_005 Integer Recommended Has she/he ever been to a doctor for any of these things…Diabetes /Diabetes 0;1; -888; -999;-7 0=No; 1=Yes; -888=Not Applicable; -999=Missing/NK; -7=Refused //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. medhx_2g
cfmh_chd_cerpalsy Integer Recommended 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. medhx_2f
medhis_1a Integer Recommended During the past year, has your child been to see a doctor, nurse, nurse practitioner, dentist, or any other health professional like that, OTHER than for regular checkups? 0;1;6 1 = Yes ; 0 = No ; 6 = Don''t know medhx_1a
medhis_1a_other String 150 Recommended During the past year, has your child been to see a doctor, nurse, nurse practitioner, dentist, or any other health professional like that, OTHER than for regular checkups? If yes, then why? medhx_1a_other
medhis_2d Integer Recommended Has your child ever been to a doctor for any of these things: Bronchitis 0;1 1 = Yes ; 0 = No medhx_2d
medhis_2e Integer Recommended Has your child ever been to a doctor for any of these things: Cancer/Leukemia 0;1 1 = Yes ; 0 = No medhx_2e
medhis_2k Integer Recommended Has your child ever been to a doctor for any of these things: Lead Poisoning 0;1 1 = Yes ; 0 = No medhx_2k
medhis_2n Integer Recommended Has your child ever been to a doctor for any of these things: Problems with Vision 0;1 1 = Yes ; 0 = No medhx_2n
medhis_2p Integer Recommended Has your child ever been to a doctor for any of these things: Sickle Cell Anemia 0;1 1 = Yes ; 0 = No medhx_2p
medhis_2q Integer Recommended Has your child ever been to a doctor for any of these things: Very Bad Headaches 0;1 1 = Yes ; 0 = No medhx_2q
ex_vd2_dev_muscular_dystrophy String 2 Recommended Screening and Exclusion Form (0:0 to 4:5 y:m) Question VD2 Child of Interest (COI) Muscular Dystrophy (Y=Yes, N=No, NA=Not Available)
Y;N;NA
Y = Yes; N = No; NA = Not available medhx_2l
medhis_2r Integer Recommended Has your child ever been to a doctor for any of these things: An Operation 0;1 1 = Yes ; 0 = No medhx_2r
medhis_2s Integer Recommended Has your child ever been to a doctor for any of these things: Any Other Illness 0;1 1 = Yes ; 0 = No medhx_2s
medhis_2_notes String 400 Recommended Has your child ever been to a doctor for any of these things: If any operation, please specify: medhx_2_notes
medhis_2_notes2 String 550 Recommended Has your child ever been to a doctor for any of these things: If any other illness, please specify: medhx_2_notes2
medhis_4b Integer Recommended How many times has your child been to the emergency room in that past year? 1::5 1 = 1 time ; 2 = 2 times ; 3 = 3-4 times ; 4 = 5-9 times ; 5 = 10 or more times medhx_4b
medhis_6b Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Sprains 0;1 0 = No ; 1 = Yes medhx_6b
medhis_6b_notes String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Sprains - If yes, how many times? medhx_6b_notes
medhis_6c Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Cuts or Scrapes 0;1 0 = No ; 1 = Yes medhx_6c
medhis_6c_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Cuts or Scrapes - If yes, how many times? medhx_6c_times
medhis_6d Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Stitches 0;1 0 = No ; 1 = Yes medhx_6d
medhx_brokenbones_specify String 255 Recommended If yes to broken bones, specify: medhx_6a_notes
medhis_6d_notes String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Stitches - If yes, how many times? medhx_6d_notes
medhis_6e Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Other Serious Wounds 0;1 0 = No ; 1 = Yes medhx_6e
medhis_6e_describe String 450 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Other Serious Wounds - If yes, please describe: medhx_6e_describe
medhis_6e_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Other Serious Wounds - If yes, how many times? medhx_6e_times
medhis_6f Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Falls 0;1 0 = No ; 1 = Yes medhx_6f
medhis_6f_notes String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Falls - If yes, how many times? medhx_6f_notes
medhis_6g_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Burns - If yes, how many times? medhx_6g_times
medhis_6h Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: High Fever 0;1 0 = No ; 1 = Yes medhx_6h
medhis_6h_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: High Fever - If yes, how many times? medhx_6h_times
medhis_6i_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Head Injury - If yes, how many times? medhx_6i_times
strconkidney String 5 Recommended Does the child/patient have kidney disease?
Yes; No
medhx_2j
medhis_6j Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Knocked Unconscious 0;1 0 = No ; 1 = Yes medhx_6j
medhis_6j_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Knocked Unconscious - If yes, how many times? medhx_6j_times
medhis_6k Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Bruises 0;1 0 = No ; 1 = Yes medhx_6k
medhis_6k_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Bruises - If yes, how many times? medhx_6k_times
medhis_6l Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Asthma Attack 0;1 0 = No ; 1 = Yes medhx_6l
medhis_6l_notes String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Asthma Attack - If yes, how many times? medhx_6l_notes
medhis_6m Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Broken Teeth 0;1 0 = No ; 1 = Yes medhx_6m
medhis_6m_times String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Broken Teeth - If yes, how many times? medhx_6m_times
medhis_6n Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Animal Bite 0;1 0 = No ; 1 = Yes medhx_6n
medhis_6n_notes String 150 Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Animal Bite - If yes, how many times? medhx_6n_notes
ch_17_00 Integer Recommended Before you were 18, were/Has your child been burned? This includes when you/your child suffered an injury caused by fire or excessive heat that is not a sunburn. 0;1; -8; -9 1=Yes; 0=No; -8= I don't know the answer to the question; -9= I don't want to answer the question medhx_6g
medhis_6o Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Overdose 0;1 0 = No ; 1 = Yes medhx_6o
medhis_6o_notes Integer Recommended Has your child ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because of: Overdose - If yes, how many times? 1::30 medhx_6o_notes
medhis_6o_drug1 String 150 Recommended Drug 1 that your child had overdosed on: medhx_6o_drug1
medhis_6o_drug2 String 150 Recommended Drug 2 that your child had overdosed on: medhx_6o_drug2
medhis_6o_drug3 String 150 Recommended Drug 3 that your child had overdosed on: medhx_6o_drug3
medhis_6o_drug4 String 150 Recommended Drug 4 that your child had overdosed on: medhx_6o_drug4
medhis_6o_drug5 String 150 Recommended Drug 5 that your child had overdosed on: medhx_6o_drug5
medhis_6o_drug6 String 150 Recommended Drug 6 that your child had overdosed on: medhx_6o_drug6
medhis_6o_drug7 String 150 Recommended Drug 7 that your child had overdosed on: medhx_6o_drug7
medhis_6o_drug8 String 150 Recommended Drug 8 that your child had overdosed on: medhx_6o_drug8
childhospital Integer Recommended Has your child ever been overnight in the hospital? 0;1;-99;88;77;6 0= No ; 1= Yes ; -99= N/A ; 88= Missing ; 77= Refused; 6 = Don't know medhx_8a
medhis_6o_drug9 String 150 Recommended Drug 9 that your child had overdosed on: medhx_6o_drug9
medhis_6o_drug10 String 150 Recommended Drug 10 that your child had overdosed on: medhx_6o_drug10
medhis_6o_drug11 String 150 Recommended Drug 11 that your child had overdosed on: medhx_6o_drug11
medhis_6o_drug12 String 150 Recommended Drug 12 that your child had overdosed on: medhx_6o_drug12
medhis_6o_drug13 String 150 Recommended Drug 13 that your child had overdosed on: medhx_6o_drug13
medhis_6o_drug14 String 150 Recommended Drug 14 that your child had overdosed on: medhx_6o_drug14
medhis_6o_drug15 String 150 Recommended Drug 15 that your child had overdosed on: medhx_6o_drug15
medhis_6o_drug16 String 150 Recommended Drug 16 that your child had overdosed on: medhx_6o_drug16
medhis_6o_drug17 String 150 Recommended Drug 17 that your child had overdosed on: medhx_6o_drug17
medhis_6o_drug18 String 150 Recommended Drug 18 that your child had overdosed on: medhx_6o_drug18
medhx_brokenbones Integer Recommended Has he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Broken Bones /Fracturas 0::2 0 = No, 1 = Yes, 2 = Not sure//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. medhx_6a
medhis_6o_drug19 String 150 Recommended Drug 19 that your child had overdosed on: medhx_6o_drug19
medhis_6o_drug20 String 150 Recommended Drug 20 that your child had overdosed on: medhx_6o_drug20
medhis_6o_drug21 String 150 Recommended Drug 21 that your child had overdosed on: medhx_6o_drug21
medhis_6o_drug22 String 150 Recommended Drug 22 that your child had overdosed on: medhx_6o_drug22
medhis_6o_drug23 String 150 Recommended Drug 23 that your child had overdosed on: medhx_6o_drug23
medhis_6o_drug24 String 150 Recommended Drug 24 that your child had overdosed on: medhx_6o_drug24
medhis_6o_drug25 String 150 Recommended Drug 25 that your child had overdosed on: medhx_6o_drug25
medhis_6o_drug26 String 150 Recommended Drug 26 that your child had overdosed on: medhx_6o_drug26
medhis_6o_drug27 String 150 Recommended Drug 27 that your child had overdosed on: medhx_6o_drug27
medhis_6o_drug28 String 150 Recommended Drug 28 that your child had overdosed on: medhx_6o_drug28
ms Integer Recommended Has she/he ever been to a doctor for any of these things…Multiple Sclerosis /Esclerosis múltiple 1;0;-7; 9; -999 0=No; 1=Yes;-7=Refused; 9=Not evaluated; -999= Don't know/Missing Data //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. medhx_2m
medhis_6o_drug29 String 150 Recommended Drug 29 that your child had overdosed on: medhx_6o_drug29
medhis_6o_drug30 String 150 Recommended Drug 30 that your child had overdosed on: medhx_6o_drug30
medhis_6q Integer Recommended Has your child ever had an accidental poisoning? 0;1 0 = No ; 1 = Yes medhx_6q
medhis_6q_notes Integer Recommended If your child has had accidental poisonings, how many times? 1::30 medhx_6q_notes
medhis_6q_drug1 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 1 medhx_6q_drug1
medhis_6q_drug2 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 2 medhx_6q_drug2
medhis_6q_drug3 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 3 medhx_6q_drug3
medhis_6q_drug4 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 4 medhx_6q_drug4
medhis_6q_drug5 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 5 medhx_6q_drug5
medhis_6q_drug6 String 150 Recommended If your child has had accidental poisonings, then list poisons. Poison 6 medhx_6q_drug6
comqother String 255 Recommended Respondent - Other (text)
q6_menstrual Integer Recommended Are you currently pregnant or lactating? 0 ::3 0= No; 1= Yes; 2= Don't know; 3= Refuse to answer
q7_menstrual Integer Recommended Have you had a hysterectomy? 0 ::3 0= No; 1= Yes; 2= Don't know; 3= Refuse to answer
q9_demo Integer Recommended Have you had anything to eat or drink in the last two hours? 0 :: 1 0= No; 1= Yes
q9_answer String 2,000 Recommended Yes (please list what you've had to eat or drink in the last two hours)
q10_demo Integer Recommended Are you currently taking a corticosteroid medication? 0 :: 1; 3 0= No; 1= Yes; 3= Prefer Not to Answer
q11_demo Integer Recommended Are you currently taking a beta blocker medication? 0 :: 1; 3 0= No; 1= Yes; 3= Prefer Not to Answer
q12_demo Integer Recommended Are you currently taking an antidepressant and/or a medication to reduce anxiety? 1 :: 1; 3 0= No; 1= Yes; 3= Prefer Not to Answer
q2_menstrual Date Recommended What was the date of the first day of your last period? MM/DD/YYYY
q3_menstrual Integer Recommended On average, how many days are there between the first day of your last period and the first day of your next period? (e.g., 30 days) Number of Days
same_past01 String 500 Recommended Diagnosis/Type of Surgery
same_past02 String 100 Recommended Body System
same_past03 Date Recommended Time of Medical History: Start Date MM/DD/YYYY
same_past04 Date Recommended Time of Medical History: Stop Date MM/DD/YYYY
same_past05 String 100 Recommended Check if ongoing
systemicsnomedinput1 Date Recommended Other Illness/Conditions - Systemic #1 - Onset Date MM/DD/YYYY
respiratorysnomedinput3 Date Recommended Other Illness/Conditions - Respiratory #3 - Onset Date MM/DD/YYYY
respiratorysnomedoutput3 Date Recommended Other Illness/Conditions - Respiratory #3 - End Date MM/DD/YYYY
respiratoryonsetongoing3 Integer Recommended Other Illness/Conditions - Respiratory #3 - Ongoing? 0;1 0= No; 1= Yes
respiratoryimpairment3 Integer Recommended Other Illness/Conditions - Respiratory #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cardioassessment Integer Recommended Other Illness/Conditions - Cardiovascular 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
cardiospecify1 String 500 Recommended Other Illness/Conditions - Cardiovascular #1 - Specify
cardiosnomedinput1 Date Recommended Other Illness/Conditions - Cardiovascular #1 - Onset Date MM/DD/YYYY
cardiosnomedoutput1 Date Recommended Other Illness/Conditions - Cardiovascular #1 - End Date MM/DD/YYYY
cardioonsetongoing1 Integer Recommended Other Illness/Conditions - Cardiovascular #1 - Ongoing? 0;1 0= No; 1= Yes
cardioimpairment1 Integer Recommended Other Illness/Conditions - Cardiovascular #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
systemicsnomedoutput1 Date Recommended Other Illness/Conditions - Systemic #1 - End Date MM/DD/YYYY
cardiospecify2 String 500 Recommended Other Illness/Conditions - Cardiovascular #2 - Specify
cardiosnomedinput2 Date Recommended Other Illness/Conditions - Cardiovascular #2 - Onset Date MM/DD/YYYY
cardiosnomedoutput2 Date Recommended Other Illness/Conditions - Cardiovascular #2 - End Date MM/DD/YYYY
cardioonsetongoing2 Integer Recommended Other Illness/Conditions - Cardiovascular #2 - Ongoing? 0;1 0= No; 1= Yes
cardioimpairment2 Integer Recommended Other Illness/Conditions - Cardiovascular #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cardiospecify3 String 500 Recommended Other Illness/Conditions - Cardiovascular #3 - Specify
cardiosnomedinput3 Date Recommended Other Illness/Conditions - Cardiovascular #3 - Onset Date MM/DD/YYYY
cardiosnomedoutput3 Date Recommended Other Illness/Conditions - Cardiovascular #3 - End Date MM/DD/YYYY
cardioonsetongoing3 Integer Recommended Other Illness/Conditions - Cardiovascular #3 - Ongoing? 0;1 0= No; 1= Yes
cardioimpairment3 Integer Recommended Other Illness/Conditions - Cardiovascular #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
systemiconsetongoing1 Integer Recommended Other Illness/Conditions - Systemic #1 - Ongoing? 0;1 0= No; 1= Yes
gastroassessment Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
gastrospecify1 String 500 Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Specify
gastrosnomedinput1 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Onset Date MM/DD/YYYY
gastrosnomedoutput1 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - End Date MM/DD/YYYY
gastroonsetongoing1 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Ongoing? 0;1 0= No; 1= Yes
gastroimpairment1 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
gastrospecify2 String 500 Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Specify
gastrosnomedinput2 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Onset Date MM/DD/YYYY
gastrosnomedoutput2 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - End Date MM/DD/YYYY
gastroonsetongoing2 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Ongoing? 0;1 0= No; 1= Yes
systemicimpairment1 Integer Recommended Other Illness/Conditions - Systemic #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
gastroimpairment2 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
gastrospecify3 String 500 Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #3 - Specify
gastrosnomedinput3 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #3 - Onset Date MM/DD/YYYY
gastrosnomedoutput3 Date Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #3 - End Date MM/DD/YYYY
gastroonsetongoing3 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #3 - Ongoing? 0;1 0= No; 1= Yes
gastroimpairment3 Integer Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
renalassessment Integer Recommended Other Illness/Conditions - Renal/Urinary 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
renalspecify1 String 500 Recommended Other Illness/Conditions - Renal/Urinary #1 - Specify
renalsnomedinput1 Date Recommended Other Illness/Conditions - Renal/Urinary #1 - Onset Date MM/DD/YYYY
renalsnomedoutput1 Date Recommended Other Illness/Conditions - Renal/Urinary #1 - End Date MM/DD/YYYY
systemicspecify2 String 500 Recommended Other Illness/Conditions - Systemic #2 - Specify
renalonsetongoing1 Integer Recommended Other Illness/Conditions - Renal/Urinary #1 - Ongoing? 0;1 0= No; 1= Yes
renalimpairment1 Integer Recommended Other Illness/Conditions - Renal/Urinary #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
renalspecify2 String 500 Recommended Other Illness/Conditions - Renal/Urinary #2 - Specify
renalsnomedinput2 Date Recommended Other Illness/Conditions - Renal/Urinary #2 - Onset Date MM/DD/YYYY
renalsnomedoutput2 Date Recommended Other Illness/Conditions - Renal/Urinary #2 - End Date MM/DD/YYYY
renalonsetongoing2 Integer Recommended Other Illness/Conditions - Renal/Urinary #2 - Ongoing? 0;1 0= No; 1= Yes
renalimpairment2 Integer Recommended Other Illness/Conditions - Renal/Urinary #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
renalspecify3 String 500 Recommended Other Illness/Conditions - Renal/Urinary #3 - Specify
renalsnomedinput3 Date Recommended Other Illness/Conditions - Renal/Urinary #3 - Onset Date MM/DD/YYYY
renalsnomedoutput3 Date Recommended Other Illness/Conditions - Renal/Urinary #3 - End Date MM/DD/YYYY
systemicsnomedinput2 Date Recommended Other Illness/Conditions - Systemic #2 - Onset Date MM/DD/YYYY
renalonsetongoing3 Integer Recommended Other Illness/Conditions - Renal/Urinary #3 - Ongoing? 0;1 0= No; 1= Yes
renalimpairment3 Integer Recommended Other Illness/Conditions - Renal/Urinary #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
reproductiveassessment Integer Recommended Other Illness/Conditions - Reproductive 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
reproductivespecify1 String 500 Recommended Other Illness/Conditions - Reproductive #1 - Specify
reproductivesnomedinput1 Date Recommended Other Illness/Conditions - Reproductive #1 - Onset Date MM/DD/YYYY
reproductivesnomedoutput1 Date Recommended Other Illness/Conditions - Reproductive #1 - End Date MM/DD/YYYY
reproductiveonsetongoing1 Integer Recommended Other Illness/Conditions - Reproductive #1 - Ongoing? 0;1 0= No; 1= Yes
reproductiveimpairment1 Integer Recommended Other Illness/Conditions - Reproductive #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
reproductivespecify2 String 500 Recommended Other Illness/Conditions - Reproductive #2 - Specify
reproductivesnomedinput2 Date Recommended Other Illness/Conditions - Reproductive #2 - Onset Date MM/DD/YYYY
systemicsnomedoutput2 Date Recommended Other Illness/Conditions - Systemic #2 - End Date MM/DD/YYYY
reproductivesnomedoutput2 Date Recommended Other Illness/Conditions - Reproductive #2 - End Date MM/DD/YYYY
reproductiveonsetongoing2 Integer Recommended Other Illness/Conditions - Reproductive #2 - Ongoing? 0;1 0= No; 1= Yes
reproductiveimpairment2 Integer Recommended Other Illness/Conditions - Reproductive #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
reproductivespecify3 String 500 Recommended Other Illness/Conditions - Reproductive #3 - Specify
reproductivesnomedinput3 Date Recommended Other Illness/Conditions - Reproductive #3 - Onset Date MM/DD/YYYY
reproductivesnomedoutput3 Date Recommended Other Illness/Conditions - Reproductive #3 - End Date MM/DD/YYYY
reproductiveonsetongoing3 Integer Recommended Other Illness/Conditions - Reproductive #3 - Ongoing? 0;1 0= No; 1= Yes
reproductiveimpairment3 Integer Recommended Other Illness/Conditions - Reproductive #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelassessment Integer Recommended Other Illness/Conditions - Musculoskeletal 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
muscskelspecify1 String 500 Recommended Other Illness/Conditions - Musculoskeletal #1 - Specify
systemiconsetongoing2 Integer Recommended Other Illness/Conditions - Systemic #2 - Ongoing? 0;1 0= No; 1= Yes
muscskelsnomedinput1 Date Recommended Other Illness/Conditions - Musculoskeletal #1 - Onset Date MM/DD/YYYY
muscskelsnomedoutput1 Date Recommended Other Illness/Conditions - Musculoskeletal #1 - End Date MM/DD/YYYY
muscskelonsetongoing1 Integer Recommended Other Illness/Conditions - Musculoskeletal #1 - Ongoing? 0;1 0= No; 1= Yes
muscskelimpairment1 Integer Recommended Other Illness/Conditions - Musculoskeletal #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelspecify2 String 500 Recommended Other Illness/Conditions - Musculoskeletal #2 - Specify
muscskelsnomedinput2 Date Recommended Other Illness/Conditions - Musculoskeletal #2 - Onset Date MM/DD/YYYY
muscskelsnomedoutput2 Date Recommended Other Illness/Conditions - Musculoskeletal #2 - End Date MM/DD/YYYY
muscskelonsetongoing2 Integer Recommended Other Illness/Conditions - Musculoskeletal #2 - Ongoing? 0;1 0= No; 1= Yes
muscskelimpairment2 Integer Recommended Other Illness/Conditions - Musculoskeletal #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelspecify3 String 500 Recommended Other Illness/Conditions - Musculoskeletal #3 - Specify
systemicimpairment2 Integer Recommended Other Illness/Conditions - Systemic #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelsnomedinput3 Date Recommended Other Illness/Conditions - Musculoskeletal #3 - Onset Date MM/DD/YYYY
muscskelsnomedoutput3 Date Recommended Other Illness/Conditions - Musculoskeletal #3 - End Date MM/DD/YYYY
muscskelonsetongoing3 Integer Recommended Other Illness/Conditions - Musculoskeletal #3 - Ongoing? 0;1 0= No; 1= Yes
muscskelimpairment3 Integer Recommended Other Illness/Conditions - Musculoskeletal #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
bloodassessment Integer Recommended Other Illness/Conditions - Blood 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
bloodspecify1 String 500 Recommended Other Illness/Conditions - Blood #1 - Specify
bloodsnomedinput1 Date Recommended Other Illness/Conditions - Blood #1 - Onset Date MM/DD/YYYY
bloodsnomedoutput1 Date Recommended Other Illness/Conditions - Blood #1 - End Date MM/DD/YYYY
bloodonsetongoing1 Integer Recommended Other Illness/Conditions - Blood #1 - Ongoing? 0;1 0= No; 1= Yes
bloodimpairment1 Integer Recommended Other Illness/Conditions - Blood #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
systemicspecify3 String 500 Recommended Other Illness/Conditions - Systemic #3 - Specify
bloodspecify2 String 500 Recommended Other Illness/Conditions - Blood #2 - Specify
bloodsnomedinput2 Date Recommended Other Illness/Conditions - Blood #2 - Onset Date MM/DD/YYYY
bloodsnomedoutput2 Date Recommended Other Illness/Conditions - Blood #2 - End Date MM/DD/YYYY
bloodonsetongoing2 Integer Recommended Other Illness/Conditions - Blood #2 - Ongoing? 0;1 0= No; 1= Yes
bloodimpairment2 Integer Recommended Other Illness/Conditions - Blood #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
bloodspecify3 String 500 Recommended Other Illness/Conditions - Blood #3 - Specify
bloodsnomedinput3 Date Recommended Other Illness/Conditions - Blood #3 - Onset Date MM/DD/YYYY
bloodsnomedoutput3 Date Recommended Other Illness/Conditions - Blood #3 - End Date MM/DD/YYYY
bloodonsetongoing3 Integer Recommended Other Illness/Conditions - Blood #3 - Ongoing? 0;1 0= No; 1= Yes
bloodimpairment3 Integer Recommended Other Illness/Conditions - Blood #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
systemicsnomedinput3 Date Recommended Other Illness/Conditions - Systemic #3 - Onset Date MM/DD/YYYY
ocularassessment Integer Recommended Other Illness/Conditions - Ocular/Vision 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
ocularspecify1 String 500 Recommended Other Illness/Conditions - Ocular/Vision #1 - Specify
ocularsnomedinput1 Date Recommended Other Illness/Conditions - Ocular/Vision #1 - Onset Date MM/DD/YYYY
ocularsnomedoutput1 Date Recommended Other Illness/Conditions - Ocular/Vision #1 - End Date MM/DD/YYYY
ocularonsetongoing1 Integer Recommended Other Illness/Conditions - Ocular/Vision #1 - Ongoing? 0;1 0= No; 1= Yes
ocularimpairment1 Integer Recommended Other Illness/Conditions - Ocular/Vision #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
ocularspecify2 String 500 Recommended Other Illness/Conditions - Ocular/Vision #2 - Specify
ocularsnomedinput2 Date Recommended Other Illness/Conditions - Ocular/Vision #2 - Onset Date MM/DD/YYYY
ocularsnomedoutput2 Date Recommended Other Illness/Conditions - Ocular/Vision #2 - End Date MM/DD/YYYY
ocularonsetongoing2 Integer Recommended Other Illness/Conditions - Ocular/Vision #2 - Ongoing? 0;1 0= No; 1= Yes
systemicsnomedoutput3 Date Recommended Other Illness/Conditions - Systemic #3 - End Date MM/DD/YYYY
ocularimpairment2 Integer Recommended Other Illness/Conditions - Ocular/Vision #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
ocularspecify3 String 500 Recommended Other Illness/Conditions - Ocular/Vision #3 - Specify
ocularsnomedinput3 Date Recommended Other Illness/Conditions - Ocular/Vision #3 - Onset Date MM/DD/YYYY
ocularsnomedoutput3 Date Recommended Other Illness/Conditions - Ocular/Vision #3 - End Date MM/DD/YYYY
ocularonsetongoing3 Integer Recommended Other Illness/Conditions - Ocular/Vision #3 - Ongoing? 0;1 0= No; 1= Yes
ocularimpairment3 Integer Recommended Other Illness/Conditions - Ocular/Vision #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cancerassessment Integer Recommended Other Illness/Conditions - Tumor/Cancer 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
cancerspecify1 String 500 Recommended Other Illness/Conditions - Tumor/Cancer #1 - Specify
cancersnomedinput1 Date Recommended Other Illness/Conditions - Tumor/Cancer #1 - Onset Date MM/DD/YYYY
cancersnomedoutput1 Date Recommended Other Illness/Conditions - Tumor/Cancer #1 - End Date MM/DD/YYYY
systemiconsetongoing3 Integer Recommended Other Illness/Conditions - Systemic #3 - Ongoing? 0;1 0= No; 1= Yes
canceronsetongoing1 Integer Recommended Other Illness/Conditions - Tumor/Cancer #1 - Ongoing? 0;1 0= No; 1= Yes
cancerimpairment1 Integer Recommended Other Illness/Conditions - Tumor/Cancer #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cancerspecify2 String 500 Recommended Other Illness/Conditions - Tumor/Cancer #2 - Specify
cancersnomedinput2 Date Recommended Other Illness/Conditions - Tumor/Cancer #2 - Onset Date MM/DD/YYYY
cancersnomedoutput2 Date Recommended Other Illness/Conditions - Tumor/Cancer #2 - End Date MM/DD/YYYY
canceronsetongoing2 Integer Recommended Other Illness/Conditions - Tumor/Cancer #2 - Ongoing? 0;1 0= No; 1= Yes
cancerimpairment2 Integer Recommended Other Illness/Conditions - Tumor/Cancer #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cancerspecify3 String 500 Recommended Other Illness/Conditions - Tumor/Cancer #3 - Specify
cancersnomedinput3 Date Recommended Other Illness/Conditions - Tumor/Cancer #3 - Onset Date MM/DD/YYYY
cancersnomedoutput3 Date Recommended Other Illness/Conditions - Tumor/Cancer #3 - End Date MM/DD/YYYY
systemicimpairment3 Integer Recommended Other Illness/Conditions - Systemic #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
canceronsetongoing3 Integer Recommended Other Illness/Conditions - Tumor/Cancer #3 - Ongoing? 0;1 0= No; 1= Yes
cancerimpairment3 Integer Recommended Other Illness/Conditions - Tumor/Cancer #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
otherassessment Integer Recommended Other Illness/Conditions - Other 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
otherspecify1 String 500 Recommended Other Illness/Conditions - Other #1 - Specify
othersnomedinput1 Date Recommended Other Illness/Conditions - Other #1 - Onset Date MM/DD/YYYY
othersnomedoutput1 Date Recommended Other Illness/Conditions - Other #1 - End Date MM/DD/YYYY
otheronsetongoing1 Integer Recommended Other Illness/Conditions - Other #1 - Ongoing? 0;1 0= No; 1= Yes
otherimpairment1 Integer Recommended Other Illness/Conditions - Other #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
otherspecify2 String 500 Recommended Other Illness/Conditions - Other #2 - Specify
othersnomedinput2 Date Recommended Other Illness/Conditions - Other #2 - Onset Date MM/DD/YYYY
dermassessment Integer Recommended Other Illness/Conditions - Dermatological 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
othersnomedoutput2 Date Recommended Other Illness/Conditions - Other #2 - End Date MM/DD/YYYY
otheronsetongoing2 Integer Recommended Other Illness/Conditions - Other #2 - Ongoing? 0;1 0= No; 1= Yes
otherimpairment2 Integer Recommended Other Illness/Conditions - Other #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
otherspecify3 String 500 Recommended Other Illness/Conditions - Other #3 - Specify
othersnomedinput3 Date Recommended Other Illness/Conditions - Other #3 - Onset Date MM/DD/YYYY
othersnomedoutput3 Date Recommended Other Illness/Conditions - Other #3 - End Date MM/DD/YYYY
otheronsetongoing3 Integer Recommended Other Illness/Conditions - Other #3 - Ongoing? 0;1 0= No; 1= Yes
otherimpairment3 Integer Recommended Other Illness/Conditions - Other #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
hospnone Integer Recommended Hospitalizations - None 0;1 0= Unchecked; 1= Checked
hospnotassessed Integer Recommended Hospitalizations - Not assessed 0;1 0= Unchecked; 1= Checked
dermspecify1 String 500 Recommended Other Illness/Conditions - Dermatological #1 - Specify
hospreason1 String 500 Recommended Hospitalizations #1 - Reason
hospadmit1 Date Recommended Hospitalizations #1 - Admission Date MM/DD/YYYY
hospdischg1 Date Recommended Hospitalizations #1 - Discharge Date MM/DD/YYYY
hospreason2 String 500 Recommended Hospitalizations #2 - Reason
hospadmit2 Date Recommended Hospitalizations #2 - Admission Date MM/DD/YYYY
hospdischg2 Date Recommended Hospitalizations #2 - Discharge Date MM/DD/YYYY
surgerynone Integer Recommended Surgeries and Procedures - None 0;1 0= Unchecked; 1= Checked
surgerynotassessed Integer Recommended Surgeries and Procedures - Not assessed 0;1 0= Unchecked; 1= Checked
surgerydescription1 String 500 Recommended Surgeries and Procedures #1 - Description
surgeryindication1 String 500 Recommended Surgeries and Procedures #1 - Indication
dermsnomedinput1 Date Recommended Other Illness/Conditions - Dermatological #1 - Onset Date MM/DD/YYYY
surgerydate1 Date Recommended Surgeries and Procedures #1 - Surgery/Procedure Date MM/DD/YYYY
surgerydescription2 String 500 Recommended Surgeries and Procedures #2 - Description
surgeryindication2 String 500 Recommended Surgeries and Procedures #2 - Indication
surgerydate2 Date Recommended Surgeries and Procedures #2 - Surgery/Procedure Date MM/DD/YYYY
dermsnomedoutput1 Date Recommended Other Illness/Conditions - Dermatological #1 - End Date MM/DD/YYYY
dermonsetongoing1 Integer Recommended Other Illness/Conditions - Dermatological #1 - Ongoing? 0;1 0= No; 1= Yes
dermimpairment1 Integer Recommended Other Illness/Conditions - Dermatological #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
allergiesnone Integer Recommended Allergies - None 0;1 0= Unchecked; 1= Checked
dermspecify2 String 500 Recommended Other Illness/Conditions - Dermatological #2 - Specify
dermsnomedinput2 Date Recommended Other Illness/Conditions - Dermatological #2 - Onset Date MM/DD/YYYY
dermsnomedoutput2 Date Recommended Other Illness/Conditions - Dermatological #2 - End Date MM/DD/YYYY
dermonsetongoing2 Integer Recommended Other Illness/Conditions - Dermatological #2 - Ongoing? 0;1 0= No; 1= Yes
dermimpairment2 Integer Recommended Other Illness/Conditions - Dermatological #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
dermspecify3 String 500 Recommended Other Illness/Conditions - Dermatological #3 - Specify
dermsnomedinput3 Date Recommended Other Illness/Conditions - Dermatological #3 - Onset Date MM/DD/YYYY
dermsnomedoutput3 Date Recommended Other Illness/Conditions - Dermatological #3 - End Date MM/DD/YYYY
dermonsetongoing3 Integer Recommended Other Illness/Conditions - Dermatological #3 - Ongoing? 0;1 0= No; 1= Yes
dermimpairment3 Integer Recommended Other Illness/Conditions - Dermatological #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
allergiesnotassessed Integer Recommended Allergies - Not assessed 0;1 0= Unchecked; 1= Checked
endometabassessment Integer Recommended Other Illness/Conditions - Endocrine/Metabolic 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
endometabspecify1 String 500 Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Specify
endometabsnomedinput1 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Onset Date MM/DD/YYYY
endometabsnomedoutput1 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - End Date MM/DD/YYYY
endometabonsetongoing1 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Ongoing? 0;1 0= No; 1= Yes
endometabimpairment1 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
endometabspecify2 String 500 Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Specify
endometabsnomedinput2 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Onset Date MM/DD/YYYY
endometabsnomedoutput2 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - End Date MM/DD/YYYY
endometabonsetongoing2 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Ongoing? 0;1 0= No; 1= Yes
allergiesdescription String 500 Recommended Allergies - Describe
endometabimpairment2 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
endometabspecify3 String 500 Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Specify
endometabsnomedinput3 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Onset Date MM/DD/YYYY
endometabsnomedoutput3 Date Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - End Date MM/DD/YYYY
endometabonsetongoing3 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Ongoing? 0;1 0= No; 1= Yes
endometabimpairment3 Integer Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
othneuroassessment Integer Recommended Other Illness/Conditions - Other Neurological 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
othneurospecify1 String 500 Recommended Other Illness/Conditions - Other Neurological #1 - Specify
othneurosnomedinput1 Date Recommended Other Illness/Conditions - Other Neurological #1 - Onset Date MM/DD/YYYY
othneurosnomedoutput1 Date Recommended Other Illness/Conditions - Other Neurological #1 - End Date MM/DD/YYYY
pastillnessnone Integer Recommended Other Illness/Conditions - None 0;1 0= Unchecked; 1= Checked
othneuroonsetongoing1 Integer Recommended Other Illness/Conditions - Other Neurological #1 - Ongoing? 0;1 0= No; 1= Yes
othneuroimpairment1 Integer Recommended Other Illness/Conditions - Other Neurological #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
othneurospecify2 String 500 Recommended Other Illness/Conditions - Other Neurological #2 - Specify
othneurosnomedinput2 Date Recommended Other Illness/Conditions - Other Neurological #2 - Onset Date MM/DD/YYYY
othneurosnomedoutput2 Date Recommended Other Illness/Conditions - Other Neurological #2 - End Date MM/DD/YYYY
othneuroonsetongoing2 Integer Recommended Other Illness/Conditions - Other Neurological #2 - Ongoing? 0;1 0= No; 1= Yes
othneuroimpairment2 Integer Recommended Other Illness/Conditions - Other Neurological #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
othneurospecify3 String 500 Recommended Other Illness/Conditions - Other Neurological #3 - Specify
othneurosnomedinput3 Date Recommended Other Illness/Conditions - Other Neurological #3 - Onset Date MM/DD/YYYY
othneurosnomedoutput3 Date Recommended Other Illness/Conditions - Other Neurological #3 - End Date MM/DD/YYYY
pastillnessnotaccesse Integer Recommended Other Illness/Conditions - Not assessed 0;1 0= Unchecked; 1= Checked
othneuroonsetongoing3 Integer Recommended Other Illness/Conditions - Other Neurological #3 - Ongoing? 0;1 0= No; 1= Yes
othneuroimpairment3 Integer Recommended Other Illness/Conditions - Other Neurological #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
psychassessment Integer Recommended Other Illness/Conditions - Psychiatric 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
psychspecify1 String 500 Recommended Other Illness/Conditions - Psychiatric #1 - Specify
psychsnomedinput1 Date Recommended Other Illness/Conditions - Psychiatric #1 - Onset Date MM/DD/YYYY
psychsnomedoutput1 Date Recommended Other Illness/Conditions - Psychiatric #1 - End Date MM/DD/YYYY
psychonsetongoing1 Integer Recommended Other Illness/Conditions - Psychiatric #1 - Ongoing? 0;1 0= No; 1= Yes
psychimpairment1 Integer Recommended Other Illness/Conditions - Psychiatric #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
psychspecify2 String 500 Recommended Other Illness/Conditions - Psychiatric #2 - Specify
psychsnomedinput2 Date Recommended Other Illness/Conditions - Psychiatric #2 - Onset Date MM/DD/YYYY
systemicassessment Integer Recommended Other Illness/Conditions - Systemic 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
psychsnomedoutput2 Date Recommended Other Illness/Conditions - Psychiatric #2 - End Date MM/DD/YYYY
psychonsetongoing2 Integer Recommended Other Illness/Conditions - Psychiatric #2 - Ongoing? 0;1 0= No; 1= Yes
psychimpairment2 Integer Recommended Other Illness/Conditions - Psychiatric #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
psychspecify3 String 500 Recommended Other Illness/Conditions - Psychiatric #3 - Specify
psychsnomedinput3 Date Recommended Other Illness/Conditions - Psychiatric #3 - Onset Date MM/DD/YYYY
psychsnomedoutput3 Date Recommended Other Illness/Conditions - Psychiatric #3 - End Date MM/DD/YYYY
psychonsetongoing3 Integer Recommended Other Illness/Conditions - Psychiatric #3 - Ongoing? 0;1 0= No; 1= Yes
psychimpairment3 Integer Recommended Other Illness/Conditions - Psychiatric #3 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
respiratoryassessment Integer Recommended Other Illness/Conditions - Respiratory 0;1;-9;-1 0= No; 1= Yes; -9= Not Assessed; -1=No changes from previous visit
respiratoryspecify1 String 500 Recommended Other Illness/Conditions - Respiratory #1 - Specify
systemicspecify1 String 500 Recommended Other Illness/Conditions - Systemic #1 - Specify
respiratorysnomedinput1 Date Recommended Other Illness/Conditions - Respiratory #1 - Onset Date MM/DD/YYYY
respiratorysnomedoutput1 Date Recommended Other Illness/Conditions - Respiratory #1 - End Date MM/DD/YYYY
respiratoryonsetongoing1 Integer Recommended Other Illness/Conditions - Respiratory #1 - Ongoing? 0;1 0= No; 1= Yes
respiratoryimpairment1 Integer Recommended Other Illness/Conditions - Respiratory #1 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
respiratoryspecify2 String 500 Recommended Other Illness/Conditions - Respiratory #2 - Specify
respiratorysnomedinput2 Date Recommended Other Illness/Conditions - Respiratory #2 - Onset Date MM/DD/YYYY
respiratorysnomedoutput2 Date Recommended Other Illness/Conditions - Respiratory #2 - End Date MM/DD/YYYY
respiratoryonsetongoing2 Integer Recommended Other Illness/Conditions - Respiratory #2 - Ongoing? 0;1 0= No; 1= Yes
respiratoryimpairment2 Integer Recommended Other Illness/Conditions - Respiratory #2 - Contributes to Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
respiratoryspecify3 String 500 Recommended Other Illness/Conditions - Respiratory #3 - Specify
mh_em Integer Recommended Medical history: Endocrine/Metabolic 1;2 1 = Normal; 2 = Abnormal
mh_gu Integer Recommended Medical history: Genitourinary 1;2 1 = Normal; 2 = Abnormal
mh_neuro Integer Recommended Medical history: Neurologic 1;2 1 = Normal; 2 = Abnormal
mh_ads Integer Recommended Medical history: Allergy/Drug Sensitivity 1;2 1 = Normal; 2 = Abnormal
mh_sensory Integer Recommended Medical history: Sensory Impairment 1;2 1 = Normal; 2 = Abnormal
mh_other Integer Recommended Medical history: Other 1;2 1 = Normal; 2 = Abnormal
mh_item_number Integer Recommended Medical history item number 1::30
medhis_bdysys_1 String 100 Recommended Medical history body system
medhist_abn_cond String 200 Recommended Medical history abnormal condition
medhist_status Integer Recommended Medical history status 1;2 1 = Active/Current; 2 = Inactive/Past
medhist_start String 50 Recommended Medical history start date (freeform response)
medhist_end String 50 Recommended Medical history end date (freeform response)
mh_hent Integer Recommended Medical history: Head/Ears and Eyes/Nose/Throat (H/E/N/T) 1;2 1 = Normal; 2 = Abnormal
mh_resp Integer Recommended Medical history: Respiratory 1;2 1 = Normal; 2 = Abnormal
mh_cv Integer Recommended Medical history: Cardiovascular 1;2 1 = Normal; 2 = Abnormal
mh_gi Integer Recommended Medical history: Gastrointestinal 1;2 1 = Normal; 2 = Abnormal
mh_msk Integer Recommended Medical history: Musculoskeletal 1;2 1 = Normal; 2 = Abnormal
mh_derm Integer Recommended Medical history: Dermatology 1;2 1 = Normal; 2 = Abnormal
mh_hl Integer Recommended Medical history: Hematopoietic/Lymph 1;2 1 = Normal; 2 = Abnormal
cardiovascularonsetstar_age1 Float Recommended Other Illness/Conditions - Cardiovascular #1 - Onset Start Age In Months
otheronsetend_age1 Float Recommended Other Illness/Conditions - Other #1 - Onset End Age In Months
otheronsetend_age2 Float Recommended Other Illness/Conditions - Other #2 - Onset End Age In Months
otheronsetend_age3 Float Recommended Other Illness/Conditions - Other #3 - Onset End Age In Months
otheronsetstart_age1 Float Recommended Other Illness/Conditions - Other #1 - Onset Start Age In Months
otheronsetstart_age2 Float Recommended Other Illness/Conditions - Other #2 - Onset Start Age In Months
otheronsetstart_age3 Float Recommended Other Illness/Conditions - Other #3 - Onset Start Age In Months
psychiatriconsetend_age1 Float Recommended Other Illness/Conditions - Psychiatric #1 - Onset End Age In Months
psychiatriconsetend_age2 Float Recommended Other Illness/Conditions - Psychiatric #2 - Onset End Age In Months
psychiatriconsetend_age3 Float Recommended Other Illness/Conditions - Psychiatric #3 - Onset End Age In Months
psychiatriconsetstart_age1 Float Recommended Other Illness/Conditions - Psychiatric #1 - Onset Start Age In Months
cardiovascularonsetstar_age2 Float Recommended Other Illness/Conditions - Cardiovascular #2 - Onset Start Age In Months
psychiatriconsetstart_age2 Float Recommended Other Illness/Conditions - Psychiatric #2 - Onset Start Age In Months
psychiatriconsetstart_age3 Float Recommended Other Illness/Conditions - Psychiatric #3 - Onset Start Age In Months
renalurinaryonsetend_age1 Float Recommended Other Illness/Conditions - Renal/Urinary #1 - Onset End Age In Months
renalurinaryonsetend_age2 Float Recommended Other Illness/Conditions - Renal/Urinary #2 - Onset End Age In Months
renalurinaryonsetstart_age1 Float Recommended Other Illness/Conditions - Renal/Urinary #1 - Onset Start Age In Months
renalurinaryonsetstart_age2 Float Recommended Other Illness/Conditions - Renal/Urinary #2 - Onset Start Age In Months
reproductiveimpairment4 Integer Recommended Other Illness/Conditions - Reproductive #4 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
reproductiveimpairment5 Integer Recommended Other Illness/Conditions - Reproductive #5 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
reproductiveonsetongoing4 Integer Recommended Other Illness/Conditions - Reproductive #4 - Ongoing? 0;1 0= No; 1= Yes
reproductiveonsetongoing5 Integer Recommended Other Illness/Conditions - Reproductive #5 - Ongoing? 0;1 0= No; 1= Yes
cardiovascularonsetstar_age3 Float Recommended Other Illness/Conditions - Cardiovascular #3 - Onset Start Age In Months
reproductiveonsetend_age1 Float Recommended Other Illness/Conditions - Reproductive #1 - Onset End Age In Months
reproductiveonsetend_age2 Float Recommended Other Illness/Conditions - Reproductive #2 - Onset End Age In Months
reproductiveonsetend_age3 Float Recommended Other Illness/Conditions - Reproductive #3 - Onset End Age In Months
reproductiveonsetend_age4 Float Recommended Other Illness/Conditions - Reproductive #4 - Onset End Age In Months
reproductiveonsetend_age5 Float Recommended Other Illness/Conditions - Reproductive #5 - Onset End Age In Months
reproductiveonsetstart_age1 Float Recommended Other Illness/Conditions - Reproductive #1 - Onset Start Age In Months
reproductiveonsetstart_age2 Float Recommended Other Illness/Conditions - Reproductive #2 - Onset Start Age In Months
reproductiveonsetstart_age3 Float Recommended Other Illness/Conditions - Reproductive #3 - Onset Start Age In Months
reproductiveonsetstart_age4 Float Recommended Other Illness/Conditions - Reproductive #4 - Onset Start Age In Months
reproductiveonsetstart_age5 Float Recommended Other Illness/Conditions - Reproductive #5 - Onset Start Age In Months
dermatologicalonsetend_age1 Float Recommended Other Illness/Conditions - Dermatological #1 - Onset End Age In Months
reproductivespecify4 String 500 Recommended Other Illness/Conditions - Reproductive #4 - Specify
reproductivespecify5 String 500 Recommended Other Illness/Conditions - Reproductive #5 - Specify
respiratoryonsetend_age1 Float Recommended Other Illness/Conditions - Respiratory #1 - Onset End Age In Months
respiratoryonsetend_age2 Float Recommended Other Illness/Conditions - Respiratory #2 - Onset End Age In Months
respiratoryonsetstart_age1 Float Recommended Other Illness/Conditions - Respiratory #1 - Onset Start Age In Months
respiratoryonsetstart_age2 Float Recommended Other Illness/Conditions - Respiratory #2 - Onset Start Age In Months
surgery_age1 Float Recommended Surgeries And Procedures #1 - Age In Months
surgery_age2 Float Recommended Surgeries And Procedures #2 - Age In Months
surgery_age3 Float Recommended Surgeries And Procedures #3 - Age In Months
surgery_age4 Float Recommended Surgeries And Procedures #4 - Age In Months
dermatologicalonsetend_age2 Float Recommended Other Illness/Conditions - Dermatological #2 - Onset End Age In Months
surgery_age5 Float Recommended Surgeries And Procedures #5 - Age In Months
surgery_age6 Float Recommended Surgeries And Procedures #6 - Age In Months
surgery_age7 Float Recommended Surgeries And Procedures #7 - Age In Months
surgery_age8 Float Recommended Surgeries And Procedures #8 - Age In Months
surgery_age9 Float Recommended Surgeries And Procedures #9 - Age In Months
surgerydescription3 String 500 Recommended Surgeries And Procedures #3 - Description
surgerydescription4 String 500 Recommended Surgeries And Procedures #4 - Description
surgerydescription5 String 500 Recommended Surgeries And Procedures #5 - Description
surgerydescription6 String 500 Recommended Surgeries And Procedures #6 - Description
surgerydescription7 String 500 Recommended Surgeries And Procedures #7 - Description
dermatologicalonsetend_age3 Float Recommended Other Illness/Conditions - Dermatological #3 - Onset End Age In Months
surgerydescription8 String 500 Recommended Surgeries And Procedures #8 - Description
surgerydescription9 String 500 Recommended Surgeries And Procedures #9 - Description
surgeryindication3 String 500 Recommended Surgeries And Procedures #3 - Indication
surgeryindication4 String 500 Recommended Surgeries And Procedures #4 - Indication
surgeryindication5 String 500 Recommended Surgeries And Procedures #5 - Indication
surgeryindication6 String 500 Recommended Surgeries And Procedures #6 - Indication
surgeryindication7 String 500 Recommended Surgeries And Procedures #7 - Indication
surgeryindication8 String 500 Recommended Surgeries And Procedures #8 - Indication
surgeryindication9 String 500 Recommended Surgeries And Procedures #9- Indication
systemiconsetend_age1 Float Recommended Other Illness/Conditions - Systemic #1 - Onset End Age In Months
dermatologicalonsetstar_age1 Float Recommended Other Illness/Conditions - Dermatological #1 - Onset Start Age In Months
systemiconsetend_age2 Float Recommended Other Illness/Conditions - Systemic #2 - Onset End Age In Months
systemiconsetstart_age1 Float Recommended Other Illness/Conditions - Systemic #1 - Onset Start Age In Months
systemiconsetstart_age2 Float Recommended Other Illness/Conditions - Systemic #2 - Onset Start Age In Months
tumorcanceronsetendage1 Float Recommended Other Illness/Conditions - Tumor Cancer #1 - Onset End Age In Months
tumorcanceronsetendage2 Float Recommended Other Illness/Conditions - Tumor Cancer #2 - Onset End Age In Months
tumorcanceronsetstartage1 Float Recommended Other Illness/Conditions - Tumor Cancer #1 - Onset Start Age In Months
tumorcanceronsetstartage2 Float Recommended Other Illness/Conditions - Tumor Cancer #2 - Onset Start Age In Months
dermatologicalonsetstar_age2 Float Recommended Other Illness/Conditions - Dermatological #2 - Onset Start Age In Months
dermatologicalonsetstar_age3 Float Recommended Other Illness/Conditions - Dermatological #3 - Onset Start Age In Months
endocrinemetabonsetend_age1 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Onset End Age In Months
endocrinemetabonsetend_age2 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Onset End Age In Months
endocrinemetabonsetend_age3 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Onset End Age In Months
endocrinemetabonsetstar_age1 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #1 - Onset Start Age In Months
endocrinemetabonsetstar_age2 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #2 - Onset Start Age In Months
endocrinemetabonsetstar_age3 Float Recommended Other Illness/Conditions - Endocrine/Metabolic #3 - Onset Start Age In Months
gastrohepaonsetend_age1 Float Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Onset End Age In Months
gastrohepaonsetend_age2 Float Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Onset End Age In Months
gastrohepaonsetstart_age1 Float Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #1 - Onset Start Age In Months
gastrohepaonsetstart_age2 Float Recommended Other Illness/Conditions - Gastrointestinal/Hepatobiliary #2 - Onset Start Age In Months
hospitalizationadmiss_age1 Float Recommended Hospitalization #1 - Admission Age In Months
bloodonsetend_age1 Float Recommended Other Illness/Conditions - Blood #1 - Onset End Age In Months
hospitalizationadmiss_age2 Float Recommended Hospitalization #2 - Admission Age In Months
hospitalizationadmiss_age3 Float Recommended Hospitalization #3 - Admission Age In Months
hospitalizationadmiss_age4 Float Recommended Hospitalization #4 - Admission Age In Months
hospitalizationadmiss_age5 Float Recommended Hospitalization #5 - Admission Age In Months
hospitalizationadmiss_age6 Float Recommended Hospitalization #6 - Admission Age In Months
hospitalizationadmiss_age7 Float Recommended Hospitalization #7 - Admission Age In Months
hospitalizationadmiss_age8 Float Recommended Hospitalization #8 - Admission Age In Months
hospitalizationadmiss_age9 Float Recommended Hospitalization #9 - Admission Age In Months
hospitalizationadmiss_age10 Float Recommended Hospitalization #10 - Admission Age In Months
hospitalizationdischarg_age1 Float Recommended Hospitalization #1 - Discharge Age In Months
bloodonsetend_age2 Float Recommended Other Illness/Conditions - Blood #2 - Onset End Age In Months
hospitalizationdischarg_age2 Float Recommended Hospitalization #2 - Discharge Age In Months
hospitalizationdischarg_age3 Float Recommended Hospitalization #3 - Discharge Age In Months
hospitalizationdischarg_age4 Float Recommended Hospitalization #4 - Discharge Age In Months
hospitalizationdischarg_age5 Float Recommended Hospitalization #5 - Discharge Age In Months
hospitalizationdischarg_age6 Float Recommended Hospitalization #6 - Discharge Age In Months
hospitalizationdischarg_age7 Float Recommended Hospitalization #7 - Discharge Age In Months
hospitalizationdischarg_age8 Float Recommended Hospitalization #8 - Discharge Age In Months
hospitalizationdischarg_age9 Float Recommended Hospitalization #9 - Discharge Age In Months
hospitalizationdischarg_age10 Float Recommended Hospitalization #10 - Discharge Age In Months
hospreason3 String 500 Recommended Hospitalizations #3 - Reason
bloodonsetstart_age1 Float Recommended Other Illness/Conditions - Blood #1 - Onset Start Age In Months
hospreason4 String 500 Recommended Hospitalizations #4 - Reason
hospreason5 String 500 Recommended Hospitalizations #5 - Reason
hospreason6 String 500 Recommended Hospitalizations #6 - Reason
hospreason7 String 500 Recommended Hospitalizations #7 - Reason
hospreason8 String 500 Recommended Hospitalizations #8 - Reason
hospreason9 String 500 Recommended Hospitalizations #9 - Reason
hospreason10 String 500 Recommended Hospitalizations #10 - Reason
muscskelimpairment4 Integer Recommended Other Illness/Conditions - Musculoskeletal #4 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelimpairment5 Integer Recommended Other Illness/Conditions - Musculoskeletal #5 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
muscskelimpairment6 Integer Recommended Other Illness/Conditions - Musculoskeletal #6 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
bloodonsetstart_age2 Float Recommended Other Illness/Conditions - Blood #2 - Onset Start Age In Months
muscskelonsetongoing4 Integer Recommended Other Illness/Conditions - Musculoskeletal #4 - Ongoing? 0;1 0= No; 1= Yes
muscskelonsetongoing5 Integer Recommended Other Illness/Conditions - Musculoskeletal #5 - Ongoing? 0;1 0= No; 1= Yes
muscskelonsetongoing6 Integer Recommended Other Illness/Conditions - Musculoskeletal #6 - Ongoing? 0;1 0= No; 1= Yes
musculoskeletalonsetend_age1 Float Recommended Other Illness/Conditions - Musculoskeletal #1 - Onset End Age In Months
musculoskeletalonsetend_age2 Float Recommended Other Illness/Conditions - Musculoskeletal #2 - Onset End Age In Months
musculoskeletalonsetend_age3 Float Recommended Other Illness/Conditions - Musculoskeletal #3 - Onset End Age In Months
musculoskeletalonsetend_age4 Float Recommended Other Illness/Conditions - Musculoskeletal #4 - Onset End Age In Months
musculoskeletalonsetend_age5 Float Recommended Other Illness/Conditions - Musculoskeletal #5 - Onset End Age In Months
musculoskeletalonsetend_age6 Float Recommended Other Illness/Conditions - Musculoskeletal #6 - Onset End Age In Months
musculoskelonsetstart_age1 Float Recommended Other Illness/Conditions - Musculoskeletal #1 - Onset Start Age In Months
cardiovascularonsetend_age1 Float Recommended Other Illness/Conditions - Cardiovascular #1 - Onset End Age In Months
musculoskelonsetstart_age2 Float Recommended Other Illness/Conditions - Musculoskeletal #2 - Onset Start Age In Months
musculoskelonsetstart_age3 Float Recommended Other Illness/Conditions - Musculoskeletal #3 - Onset Start Age In Months
musculoskelonsetstart_age4 Float Recommended Other Illness/Conditions - Musculoskeletal #4 - Onset Start Age In Months
musculoskelonsetstart_age5 Float Recommended Other Illness/Conditions - Musculoskeletal #5 - Onset Start Age In Months
musculoskelonsetstart_age6 Float Recommended Other Illness/Conditions - Musculoskeletal #6 - Onset Start Age In Months
muscskelspecify4 String 500 Recommended Other Illness/Conditions - Musculoskeletal #4 - Specify
muscskelspecify5 String 500 Recommended Other Illness/Conditions - Musculoskeletal #5 - Specify
muscskelspecify6 String 500 Recommended Other Illness/Conditions - Musculoskeletal #6- Specify
othneuroimpairment4 Integer Recommended Other Illness/Conditions - Other Neurological #4 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
othneuroimpairment5 Integer Recommended Other Illness/Conditions - Other Neurological #5 - Contributes To Impairment? 0;1;-9 0= No; 1= Yes; -9= N/A
cardiovascularonsetend_age2 Float Recommended Other Illness/Conditions - Cardiovascular #2 - Onset End Age In Months
othneuroonsetongoing4 Integer Recommended Other Illness/Conditions - Other Neurological #4 - Ongoing? 0;1 0= No; 1= Yes
othneuroonsetongoing5 Integer Recommended Other Illness/Conditions - Other Neurological #5 - Ongoing? 0;1 0= No; 1= Yes
neurologiconsetend_age1 Float Recommended Other Illness/Conditions - Neurologic #1 - Onset End Age In Months
neurologiconsetend_age2 Float Recommended Other Illness/Conditions - Neurologic #2 - Onset End Age In Months
neurologiconsetend_age3 Float Recommended Other Illness/Conditions - Neurologic #3 - Onset End Age In Months
neurologiconsetend_age4 Float Recommended Other Illness/Conditions - Neurologic #4 - Onset End Age In Months
neurologiconsetend_age5 Float Recommended Other Illness/Conditions - Neurologic #5 - Onset End Age In Months
neurologiconsetstart_age1 Float Recommended Other Illness/Conditions - Neurologic #1 - Onset Start Age In Months
neurologiconsetstart_age2 Float Recommended Other Illness/Conditions - Neurologic #2 - Onset Start Age In Months
neurologiconsetstart_age3 Float Recommended Other Illness/Conditions - Neurologic #3 - Onset Start Age In Months
cardiovascularonsetend_age3 Float Recommended Other Illness/Conditions - Cardiovascular #3 - Onset End Age In Months
neurologiconsetstart_age4 Float Recommended Other Illness/Conditions - Neurologic #4 - Onset Start Age In Months
neurologiconsetstart_age5 Float Recommended Other Illness/Conditions - Neurologic #5 - Onset Start Age In Months
othneurospecify4 String 500 Recommended Other Illness/Conditions - Other Neurological #4 - Specify
othneurospecify5 String 500 Recommended Other Illness/Conditions - Other Neurological #5 - Specify
ocularvisiononsetend_age1 Float Recommended Other Illness/Conditions - Ocular/Vision #1 - Onset End Age In Months
ocularvisiononsetend_age2 Float Recommended Other Illness/Conditions - Ocular/Vision #2 - Onset End Age In Months
ocularvisiononsetend_age3 Float Recommended Other Illness/Conditions - Ocular/Vision #3 - Onset End Age In Months
ocularvisiononsetstart_age1 Float Recommended Other Illness/Conditions - Ocular/Vision #1 - Onset Start Age In Months
ocularvisiononsetstart_age2 Float Recommended Other Illness/Conditions - Ocular/Vision #2 - Onset Start Age In Months
ocularvisiononsetstart_age3 Float Recommended Other Illness/Conditions - Ocular/Vision #3 - Onset Start Age In Months
Data Structure

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

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

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