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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL
Change History For

CHARGE Family Medical History Form

158 Shared Subjects

Family Medical History Form defined by the MIND Institute's CHARGE Study (CHildhood Autism Risks from Genetics and the Environment) at the University of California, Davis
Clinical Assessments
Med History
12/20/2010
ucd_mind_cfmh01
12/20/2010
View Data Structure
01
Definition
Submission Template
Element Name Change Description Before Now When
interview_age VALUE_RANGE, VALUE_RANGE: 0 :: 1260 VALUE_RANGE: 0::1440 04/04/2024 13:54 PM
sex DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Sex of subject at birth 07/09/2021 10:38 AM
cfmh_othr_seizure VALUE_RANGE, VALUE_RANGE: 1;0;-9 VALUE_RANGE: 0;1;-9 03/15/2021 15:37 PM
cfmh_othr_seizure NOTES, NOTES: 0 = No; 1 = Yes NOTES: 0 = No; 1 = Yes; -9 = Not applicable or Missing 02/04/2021 10:59 AM
cfmh_othr_seizure VALUE_RANGE, VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;-9 02/04/2021 10:58 AM
interview_date NOTES, NOTES: Required field NOTES: 01/08/2021 10:21 AM
sex VALUE_RANGE, , NOTES, VALUE_RANGE: M;F NOTES: M = Male; F = Female VALUE_RANGE: M;F; O; NR NOTES: M = Male; F = Female; O=Other; NR = Not reported 02/21/2020 13:02 PM
gender PERMANENTLY ALIASED gender sex 04/22/2019 00:00 AM
gender DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Sex of the subject 08/22/2018 10:43 AM
gender DESCRIPTION DESCRIPTION: Block Brief 2000: Sex of the subject DESCRIPTION: Sex of the subject 08/20/2018 10:21 AM
gender DESCRIPTION DESCRIPTION: Sex of the subject DESCRIPTION: Block Brief 2000: Sex of the subject 08/14/2018 16:18 PM
cfmh_chd_schizo DESCRIPTION DESCRIPTION: Does (did) the Child have Schizophrenia? DESCRIPTION: Does (did) the Participant have Schizophrenia? 04/30/2018 17:26 PM
cfmh_othr_pddnos VALUE_RANGE, , NOTES, VALUE_RANGE: 1;0 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 0::2 NOTES: 0 = No; 1 = Yes; 2 = Cannot be ruled out 01/05/2018 15:55 PM
cfmh_chd_cerpalsy DESCRIPTION DESCRIPTION: Cerebral Palsy /Parálisis Cerebral DESCRIPTION: Has she/he ever been to a doctor for any of these things…Cerebral Palsy /Parálisis Cerebral 12/21/2017 15:03 PM
cfmh_chd_cerpalsy NOTES, NOTES: 0 = No; 1 = Yes NOTES: 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. 12/21/2017 12:24 PM
cfmh_chd_cerpalsy DESCRIPTION DESCRIPTION: Does (did) the Child have Cerebral Palsy? DESCRIPTION: Cerebral Palsy /Parálisis Cerebral 11/20/2017 18:00 PM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYY DESCRIPTION: Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY 08/28/2017 15:10 PM
cfmh_chd_seizure VALUE_RANGE, NOTES VALUE_RANGE: 1;0;999 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 1;0;999; -7 NOTES: 0 = No; 1 = Yes; ; -7=Refused; 999=NA/NK 02/02/2017 11:10 AM
cfmh_chd_thyroiddis VALUE_RANGE, NOTES VALUE_RANGE: 1;0;999 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 1;0;999; -7 NOTES: 0 = No; 1 = Yes; -7=Refused; 999=NA/NK 02/02/2017 11:10 AM
cfmh_chd_othpsydis VALUE_RANGE, NOTES VALUE_RANGE: 1;0 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 1;0; -7;-9 NOTES: 0 = No; 1 = Yes; -7=Refused; -9=Unknown 02/02/2017 11:10 AM
cfmh_othr_thyroiddis VALUE_RANGE, NOTES VALUE_RANGE: 1;0 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 1;0; -9 NOTES: 0 = No; 1 = Yes; -9=Unknown 09/20/2016 17:35 PM
cfmh_othr_migraine VALUE_RANGE, NOTES VALUE_RANGE: 1;0 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 0;1; -9 NOTES: 0 = No; 1 = Yes; -9=unknown 09/19/2016 17:20 PM
cfmh_chd_bipolar VALUE_RANGE VALUE_RANGE: 1;0;999 VALUE_RANGE: 1;0;999;9 06/06/2016 12:15 PM
cfmh_chd_schizo VALUE_RANGE, NOTES VALUE_RANGE: 1;0;999; -7 NOTES: 0 = No; 1 = Yes; -7=Refused; 999=NA/NK/missing VALUE_RANGE: 0::2;999; -7 NOTES: 0 = No; 1 = Yes; 2=Probable;-7=Refused; 999=NA/NK/missing 05/31/2016 10:16 AM
gender VALUE_RANGE, NOTES VALUE_RANGE: M;F; T NOTES: M = Male; F = Female; T= Transgender VALUE_RANGE: M;F NOTES: M = Male; F = Female 05/25/2016 11:51 AM
gender DESCRIPTION DESCRIPTION: Gender DESCRIPTION: Sex of the subject 05/25/2016 11:50 AM
cfmh_chd_schizo VALUE_RANGE, NOTES VALUE_RANGE: 1;0;999 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 1;0;999; -7 NOTES: 0 = No; 1 = Yes; -7=Refused; 999=NA/NK/missing 05/09/2016 14:06 PM
cfmh_chd_suicideatt VALUE_RANGE, NOTES VALUE_RANGE: 1;0 NOTES: 0 = No; 1 = Yes VALUE_RANGE: 0::2; -7 NOTES: 0 = No; 1 = Yes; 2=not sure; -7=Refused 05/09/2016 14:06 PM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYY DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYY 06/02/2015 17:40 PM
interview_date DESCRIPTION DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed DESCRIPTION: Date on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYY 06/02/2015 17:40 PM
interview_age VALUE_RANGE VALUE_RANGE: 0 :: 1200 VALUE_RANGE: 0 :: 1260 06/01/2015 14:16 PM
cfmh_chd_bipolar DESCRIPTION DESCRIPTION: Does (did) the Child have a Bipolar Disorder? DESCRIPTION: Does (did) the subject have a Bipolar Disorder? 05/28/2015 18:50 PM
cfmh_chd_adhd REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_aspergers REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_autism REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_bipolar REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_cerpalsy REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_depression REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_downssynd REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_envalrgy REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_fdalrgy REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_fragilex REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_ibs REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_learndis REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_medalrgy REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_migraine REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_ocd REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_pddnos REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_retts REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_schizo REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_seizure REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_skinalrgy REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_thyroiddis REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_tuberscl REQUIRED REQUIRED: Recommended REQUIRED: Required 03/09/2015 08:01 AM
cfmh_chd_adhd VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_aspergers VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_autism VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_bipolar VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_cerpalsy VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_depression VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_downssynd VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_envalrgy VALUE_RANGE VALUE_RANGE: 0::2 VALUE_RANGE: 0::2;999 03/09/2015 07:27 AM
cfmh_chd_fdalrgy VALUE_RANGE VALUE_RANGE: 0::2 VALUE_RANGE: 0::2;999 03/09/2015 07:27 AM
cfmh_chd_fragilex VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_ibs VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_learndis VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_medalrgy VALUE_RANGE VALUE_RANGE: 0::2 VALUE_RANGE: 0::2;999 03/09/2015 07:27 AM
cfmh_chd_migraine VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_ocd VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_pddnos VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_retts VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_schizo VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_seizure VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_skinalrgy VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_thyroiddis VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_tuberscl VALUE_RANGE VALUE_RANGE: 1;0 VALUE_RANGE: 1;0;999 03/09/2015 07:27 AM
cfmh_chd_hearingimp DESCRIPTION DESCRIPTION: Does the Child have a hearing impairment? DESCRIPTION: Does the patient have a hearing impairment? 02/11/2015 17:03 PM
src_subject_id DESCRIPTION DESCRIPTION: The site or study's subject identification DESCRIPTION: Subject ID how it's defined in lab/project 01/12/2015 18:22 PM
gender VALUE_RANGE, NOTES VALUE_RANGE: M;F NOTES: M = Male; F = Female VALUE_RANGE: M;F; T NOTES: M = Male; F = Female; T= Transgender 12/01/2014 12:34 PM
gender POSITION POSITION: POSITION: 491 10/20/2014 18:07 PM
gender POSITION POSITION: POSITION: 491 10/20/2014 17:43 PM
gender POSITION POSITION: POSITION: 491 06/13/2012 10:55 AM
Data Structure Change History

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