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Modified CHARGE Family Medical History (2007)

997 Shared Subjects

Modified CHARGE Family Medical History (revised July 2007) 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
09/10/2010
charge_family_med_history03
01/11/2012
View Change History
03
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*
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY Charge_familymedhist_interview_date
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. Charge_familymedhist_interview_age
src_subject_id String 20 Required Subject ID how it's defined in lab/project Charge_familymedhist_SRC_Subject_ID
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data Charge_familymedhist_comments_misc
Query child_foodallergy String 50 Required Does the Child have a food allergy?
Yes;No;999
999=NA/missing Charge_familymedhist_child_foodallergy
child_foodallergy_cmt String 255 Recommended Specific food items the Child is allergic to Charge_familymedhist_child_foodallergy_cmt
Query child_skinallergy String 50 Required Does the Child have a skin allergy?
Yes;No;999
999=NA/missing Charge_familymedhist_child_skinallergy
child_allergy_skinallergy_cmt String 255 Recommended Specific skin items the Child is allergic to Charge_familymedhist_child_allergy_skinallergy_cmt
Query child_eczema String 50 Recommended Does the Child have Eczema?
Yes;No
Charge_familymedhist_child_eczema
Query child_envallergy String 50 Required Does the Child have an environmental allergy?
Yes;No;999
999=NA/missing Charge_familymedhist_child_envallergy
child_envallergy_cmt String 255 Recommended Specific environmental items the Child is allergic to Charge_familymedhist_child_envallergy_cmt
Query child_medallergy String 50 Required Does the Child have a medication allergy?
Yes;No;999
999=NA/missing Charge_familymedhist_child_medallergy
child_medallergy_cmt String 255 Recommended Specific medication items the Child is allergic to Charge_familymedhist_child_medallergy_cmt
Query child_otherallergy String 50 Required Does the Child have any other allergies?
Yes;No;999
999=NA/missing Charge_familymedhist_child_otherallergy
child_otherallergy_cmt String 255 Recommended Specific other items the Child is allergic to Charge_familymedhist_child_otherallergy_cmt
Query child_autism String 50 Required Does the Child have Autism?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_autism
Query child_aspergers String 50 Required Does the Child have Asperger's Syndrome?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_aspergers
Query child_retts String 50 Required Does the Child have Rett's Syndrome?
Yes;No;999
999=NA/missing Charge_familymedhist_child_retts
Query child_pddnos String 50 Required Does the Child have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_pddnos
Query child_speechdelay String 50 Recommended Does (did) the Child have a Speech/Language Delay?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_speechdelay
Query child_devdelay String 50 Recommended Does (did) the Child have a Developmental Delay?
Yes;No; NK
Charge_familymedhist_child_devdelay
Query child_learndis String 50 Required Does (did) the Child have a Learning Disability?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_learndis
Query child_seizure String 50 Required Has she/he ever been to a doctor for any of these things…Epilepsy or Seizures /Epilepsia o convulsiones
Yes;No;999
Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life. Charge_familymedhist_child_seizure
Query child_cerpalsy String 50 Required Does (did) the Child have Cerebral Palsy?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_cerpalsy
Query child_downssynd String 50 Required Does (did) the Child have Down's Syndrome?
Yes;No;999
999=NA/missing Charge_familymedhist_child_downssynd
Query child_mentalret String 50 Recommended Does (did) the Child have Mental Retardation?
Yes;No
Charge_familymedhist_child_mentalret
Query child_tuberscl String 50 Required Does (did) the Child have Tuberous Sclerosis? Yes; No; NK; NS NK= Not known; NS = Not sure Charge_familymedhist_child_tuberscl
Query child_fragilex String 50 Required Does (did) the Child have Fragile X?
Yes;No;999
999=NA/missing Charge_familymedhist_child_fragilex
Query child_neuromuscdis String 50 Recommended Does (did) the Child have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_child_neuromuscdis
Query child_geneticdis String 50 Recommended Does (did) the Child have a Genetic Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_geneticdis
Query child_geneticdis_cmt String 255 Recommended Specify Child's Genetic Disorder Charge_familymedhist_child_geneticdis_cmt
Query child_geneticdistest String 50 Recommended Was testing done for the Child's Genetic Disorder?
Yes;No
Charge_familymedhist_child_geneticdistest
child_geneticdistest_cmt String 255 Recommended Specify tests Charge_familymedhist_child_geneticdistest_cmt
Query child_visionimp String 50 Recommended Does the Child have a vision impairment?
Yes;No; NK
NK = Not known Charge_familymedhist_child_visionimp
Query child_visioncor String 50 Recommended Has the child's vision impairment been corrected?
Yes;No
Charge_familymedhist_child_visioncor
Query child_hearingimp String 50 Recommended Does the Child have a hearing impairment?
Yes;No; NK
NK = Not known Charge_familymedhist_child_hearingimp
Query child_hearingcor String 50 Recommended Has the child's hearing impairment been corrected?
Yes;No
Charge_familymedhist_child_hearingcor
Query child_bipolar String 50 Required Does (did) the Child have a Bipolar Disorder?
Yes;No;NK;NS;Probable; Refused
NK= Not known; NS = Not sure Charge_familymedhist_child_bipolar
Query child_depression String 50 Required Does (did) the Child have Depression?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_depression
Query child_anxiety String 50 Recommended Does (did) the Child have an Anxiety Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_anxiety
Query child_ocd String 50 Required Does (did) the Child have Obsessive Compulsive Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_ocd
Query child_schizophrenia String 50 Required Does (did) the Child have Schizophrenia?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_schizophrenia
Query child_persondis String 50 Recommended Does (did) the Child have a Personality Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_persondis
Query child_persondis_cmt String 255 Recommended Specify Child's Personality Disorder Charge_familymedhist_child_persondis_cmt
Query child_selfinj String 50 Recommended Does (did) the Child have Self-Injuring Behavior?
Yes;No
Charge_familymedhist_child_selfinj
Query child_suicideatt String 50 Recommended Has the Child Attempted Suicide?
Yes;No
Charge_familymedhist_child_suicideatt
Query child_otherpsychdis String 50 Recommended Does (did) the Child have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_child_otherpsychdis
Query child_otherpsychdis_cmt String 255 Recommended Specify Child's Psychiatric Disorder Charge_familymedhist_child_otherpsychdis_cmt
Query child_adhd String 50 Required Does (did) the Child have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_adhd
Query child_eatingdis String 50 Recommended Does (did) the Child have an Eating Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_eatingdis
Query child_eatingdis_cmt String 255 Recommended Specify Child's Eating Disorder Charge_familymedhist_child_eatingdis_cmt
Query child_sleepdis String 50 Recommended Does (did) the Child have a Sleep Disorder?
Yes;No
Charge_familymedhist_child_sleepdis
Query child_sleepdis_cmt String 255 Recommended Does (did) the Child have a Sleep Disorder?Specify Type Charge_familymedhist_child_sleepdis_cmt
Query child_abusevic String 50 Recommended Is the Child a Victim of Abuse?
Yes;No
Charge_familymedhist_child_abusevic
Query child_subabuse String 50 Recommended Is the Child Substance of Abuse?
Yes;No
Charge_familymedhist_child_subabuse
Query child_subabuse_cmt String 255 Recommended Specify Child's Substance Abuse Charge_familymedhist_child_subabuse_cmt
Query child_migraine String 50 Required Does the Child have Migraine Headaches?
Yes;No;999
999=NA/missing Charge_familymedhist_child_migraine
Query child_ibs String 50 Required Does the Child have Irritable Bowel Syndrome?
Yes;No;999
999=NA/missing Charge_familymedhist_child_ibs
Query child_othergidis String 50 Recommended Does the Child have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_child_othergidis
Query child_cancer String 50 Recommended Does the Child have Cancer?
Yes;No
Charge_familymedhist_child_cancer
Query child_cancer_cmt String 255 Recommended Specify Child's Cancer type Charge_familymedhist_child_cancer_cmt
Query child_congenitaldef String 50 Recommended Does the Child have a Congenital Defect (Cleft palate, cleft lip, other)?
Yes; No; NK; NS
NK= Not known; NS = Not sure Charge_familymedhist_child_congenitaldef
child_congenitaldef_cmt String 255 Recommended Specify Child's Congenital Defect type Charge_familymedhist_child_congenitaldef_cmt
Query child_obesity String 50 Recommended Does the Child have Obesity?
Yes;No
Charge_familymedhist_child_obesity
Query child_sicklecell String 50 Recommended Does the Child have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_child_sicklecell
Query child_thyroiddis String 50 Required Does the Child have Thyroid Disease?
Yes;No;999
999=NA/missing Charge_familymedhist_child_thyroiddis
Query child_othercond1 String 50 Recommended Did the child have Other Condition - 1
Yes;No
Charge_familymedhist_child_othercond1, othercondname1
Query child_othercond2 String 50 Recommended Did the child have Other Condition - 2
Yes;No
Charge_familymedhist_child_othercond2
Query child_othercond3 String 50 Recommended Did the child have Other Condition - 3
Yes;No
Charge_familymedhist_child_othercond3
Query child_othercond4 String 50 Recommended Did the child have Other Condition - 4
Yes;No
Charge_familymedhist_child_othercond4
other_condname1 String 255 Recommended Name Other Condition - 1 Charge_familymedhist_other_condname1
other_condname2 String 255 Recommended Name Other Condition - 2 Charge_familymedhist_other_condname2
other_condname3 String 255 Recommended Name Other Condition - 3 Charge_familymedhist_other_condname3
other_condname4 String 255 Recommended Name Other Condition - 4 Charge_familymedhist_other_condname4
Query mother_foodallergy String 50 Recommended Does the Child's Mother have a food allergy?
Yes;No
Charge_familymedhist_mother_foodallergy
mother_foodallergy_cmt String 255 Recommended Specific food items the Mother is allergic to Charge_familymedhist_mother_foodallergy_cmt
Query mother_foodallergy_age Integer Recommended Age at which the mother's food allergy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_foodallergy_age
Query mother_foodallergy_preg String 50 Recommended Did the mother have the food allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_foodallergy_preg
Query mother_skinallergy String 50 Recommended Does the Child's Mother have a skin allergy?
Yes;No
Charge_familymedhist_mother_skinallergy
mother_skinallergy_cmt String 255 Recommended Specific skin items the Mother is allergic to Charge_familymedhist_mother_skinallergy_cmt
Query mother_skinallergy_age Integer Recommended Age at which the mother's skin allergy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_skinallergy_age
Query mother_skinallergy_preg String 50 Recommended Did the mother have the skin allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_skinallergy_preg
Query mother_eczema String 50 Recommended Does the Child's Mother have Eczema?
Yes;No
Charge_familymedhist_mother_eczema
Query mother_eczema_age Integer Recommended Age at which the mother's eczema first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_eczema_age
Query mother_eczema_preg String 50 Recommended Did the mother have eczema while pregnant with the child?
Yes;No
Charge_familymedhist_mother_eczema_preg
Query mother_envallergy String 50 Recommended Does the Child's Mother have an environmental allergy?
Yes;No
Charge_familymedhist_mother_envallergy
mother_envallergy_cmt String 255 Recommended Specific environmental items the Mother is allergic to Charge_familymedhist_mother_envallergy_cmt
Query mother_envallergy_age Integer Recommended Age at which the mother's environmental allergy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_envallergy_age
Query mother_envallergy_preg String 50 Recommended Did the mother have the environmental allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_envallergy_preg
Query mother_medallergy String 50 Recommended Does the Child's Mother have a medication allergy?
Yes;No
Charge_familymedhist_mother_medallergy
mother_medallergy_cmt String 255 Recommended Specific medication items the Mother is allergic to Charge_familymedhist_mother_medallergy_cmt
Query mother_medallergy_age Integer Recommended Age at which the mother's medication allergy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_medallergy_age
Query mother_medallergy_preg String 50 Recommended Did the mother have the medication allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_medallergy_preg
Query mother_otherallergy String 50 Recommended Does the Child's Mother have any other allergies?
Yes;No
Charge_familymedhist_mother_otherallergy
mother_otherallergy_cmt String 255 Recommended Specific other items the Mother is allergic to Charge_familymedhist_mother_otherallergy_cmt
Query mother_otherallergy_age Integer Recommended Age at which the mother's other allergy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_otherallergy_age
Query mother_otherallergy_preg String 50 Recommended Did the mother have the other allergy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_otherallergy_preg
Query mother_autism String 50 Recommended Does the Child's Mother have Autism?
Yes;No
Charge_familymedhist_mother_autism
Query mother_autism_age Integer Recommended Age at which the mother's Autism first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_autism_age
Query mother_autism_preg String 50 Recommended Did the mother have Autism while pregnant with the child?
Yes;No
Charge_familymedhist_mother_autism_preg
Query mother_aspergers String 50 Recommended Does the Child's Mother have Asperger's Syndrome?
Yes;No
Charge_familymedhist_mother_aspergers
Query mother_aspergers_age Integer Recommended Age at which the mother's Asperger's Syndrome first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_aspergers_age
Query mother_aspergers_preg String 50 Recommended Did the mother have Asperger's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_aspergers_preg
Query mother_retts String 50 Recommended Does the Child's Mother have Rett's Syndrome?
Yes;No
Charge_familymedhist_mother_retts
Query mother_retts_age Integer Recommended Age at which the mother's Rett's Syndrome first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_retts_age
Query mother_retts_preg String 50 Recommended Did the mother have Rett's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_retts_preg
Query mother_pddnos String 50 Recommended Does the Child's Mother have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes;No
Charge_familymedhist_mother_pddnos
Query mother_pddnos_age Integer Recommended Age at which the mother's PDD-NOS first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_pddnos_age
Query mother_pddnos_preg String 50 Recommended Did the mother have PDD-NOS while pregnant with the child?
Yes;No
Charge_familymedhist_mother_pddnos_preg
Query mother_speechdelay String 50 Recommended Does (did) the Child's Mother have a Speech/Language Delay?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_speechdelay
Query mother_speechdelay_age Integer Recommended Age at which the mother's Speech/Language Delay first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_speechdelay_age
Query mother_speechdelay_preg String 50 Recommended Did the mother have a Speech/Language Delay while pregnant with the child?
Yes;No
Charge_familymedhist_mother_speechdelay_preg
Query mother_devdelay String 50 Recommended Does (did) the Child's Mother have a Developmental Delay?
Yes; No; -999
Charge_familymedhist_mother_devdelay
Query mother_devdelay_age Integer Recommended Age at which the mother's Developmental Delay first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_devdelay_age
Query mother_devdelay_preg String 50 Recommended Did the mother have a Developmental Delay while pregnant with the child?
Yes;No
Charge_familymedhist_mother_devdelay_preg
Query mother_learndis String 50 Recommended Does (did) the Child's Mother have a Learning Disability?
Yes; No; -999
Charge_familymedhist_mother_learndis
Query mother_learndis_age Integer Recommended Age at which the mother's Learning Disability first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_learndis_age
Query mother_learndis_preg String 50 Recommended Did the mother have a Learning Disability while pregnant with the child?
Yes;No
Charge_familymedhist_mother_learndis_preg
Query mother_seizure String 50 Recommended Does (did) the Child's Mother have Seizure Disorder/Epilepsy?
Yes;No
Charge_familymedhist_mother_seizure
Query mother_seizure_age Integer Recommended Age at which the mother's Seizure Disorder/Epilepsy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_seizure_age
Query mother_seizure_preg String 50 Recommended Did the mother have Seizure Disorder/Epilepsy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_seizure_preg
Query mother_cerpalsy String 50 Recommended Does (did) the Child's Mother have Cerebral Palsy?
Yes;No
Charge_familymedhist_mother_cerpalsy
Query mother_cerpalsy_age Integer Recommended Age at which the mother's Cerebral Palsy first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cerpalsy_age
Query mother_cerpalsy_preg String 50 Recommended Did the mother have Cerebral Palsy while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cerpalsy_preg
Query mother_downssynd String 50 Recommended Does (did) the Child's Mother have Down's Syndrome?
Yes;No
Charge_familymedhist_mother_downssynd
Query mother_downssynd_age Integer Recommended Age at which the mother's Down's Syndrome first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_downssynd_age
Query mother_downssynd_preg String 50 Recommended Did the mother have Down's Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_downssynd_preg
Query mother_mentalret String 50 Recommended Does (did) the Child's Mother have Mental Retardation?
Yes;No
Charge_familymedhist_mother_mentalret
Query mother_mentalret_age Integer Recommended Age at which the mother's Mental Retardation first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_mentalret_age
Query mother_mentalret_preg String 50 Recommended Did the mother have Mental Retardation while pregnant with the child?
Yes;No
Charge_familymedhist_mother_mentalret_preg
Query mother_tuberscl String 50 Recommended Does (did) the Child's Mother have Tuberous Sclerosis?
Yes; No; -999
Charge_familymedhist_mother_tuberscl
Query mother_tuberscl_age Integer Recommended Age at which the mother's Tuberous Sclerosis first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_tuberscl_age
Query mother_tuberscl_preg String 50 Recommended Did the mother have Tuberous Sclerosis while pregnant with the child?
Yes;No
Charge_familymedhist_mother_tuberscl_preg
Query mother_fragilex String 50 Recommended Does (did) the Child's Mother have Fragile X?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_fragilex
Query mother_fragilex_age Integer Recommended Age at which the mother's Fragile X first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_fragilex_age
Query mother_fragilex_preg String 50 Recommended Did the mother have Fragile X while pregnant with the child?
Yes;No
Charge_familymedhist_mother_fragilex_preg
Query mother_neuromuscdis String 50 Recommended Does (did) the Child's Mother have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_mother_neuromuscdis
Query mother_neuromuscdis_age Integer Recommended Age at which the mother's Neuromuscular Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_neuromuscdis_age
Query mother_neuromuscdis_preg String 50 Recommended Did the mother have a Neuromuscular Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_neuromuscdis_preg
Query mother_geneticdis String 50 Recommended Does (did) the Child's Mother have a Genetic Disorder?
Yes;No
Charge_familymedhist_mother_geneticdis
Query mother_geneticdis_cmt String 255 Recommended Specify mother's Genetic Disorder Charge_familymedhist_mother_geneticdis_cmt
Query mother_geneticdis_age Integer Recommended Age at which the mother's Genetic Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_geneticdis_age
Query mother_geneticdis_preg String 50 Recommended Did the mother have a Genetic Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_geneticdis_preg
Query mother_geneticdistest String 50 Recommended Was testing done for the mother's Genetic Disorder?
Yes;No
Charge_familymedhist_mother_geneticdistest
Query mother_geneticdistest_cmt String 255 Recommended Specify tests Charge_familymedhist_mother_geneticdistest_cmt
Query mother_geneticdistest_age Integer Recommended Age at which the mother's tests were done(in months) 0 :: 1200 Charge_familymedhist_mother_geneticdistest_age
Query mother_geneticdistest_preg String 50 Recommended Did the mother get tests done while pregnant with the child?
Yes;No
Charge_familymedhist_mother_geneticdistest_preg
Query mother_visionimp String 50 Recommended Does the Child's Mother have a vision impairment?
Yes;No
Charge_familymedhist_mother_visionimp
Query mother_visionimp_age Integer Recommended Age at which the mother's Vision Impairment first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_visionimp_age
Query mother_visionimp_preg String 50 Recommended Did the mother have a Vision Impairment while pregnant with the child?
Yes;No
Charge_familymedhist_mother_visionimp_preg
Query mother_visioncor String 50 Recommended Has the mother's vision impairment been corrected?
Yes;No
Charge_familymedhist_mother_visioncor
Query mother_visioncor_age Integer Recommended Age at which the mother's Vision Correction done(in months) 0 :: 1200 Charge_familymedhist_mother_visioncor_age
Query mother_visioncor_preg String 50 Recommended Did the mother have a Vision Correction while pregnant with the child?
Yes;No
Charge_familymedhist_mother_visioncor_preg
Query mother_hearingimp String 50 Recommended Does the Child's Mother have a hearing impairment?
Yes;No
Charge_familymedhist_mother_hearingimp
Query mother_hearingimp_age Integer Recommended Age at which the mother's Hearing Impairment first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_hearingimp_age
Query mother_hearingimp_preg String 50 Recommended Did the mother have a Hearing Impairment while pregnant with the child?
Yes;No
Charge_familymedhist_mother_hearingimp_preg
Query mother_hearingcor String 50 Recommended Has the mother's hearing impairment been corrected?
Yes;No
Charge_familymedhist_mother_hearingcor
Query mother_hearingcor_age Integer Recommended Age at which the mother's Hearing Correction done(in months) 0 :: 1200 Charge_familymedhist_mother_hearingcor_age
Query mother_hearingcor_preg String 50 Recommended Did the mother have a Hearing Correction while pregnant with the child?
Yes;No
Charge_familymedhist_mother_hearingcor_preg
Query mother_bipolar String 50 Recommended Does (did) the Child's Mother have a Bipolar Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_bipolar
Query mother_bipolar_age Integer Recommended Age at which the mother's Bipolar Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_bipolar_age
Query mother_bipolar_preg String 50 Recommended Did the mother have Bipolar Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_bipolar_preg
Query mother_depression String 50 Recommended Does (did) the Child's Mother have Depression?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_depression
Query mother_depression_age Integer Recommended Age at which the mother's Depression first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_depression_age
Query mother_depression_preg String 50 Recommended Did the mother have Depression while pregnant with the child?
Yes;No
Charge_familymedhist_mother_depression_preg
Query mother_anxiety String 50 Recommended Does (did) the Child's Mother have an Anxiety Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_anxiety
Query mother_anxiety_age Integer Recommended Age at which the mother's Anxiety Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_anxiety_age
Query mother_anxiety_preg String 50 Recommended Did the mother have an Anxiety Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_anxiety_preg
Query mother_ocd String 50 Recommended Does (did) the Child's Mother have Obsessive Compulsive Disorder?
Yes; No; -999
Charge_familymedhist_mother_ocd
Query mother_ocd_age Integer Recommended Age at which the mother's Obsessive Compulsive Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_ocd_age
Query mother_ocd_preg String 50 Recommended Did the mother have Obsessive Compulsive Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_ocd_preg
Query mother_schizophrenia String 50 Recommended Does (did) the Child's Mother have Schizophrenia?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_schizophrenia
Query mother_schizophrenia_age Integer Recommended Age at which the mother's Schizophrenia first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_schizophrenia_age
Query mother_schizophrenia_preg String 50 Recommended Did the mother have Schizophrenia while pregnant with the child?
Yes;No
Charge_familymedhist_mother_schizophrenia_preg
Query mother_persondis String 50 Recommended Does (did) the Child's Mother have a Personality Disorder?
Yes;No
Charge_familymedhist_mother_persondis
Query mother_persondis_cmt String 255 Recommended Specify mother's Personality Disorder Charge_familymedhist_mother_persondis_cmt
Query mother_persondis_age Integer Recommended Age at which the mother's Personality Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_persondis_age
Query mother_persondis_preg String 50 Recommended Did the mother have a Personality Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_persondis_preg
Query mother_selfinj String 50 Recommended Does (did) the Child's Mother have Self-Injuring Behavior?
Yes; No; -999
Charge_familymedhist_mother_selfinj
Query mother_selfinj_age Integer Recommended Age at which the mother's Self-Injuring Behavior first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_selfinj_age
Query mother_selfinj_preg String 50 Recommended Did the mother have Self-Injuring Behavior while pregnant with the child?
Yes;No
Charge_familymedhist_mother_selfinj_preg
Query mother_suicideatt String 50 Recommended Has the Child's Mother Attempted Suicide?
Yes;No
Charge_familymedhist_mother_suicideatt
Query mother_suicideatt_age Integer Recommended Age at which the mother first attempted suicide(in months) 0 :: 1200 Charge_familymedhist_mother_suicideatt_age
Query mother_suicideatt_preg String 50 Recommended Did the mother attempt suicide while pregnant with the child?
Yes;No
Charge_familymedhist_mother_suicideatt_preg
Query mother_psychdis String 50 Recommended Does (did) the Child's Mother have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_mother_psychdis
Query mother_psychdis_cmt String 255 Recommended Specify mother's Psychiatric Disorder Charge_familymedhist_mother_psychdis_cmt
Query mother_psychdis_age Integer Recommended Age at which the mother's Psychiatric Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_psychdis_age
Query mother_psychdis_preg String 50 Recommended Did the mother have a Psychiatric Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_psychdis_preg
Query mother_adhd String 50 Recommended Does (did) the Child's Mother have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_mother_adhd
Query mother_adhd_age Integer Recommended Age at which the mother's Attention Deficit Hyperactivity Disorder (ADHD) first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_adhd_age
Query mother_adhd_preg String 50 Recommended Did the mother have Attention Deficit Hyperactivity Disorder (ADHD) while pregnant with the child?
Yes;No
Charge_familymedhist_mother_adhd_preg
Query mother_eatingdis String 50 Recommended Does (did) the Child's Mother have an Eating Disorder?
Yes; No; -999
Charge_familymedhist_mother_eatingdis
Query mother_eatingdis_cmt String 255 Recommended Specify mother's Eating Disorder Charge_familymedhist_mother_eatingdis_cmt
Query mother_eatingdis_age Integer Recommended Age at which the mother's Eating Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_eatingdis_age
Query mother_eatingdis_preg String 50 Recommended Did the mother have an Eating Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_eatingdis_preg
Query mother_sleepdis String 50 Recommended Does (did) the Child's Mother have a Sleep Disorder?
Yes;No
Charge_familymedhist_mother_sleepdis
Query mother_sleepdis_cmt String 255 Recommended Specify mother's Sleep Disorder Charge_familymedhist_mother_sleepdis_cmt
Query mother_sleepdis_age Integer Recommended Age at which the mother's Sleep Disorder first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_sleepdis_age
Query mother_sleepdis_preg String 50 Recommended Did the mother have a Sleep Disorder while pregnant with the child?
Yes;No
Charge_familymedhist_mother_sleepdis_preg
Query mother_abusevic String 50 Recommended Is the Child's Mother a Victim of Abuse?
Yes;No
Charge_familymedhist_mother_abusevic
Query mother_abusevic_age Integer Recommended Age at which the mother's Abuse first occurred(in months) 0 :: 1200 Charge_familymedhist_mother_abusevic_age
Query mother_abusevic_preg String 50 Recommended Was the mother being abused while pregnant with the child?
Yes;No
Charge_familymedhist_mother_abusevic_preg
Query mother_subabuse String 50 Recommended Does the Child's Mother have a history of Substance Abuse?
Yes;No
Charge_familymedhist_mother_subabuse
mother_subabuse_cmt String 255 Recommended Specify mother's Substance Abuse Type Charge_familymedhist_mother_subabuse_cmt
Query mother_subabuse_age Integer Recommended Age at which the mother's Substance Abuse first occurred(in months) 0 :: 1200 Charge_familymedhist_mother_subabuse_age
Query mother_subabuse_preg String 50 Recommended Did the mother have Substance Abuse events while pregnant with the child?
Yes;No
Charge_familymedhist_mother_subabuse_preg
Query mother_migraine String 50 Recommended Does the Child's Mother have Migraine Headaches?
Yes;No
Charge_familymedhist_mother_migraine
Query mother_migraine_age Integer Recommended Age at which the mother's Migraine Headaches first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_migraine_age
Query mother_migraine_preg String 50 Recommended Did the mother have Migraine Headaches while pregnant with the child?
Yes;No
Charge_familymedhist_mother_migraine_preg
Query mother_ibs String 50 Recommended Does the Child's Mother have Irritable Bowel Syndrome?
Yes;No
Charge_familymedhist_mother_ibs
Query mother_ibs_age Integer Recommended Age at which the mother's Irritable Bowel Syndrome first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_ibs_age
Query mother_ibs_preg String 50 Recommended Did the mother have Irritable Bowel Syndrome while pregnant with the child?
Yes;No
Charge_familymedhist_mother_ibs_preg
Query mother_gidis String 50 Recommended Does the Child's Mother have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_mother_gidis
Query mother_gidiss_age Integer Recommended Age at which the mother's Other Gastrointestinal Disorders first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_gidiss_age
Query mother_gidiss_preg String 50 Recommended Did the mother have Other Gastrointestinal Disorders while pregnant with the child?
Yes;No
Charge_familymedhist_mother_gidiss_preg
Query mother_cancer String 50 Recommended Does the Child's Mother have Cancer?
Yes;No
Charge_familymedhist_mother_cancer
mother_cancer_cmt String 255 Recommended Specify mother's Cancer type Charge_familymedhist_mother_cancer_cmt
Query mother_cancer_age Integer Recommended Age at which the mother's Cancer first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cancer_age
Query mother_cancer_preg String 50 Recommended Did the mother have Cancer while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cancer_preg
Query mother_congenitaldef String 50 Recommended Does the Child's Mother have a Congenital Defect (Cleft palate, cleft lip, other)?
Yes;No
Charge_familymedhist_mother_congenitaldef
Query mother_congenitaldef_cmt String 255 Recommended Specify mother's Congenital Defect type Charge_familymedhist_mother_congenitaldef_cmt
Query mother_congenitaldef_age Integer Recommended Age at which the mother's Congenital Defect first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_congenitaldef_age
Query mother_congenitaldef_preg String 50 Recommended Did the mother have a Congenital Defect while pregnant with the child?
Yes;No
Charge_familymedhist_mother_congenitaldef_preg
Query mother_obesity String 50 Recommended Does the Child's Mother have Obesity?
Yes;No
Charge_familymedhist_mother_obesity
Query mother_obesity_age Integer Recommended Age at which the mother's Obesity first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_obesity_age
Query mother_obesity_preg String 50 Recommended Did the mother have Obesity while pregnant with the child?
Yes;No
Charge_familymedhist_mother_obesity_preg
Query mother_sicklecell String 50 Recommended Does the Child's Mother have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_mother_sicklecell
Query mother_sicklecell_age Integer Recommended Age at which the mother's Sickle Cell Anemia first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_sicklecell_age
Query mother_sicklecell_preg String 50 Recommended Did the mother have Sickle Cell Anemia while pregnant with the child?
Yes;No
Charge_familymedhist_mother_sicklecell_preg
Query mother_thyroiddis String 50 Recommended Does the Child's Mother have Thyroid Disease?
Yes;No
Charge_familymedhist_mother_thyroiddis
Query mother_thyroiddis_age Integer Recommended Age at which the mother's Thyroid Disease first appeared(in months) 0 :: 1200 Charge_familymedhist_mother_thyroiddis_age
Query mother_thyroiddis_preg String 50 Recommended Did the mother have Thyroid Disease while pregnant with the child?
Yes;No
Charge_familymedhist_mother_thyroiddis_preg
Query mother_cond1 String 50 Recommended Did the mother have Other condition-1
Yes;No
Charge_familymedhist_mother_cond1
Query mother_cond1_age Integer Recommended Age at which the Condition 1 appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cond1_age
Query mother_cond1_preg String 50 Recommended Did the mother have Condition 1 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond1_preg
Query mother_cond2 String 50 Recommended Did the mother have Other condition-2
Yes;No
Charge_familymedhist_mother_cond2
Query mother_cond2_age Integer Recommended Age at which the Condition 2 appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cond2_age
Query mother_cond2_preg String 50 Recommended Did the mother have Condition 2 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond2_preg
Query mother_cond3 String 50 Recommended Did the mother have Other condition-3
Yes;No
Charge_familymedhist_mother_cond3
Query mother_cond3_age Integer Recommended Age at which the Condition 3 appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cond3_age
Query mother_cond3_preg String 50 Recommended Did the mother have Condition 3 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond3_preg
Query mother_cond4 String 50 Recommended Did the mother have Other condition-4
Yes;No
Charge_familymedhist_mother_cond4
Query mother_cond4_age Integer Recommended Age at which the Condition 4 appeared(in months) 0 :: 1200 Charge_familymedhist_mother_cond4_age
Query mother_cond4_preg String 50 Recommended Did the mother have Condition 4 while pregnant with the child?
Yes;No
Charge_familymedhist_mother_cond4_preg
Query father_foodallergy String 50 Recommended Does the Child's Father have a food allergy?
Yes;No
Charge_familymedhist_father_foodallergy
father_foodallergy_cmt String 255 Recommended Specific food items the Father is allergic to Charge_familymedhist_father_foodallergy_cmt
Query father_skinallergy String 50 Recommended Does the Child's Father have a skin allergy?
Yes;No
Charge_familymedhist_father_skinallergy
father_skinallergy_cmt String 255 Recommended Specific skin items the Father is allergic to Charge_familymedhist_father_skinallergy_cmt
Query father_eczema String 50 Recommended Does the Child's Father have Eczema?
Yes;No
Charge_familymedhist_father_eczema
Query father_envallergy String 50 Recommended Does the Child's Father have an environmental allergy?
Yes;No
Charge_familymedhist_father_envallergy
father_envallergy_cmt String 255 Recommended Specific environmental items the Father is allergic to Charge_familymedhist_father_envallergy_cmt
Query father_medallergy String 50 Recommended Does the Child's Father have a medication allergy?
Yes;No
Charge_familymedhist_father_medallergy
father_medallergy_cmt String 255 Recommended Specific medication items the Father is allergic to Charge_familymedhist_father_medallergy_cmt
Query father_otherallergy String 50 Recommended Does the Child's Father have any other allergies?
Yes;No
Charge_familymedhist_father_otherallergy
father_otherallergy_cmt String 255 Recommended Specific other items the Father is allergic to Charge_familymedhist_father_otherallergy_cmt
Query father_autism String 50 Recommended Does the Child's Father have Autism?
Yes;No
Charge_familymedhist_father_autism
Query father_aspergers String 50 Recommended Does the Child's Father have Asperger's Syndrome?
Yes;No
Charge_familymedhist_father_aspergers
Query father_retts String 50 Recommended Does the Child's Father have Rett's Syndrome?
Yes;No
Charge_familymedhist_father_retts
Query father_pddnos String 50 Recommended Does the Child's Father have PDD-NOS (Pervasive Development Disorder-Not Otherwise Specified)?
Yes;No
Charge_familymedhist_father_pddnos
Query father_speechdelay String 50 Recommended Does (did) the Child's Father have a Speech/Language Delay?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_speechdelay
Query father_devdelay String 50 Recommended Does (did) the Child's Father have a Developmental Delay?
Yes; No; -999
Charge_familymedhist_father_devdelay
Query father_learndis String 50 Recommended Does (did) the Child's Father have a Learning Disability?
Yes; No; -999
Charge_familymedhist_father_learndis
Query father_seizure String 50 Recommended Does (did) the Child's Father have Seizure Disorder/Epilepsy?
Yes;No
Charge_familymedhist_father_seizure
Query father_cerpalsy String 50 Recommended Does (did) the Child's Father have Cerebral Palsy?
Yes;No
Charge_familymedhist_father_cerpalsy
Query father_downssynd String 50 Recommended Does (did) the Child's Father have Down's Syndrome?
Yes;No
Charge_familymedhist_father_downssynd
Query father_mentalret String 50 Recommended Does (did) the Child's Father have Mental Retardation?
Yes;No
Charge_familymedhist_father_mentalret
Query father_tuberscl String 50 Recommended Does (did) the Child's Father have Tuberous Sclerosis?
Yes; No; -999
Charge_familymedhist_father_tuberscl
Query father_fragilex String 50 Recommended Does (did) the Child's Father have Fragile X?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_fragilex
Query father_neuromuscdis String 50 Recommended Does (did) the Child's Father have a Neuromuscular Disorder?
Yes;No
Charge_familymedhist_father_neuromuscdis
Query father_geneticdis String 50 Recommended Does (did) the Child's Father have a Genetic Disorder?
Yes;No
Charge_familymedhist_father_geneticdis
Query father_geneticdis_cmt String 255 Recommended Specify Father's Genetic Disorder Charge_familymedhist_father_geneticdis_cmt
Query father_geneticdistest String 50 Recommended Was testing done for the Father's Genetic Disorder?
Yes;No
Charge_familymedhist_father_geneticdistest
Query father_geneticdistest_cmt String 255 Recommended Specify tests Charge_familymedhist_father_geneticdistest_cmt
Query father_visionimp String 50 Recommended Does the Child's Father have a vision impairment?
Yes;No
Charge_familymedhist_father_visionimp
Query father_visioncor String 50 Recommended Has the father's vision impairment been corrected?
Yes;No
Charge_familymedhist_father_visioncor
Query father_hearingimp String 50 Recommended Does the Child's Father have a hearing impairment?
Yes;No
Charge_familymedhist_father_hearingimp
Query father_hearingcor String 50 Recommended Has the father's hearing impairment been corrected?
Yes;No
Charge_familymedhist_father_hearingcor
Query father_bipolar String 50 Recommended Does (did) the Child's Father have a Bipolar Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_bipolar
Query father_depression String 50 Recommended Does (did) the Child's Father have Depression?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_depression
Query father_anxiety String 50 Recommended Does (did) the Child's Father have an Anxiety Disorder?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_anxiety
Query father_ocd String 50 Recommended Does (did) the Child's Father have Obsessive Compulsive Disorder?
Yes; No; -999
Charge_familymedhist_father_ocd
Query father_schizophrenia String 50 Recommended Does (did) the Child's Father have Schizophrenia?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_schizophrenia
Query father_persondis String 50 Recommended Does (did) the Child's Father have a Personality Disorder?
Yes;No
Charge_familymedhist_father_persondis
Query father_persondis_cmt String 255 Recommended Specify father's Personality Disorder Charge_familymedhist_father_persondis_cmt
Query father_selfinj String 50 Recommended Does (did) the Child's Father have Self-Injuring Behavior?
Yes; No; -999
Charge_familymedhist_father_selfinj
Query father_suicideatt String 50 Recommended Has the Child's Father Attempted Suicide?
Yes;No
Charge_familymedhist_father_suicideatt
Query father_otherpsychdis String 50 Recommended Does (did) the Child's Father have a Psychiatric Disorder?
Yes;No
Charge_familymedhist_father_otherpsychdis
Query father_otherpsychdis_cmt String 255 Recommended Specify father's Psychiatric Disorder Charge_familymedhist_father_otherpsychdis_cmt
Query father_adhd String 50 Recommended Does (did) the Child's Father have Attention Deficit Hyperactivity Disorder (ADHD)?
Yes; No; 77; 99; -999
77=N/A; 99= DK; -999 =missing Charge_familymedhist_father_adhd
Query father_eatingdis String 50 Recommended Does (did) the Child's Father have an Eating Disorder?
Yes; No; -999
Charge_familymedhist_father_eatingdis
Query father_eatingdis_cmt String 255 Recommended Specify father's Eating Disorder Charge_familymedhist_father_eatingdis_cmt
Query father_sleepdis String 50 Recommended Does (did) the Child's Father have a Sleep Disorder?
Yes;No
Charge_familymedhist_father_sleepdis
Query father_sleepdis_cmt String 255 Recommended Does (did) the Child's Father have a Sleep Disorder?Specify Type Charge_familymedhist_father_sleepdis_cmt
Query father_abusevic String 50 Recommended Is the Child's Father a Victim of Abuse?
Yes;No
Charge_familymedhist_father_abusevic
Query father_subabuse String 50 Recommended Does the Child's Father have a history of Substance Abuse?
Yes;No
Charge_familymedhist_father_subabuse
father_subabuse_cmt String 255 Recommended Specify father's Substance Abuse Type Charge_familymedhist_father_subabuse_cmt
Query father_migraine String 50 Recommended Does the Child's Father have Migraine Headaches?
Yes;No
Charge_familymedhist_father_migraine
Query father_ibs String 50 Recommended Does the Child's Father have Irritable Bowel Syndrome?
Yes;No
Charge_familymedhist_father_ibs
Query father_othergidis String 50 Recommended Does the Child's Father have any Other Gastrointestinal Disorders?
Yes;No
Charge_familymedhist_father_othergidis
Query father_cancer String 50 Recommended Does the Child's Father have Cancer?
Yes;No
Charge_familymedhist_father_cancer
father_cancer_cmt String 255 Recommended Specify father's Cancer type Charge_familymedhist_father_cancer_cmt
Query father_congenitaldef String 50 Recommended Does the Child's Father have a Congenital Defect?
Yes;No
Charge_familymedhist_father_congenitaldef
Query father_congenitaldef_cmt String 255 Recommended Specify father's Congenital Defect type Charge_familymedhist_father_congenitaldef_cmt
Query father_obesity String 50 Recommended Does the Child's Father have Obesity?
Yes;No
Charge_familymedhist_father_obesity
Query father_sicklecell String 50 Recommended Does the Child's Father have Sickle Cell Anemia?
Yes;No
Charge_familymedhist_father_sicklecell
Query father_thyroiddis String 50 Recommended Does the Child's Father have Thyroid Disease?
Yes;No
Charge_familymedhist_father_thyroiddis
Query father_othercond1 String 50 Recommended Did the father have Other condition-1
Yes;No
Charge_familymedhist_father_othercond1
Query father_othercond2 String 50 Recommended Did the father have Other condition-2
Yes;No
Charge_familymedhist_father_othercond2
Query father_othercond3 String 50 Recommended Did the father have Other condition-3
Yes;No
Charge_familymedhist_father_othercond3
Query father_othercond4 String 50 Recommended Did the father have Other condition-4
Yes;No
Charge_familymedhist_father_othercond4
Query othmem_foodallergy String 50 Recommended Food Allergy
Yes;No
Charge_familymedhist_othmem_foodallergy
othmem_foodallergy_cmt String 255 Recommended Specific Type Charge_familymedhist_othmem_foodallergy_cmt
othmem_foodallergy_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergy Charge_familymedhist_othmem_foodallergy_type
Query othmem_skinallergy String 50 Recommended Skin Allergy
Yes;No
Charge_familymedhist_othmem_skinallergy
othmem_skinallergy_cmt String 255 Recommended Specific Type Charge_familymedhist_othmem_skinallergy_cmt
othmem_skinallergy_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a skin allergy Charge_familymedhist_othmem_skinallergy_type
Query othmem_eczema String 50 Recommended Eczema
Yes;No
Charge_familymedhist_othmem_eczema
othmem_eczema_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have eczema Charge_familymedhist_othmem_eczema_type
Query othmem_envallergy String 50 Recommended Environmental
Yes;No
Charge_familymedhist_othmem_envallergy
othmem_envallergy_cmt String 255 Recommended Specific Type Charge_familymedhist_othmem_envallergy_cmt
othmem_envallergy_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an environmental allergy Charge_familymedhist_othmem_envallergy_type
Query othmem_medallergy String 50 Recommended Medication
Yes;No
Charge_familymedhist_othmem_medallergy
othmem_medallergy_cmt String 255 Recommended Specific Type Charge_familymedhist_othmem_medallergy_cmt
othmem_medallergy_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have a medication allergy Charge_familymedhist_othmem_medallergy_type
Query othmem_otherallergy String 50 Recommended Other
Yes;No
Charge_familymedhist_othmem_otherallergy
othmem_otherallergy_cmt String 255 Recommended Specific Type Charge_familymedhist_othmem_otherallergy_cmt
othmem_otherallergy_type String 100 Recommended List other relatives of the child (Siblings, Aunts, Uncles, Grandparents) that have an other allergy Charge_familymedhist_othmem_otherallergy_type
Query othmem_autism String 50 Recommended Other family member. Autism
Yes;No
Charge_familymedhist_othmem_autism
othmem_autism_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_autism_type
Query othmem_aspergers String 50 Recommended Other family member. Asperger's Syndrome
Yes;No
Charge_familymedhist_othmem_aspergers
Query othmem_aspergers_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_aspergers_type
Query othmem_retts String 50 Recommended Rett's Syndrome
Yes;No
Charge_familymedhist_othmem_retts
Query othmem_retts_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_retts_type
Query othmem_pddnos String 50 Recommended PDD-NOS (Pervasive Development Disorder)
Yes;No
Charge_familymedhist_othmem_pddnos
Query othmem_pddnos_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_pddnos_type
Query othmem_speechdelay String 50 Recommended Speech/Language Delay Yes; No Charge_familymedhist_othmem_speechdelay
othmem_speechdelay_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_speechdelay_type
Query othmem_devdelay String 50 Recommended Developmental Delay
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_devdelay
othmem_devdelay_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_devdelay_type
Query othmem_learndis String 50 Recommended Learning Disability
Yes;No
Charge_familymedhist_othmem_learndis
othmem_learndis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_learndis_type
Query othmem_seizure String 50 Required Seizure disorder/Epilepsy
Yes;No;999
999=NA/missing Charge_familymedhist_othmem_seizure
othmem_seizure_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_seizure_type
Query othmem_cerpalsy String 50 Recommended Cerebral Palsy
Yes;No
Charge_familymedhist_othmem_cerpalsy
Query othmem_cerpalsy_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_cerpalsy_type
Query othmem_downssynd String 50 Recommended Down's Syndrome
Yes;No
Charge_familymedhist_othmem_downssynd
Query othmem_downssynd_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_downssynd_type
Query othmem_mentalret String 50 Recommended Mental Retardation
Yes;No
Charge_familymedhist_othmem_mentalret
Query othmem_mentalret_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_mentalret_type
Query othmem_tuberscl String 50 Recommended Tuberous Sclerosis
Yes;No
Charge_familymedhist_othmem_tuberscl
Query othmem_tuberscl_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_tuberscl_type
Query othmem_fragilex String 50 Recommended Fragile X
Yes;No
Charge_familymedhist_othmem_fragilex
Query othmem_fragilex_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_fragilex_type
Query othmem_neuromuscdis String 50 Recommended Neuromuscular disorder
Yes;No
Charge_familymedhist_othmem_neuromuscdis
Query othmem_neuromuscdis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_neuromuscdis_type
Query othmem_geneticdis String 50 Recommended Known Genetic Disorder
Yes;No
Charge_familymedhist_othmem_geneticdis
othmem_geneticdis_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_geneticdis_cmt
othmem_geneticdis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_geneticdis_type
Query othmem_geneticdistest String 50 Recommended Testing Done
Yes;No
Charge_familymedhist_othmem_geneticdistest
othmem_geneticdistest_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_geneticdistest_cmt
Query othmem_geneticdistest_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_geneticdistest_type
Query othmem_visionimp String 50 Recommended Vision impairment
Yes;No
Charge_familymedhist_othmem_visionimp
othmem_visionimp_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_visionimp_type
Query othmem_visioncor String 50 Recommended Vision corrected?
Yes;No
Charge_familymedhist_othmem_visioncor
othmem_visioncor_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_visioncor_type
Query othmem_hearingimp String 50 Recommended Hearing impairment
Yes;No
Charge_familymedhist_othmem_hearingimp
othmem_hearingimp_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_hearingimp_type
Query othmem_hearingcor String 50 Recommended Hearing corrected?
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_hearingcor
othmem_hearingcor_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_hearingcor_type
Query othmem_bipolar String 50 Recommended Bipolar disorder (Manic/depression)
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_bipolar
othmem_bipolar_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_bipolar_type
Query othmem_depression String 50 Recommended Depression
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_depression
othmem_depression_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_depression_type
Query othmem_anxiety String 50 Recommended Anxiety disorder
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_anxiety
othmem_anxiety_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_anxiety_type
Query othmem_ocd String 50 Recommended Obsessive compulsive disorder
Yes;No
Charge_familymedhist_othmem_ocd
othmem_ocd_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_ocd_type
Query othmem_schizophrenia String 50 Recommended Schizophrenia
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_schizophrenia
othmem_schizophrenia_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_schizophrenia_type
Query othmem_persondis String 50 Recommended Personality disorder
Yes;No
Charge_familymedhist_othmem_persondis
Query othmem_persondis_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_persondis_cmt
Query othmem_persondis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_persondis_type
Query othmem_selfinj String 50 Recommended Self-injuring behavior
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_selfinj
othmem_selfinj_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_selfinj_type
Query othmem_suicideatt String 50 Recommended Suicide attempt/suicide
Yes;No
Charge_familymedhist_othmem_suicideatt
othmem_suicideatt_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_suicideatt_type
Query othmem_otherpsychdis String 50 Recommended Other psychiatric disorder
Yes;No
Charge_familymedhist_othmem_otherpsychdis
Query othmem_otherpsychdis_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_otherpsychdis_cmt
Query othmem_otherpsychdis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_otherpsychdis_type
Query othmem_adhd String 50 Recommended Attention deficit hyperactivity disorder (ADHD)
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_adhd
othmem_adhd_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_adhd_type
Query othmem_eatingdis String 50 Recommended Eating disorder. Bulimia, Anorexia, other
Yes;No; NK
NK = Not known Charge_familymedhist_othmem_eatingdis
othmem_eatingdis_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_eatingdis_cmt
othmem_eatingdis_type String 100 Recommended If yes, specify type Charge_familymedhist_othmem_eatingdis_type
Query othmem_sleepdis String 50 Recommended Sleep disorder. Insomnia, Narcolepsy
Yes;No
Charge_familymedhist_othmem_sleepdis
othmem_sleepdis_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_sleepdis_cmt
othmem_sleepdis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_sleepdis_type
Query othmem_abusevic String 50 Recommended Victim of abuse
Yes;No
Charge_familymedhist_othmem_abusevic
othmem_abusevic_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_abusevic_type
Query othmem_subabuse String 50 Recommended Substance abuse
Yes;No
Charge_familymedhist_othmem_subabuse
othmem_subabuse_cmt String 255 Recommended Specify Type: Charge_familymedhist_othmem_subabuse_cmt
othmem_subabuse_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_subabuse_type
Query othmem_migraine String 50 Recommended Migraine headaches
Yes;No
Charge_familymedhist_othmem_migraine
othmem_migraine_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_migraine_type
Query othmem_ibs String 50 Recommended Irritable bowel syndrome
Yes;No
Charge_familymedhist_othmem_ibs
othmem_ibstype String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_ibstype
Query othmem_othergidis String 50 Recommended Other Gastrointestinal disorders
Yes;No
Charge_familymedhist_othmem_othergidis
othmem_othergidis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_othergidis_type
Query othmem_cancer String 50 Recommended Cancer
Yes;No
Charge_familymedhist_othmem_cancer
othmem_cancer_cmt String 255 Recommended Cancer. Specify Type Charge_familymedhist_othmem_cancer_cmt
othmem_cancer_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_cancer_type
Query othmem_congenitaldef String 50 Recommended Congenital Defect (Cleft palate, Cleft lip)
Yes;No
Charge_familymedhist_othmem_congenitaldef
othmem_congenitaldef_cmt String 255 Recommended Congenital Defect :Other Charge_familymedhist_othmem_congenitaldef_cmt
othmem_congenitaldef_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_congenitaldef_type
Query othmem_obesity String 50 Recommended Obesity
Yes;No
Charge_familymedhist_othmem_obesity
othmem_obesity_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_obesity_type
Query othmem_sicklecell String 50 Recommended Sickle cell anemia
Yes;No
Charge_familymedhist_othmem_sicklecell
Query othmem_sicklecell_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_sicklecell_type
Query othmem_thyroiddis String 50 Recommended Thyroid Disease
Yes;No
Charge_familymedhist_othmem_thyroiddis
othmem_thyroiddis_type String 100 Recommended If yes, Indicate Family Member code Charge_familymedhist_othmem_thyroiddis_type
Query othmem_othercond1 String 50 Recommended Did the relatives have Other condition-1
Yes;No
Charge_familymedhist_othmem_othercond1
othmem_othercondlist1 String 255 Recommended List relatives having Other condition -1 Charge_familymedhist_othmem_othercondlist1
Query othmem_othercond2 String 50 Recommended Did the relatives have Other condition-2
Yes;No
Charge_familymedhist_othmem_othercond2
othmem_othercondlist2 String 255 Recommended List relatives having Other condition -2 Charge_familymedhist_othmem_othercondlist2
Query othmem_othercond3 String 50 Recommended Did the relatives have Other condition-3
Yes;No
Charge_familymedhist_othmem_othercond3
othmem_othercondlist3 String 255 Recommended List relatives having Other condition -3 Charge_familymedhist_othmem_othercondlist3
Query othmem_othercond4 String 50 Recommended Did the relatives have Other condition-4
Yes;No
Charge_familymedhist_othmem_othercond4
othmem_othercondlist4 String 255 Recommended List relatives having Other condition -4 Charge_familymedhist_othmem_othercondlist4
Query fmw_child_sis1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis1
Query fmw_child_sis2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis2
Query fmw_child_sis3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis3
Query fmw_child_sis4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis4
Query fmw_child_sis5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis5
Query fmw_child_sis6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis6
Query fmw_child_sis7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_sis7
Query fmw_child_bro1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro1
Query fmw_child_bro2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro2
Query fmw_child_bro3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro3
Query fmw_child_bro4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro4
Query fmw_child_bro5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro5
Query fmw_child_bro6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro6
Query fmw_child_bro7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_bro7
Query fmw_child_ma1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA1
Query fmw_child_ma2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA2
Query fmw_child_ma3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA3
Query fmw_child_ma4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA4
Query fmw_child_ma5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA5
Query fmw_child_ma6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA6
Query fmw_child_ma7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MA7
Query fmw_child_mu1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU1
Query fmw_child_mu2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU2
Query fmw_child_mu3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU3
Query fmw_child_mu4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU4
Query fmw_child_mu5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU5
Query fmw_child_mu6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU6
Query fmw_child_mu7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_MU7
Query fmw_child_pa1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA1
Query fmw_child_pa2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA2
Query fmw_child_pa3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA3
Query fmw_child_pa4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA4
Query fmw_child_pa5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA5
Query fmw_child_pa6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA6
Query fmw_child_pa7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PA7
Query fmw_child_pu1 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU1
Query fmw_child_pu2 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU2
Query fmw_child_pu3 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU3
Query fmw_child_pu4 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU4
Query fmw_child_pu5 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU5
Query fmw_child_pu6 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU6
fmw_child_mu8 String 50 Recommended code P = Paternal; M = Maternal
Query fmw_child_pu7 String 50 Recommended Code Blank on Form;P;M P = Paternal; M = Maternal Charge_familymedhist_fmw_child_PU7
Query fmw_child_pu8 String 50 Recommended uncle code P;M P = Paternal; M = Maternal
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
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.