|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
CandidateGUID, GUID, SubjectKey_GUID |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
Charge_medicalhist_SRC_Subject_ID, IBISID, MedicalHx_SubjectID |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
Charge_medicalhist_interview_date, Date_taken, Med_Psych_Hist_Date_Taken, MedicalHx_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.
|
Candidate_Age_in_Months, Charge_medicalhist_interview_age, Med_Psych_Hist_Candidate_Age |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
Charge_medicalhist_comments_misc, MedicalHx_misc_comments, med_psych_hist_q17_birth_defects, q17_birth_defects |
Query
|
diag_aofc |
Integer |
|
Recommended |
Age of First Concern(in months) |
0 :: 1200; -999
|
|
Charge_medicalhist_diag_aofc, medicalhist_aofc |
|
diag_aofcnk |
String |
50
|
Recommended |
Age of First Concern - NK |
|
|
Charge_medicalhist_diag_aofcnk |
|
diag_fconcern |
String |
255
|
Recommended |
First Concerns |
|
|
Charge_medicalhist_diag_fconcern, medicalhist_firstconcern |
|
diag_diagnosis |
String |
4,000
|
Recommended |
Diagnosis |
|
Autism; PDD-NOS; Asperger's; ADHD; Language Disorder; Other; None
|
Charge_medicalhist_diag_diagnosis, medicalhist_diagnosis |
Query
|
diag_ageatdiag |
Integer |
|
Recommended |
Age at diagnosis(in months) |
|
|
Charge_medicalhist_diag_ageatdiag, medicalhist_age_at_diag |
Query
|
diag_ageatdiagnk |
String |
50
|
Recommended |
Age at diagnosis - NK |
|
|
Charge_medicalhist_diag_ageatdiagnk |
Query
|
diag_diagnosismadeby |
String |
50
|
Recommended |
Diagnosis made by |
Physician;Psychologist;Other; NK
|
NK = Not known
|
Charge_medicalhist_diag_diagnosismadeby, medicalhist_diagnosis_made_by |
Query
|
postnatal_temp |
String |
50
|
Recommended |
Temperament |
Easy;Difficult/Irregular;Passive;NK
|
NK = Not known
|
Charge_medicalhist_postnatal_temp, medicalhist_postnatal_temperament |
Query
|
postnatal_eyecontact |
String |
50
|
Recommended |
Eye Contact: |
Normal;Difficult to Engage;NK
|
NK = Not known
|
Charge_medicalhist_postnatal_eyecontact, medicalhist_postnatal_eyecontact |
Query
|
postnatal_sleeppattern |
String |
50
|
Recommended |
Sleep Pattern: |
Regular/Predictable;Irregular/Unpredictable;NK;
|
NK = Not known
|
Charge_medicalhist_postnatal_sleeppattern, medicalhist_postnatal_sleeppattern |
Query
|
postnatal_feedbottle |
String |
50
|
Recommended |
Feeding: Bottle |
|
|
Charge_medicalhist_postnatal_feedbottle |
|
postnatal_feedbottleform |
String |
255
|
Recommended |
Feeding: Formula |
|
|
Charge_medicalhist_postnatal_feedbottleform, medicalhist_postnatal_feed_formula_type |
Query
|
postnatal_feedbr |
String |
50
|
Recommended |
Feeding: Breast |
|
|
Charge_medicalhist_postnatal_feedbr |
Query
|
postnatal_feedbrlngth |
Integer |
|
Recommended |
Feeding: Length |
|
|
Charge_medicalhist_postnatal_feedbrlngth, medicalhist_postnatal_feedduration |
Query
|
postnatal_wtgainpoor |
String |
50
|
Recommended |
Poor Weight Gain |
|
NK = Not known
|
Charge_medicalhist_postnatal_wtgainpoor, medicalhist_postnatal_wtgainpoor |
Query
|
postnatal_colic |
String |
50
|
Recommended |
Colic/Difficult to Soothe |
|
NK = Not known
|
Charge_medicalhist_postnatal_colic, medicalhist_postnatal_colic |
Query
|
develop_grossm |
String |
50
|
Recommended |
Gross Motor: |
Early;Average;Late;NK
|
NK = Not known
|
Charge_medicalhist_develop_grossm, medicalhist_develop_grossm |
Query
|
develop_finem |
String |
50
|
Recommended |
Fine Motor: |
Early;Average;Late;NK
|
NK = Not known
|
Charge_medicalhist_develop_finem, medicalhist_develop_finem |
Query
|
develop_lang |
String |
50
|
Recommended |
Language |
Early;Average;Late;NK
|
NK = Not known
|
Charge_medicalhist_develop_lang, medicalhist_develop_lang |
Query
|
develop_social |
String |
50
|
Recommended |
Social |
Early;Average;Late;NK
|
NK = Not known
|
Charge_medicalhist_develop_social, medicalhist_develop_social |
Query
|
develop_selfhelp |
String |
50
|
Recommended |
Self-Help |
Early;Average;Late;NK
|
NK = Not known
|
Charge_medicalhist_develop_selfhelp, medicalhist_develop_selfhelp |
Query
|
develop_regression |
String |
50
|
Required |
Developmental Regression: |
|
NK = Not known
|
Charge_medicalhist_develop_regression, medicalhist_develop_regression |
Query
|
develop_regressionage |
Integer |
|
Recommended |
Age(In mnths) |
0 :: 1200
|
|
Charge_medicalhist_develop_regressionage, medicalhist_develop_regressionage |
|
develop_regressionskillloss |
String |
255
|
Recommended |
Skills Lost |
|
|
Charge_medicalhist_develop_regressionskillloss, medicalhist_develop_regression_skill_loss |
|
currmed_prescription |
String |
255
|
Recommended |
Prescription (Medication, Dose, Frequency, Reason) |
|
|
Charge_medicalhist_currmed_prescription, med_his_q_5_medications_describe, medicalhist_currmed_prescription, tsi_med_his_q_5_medications_describe |
|
currmed_overcounter |
String |
255
|
Recommended |
Over the Counter (Medication, Dose, Frequency, Reason) |
|
|
Charge_medicalhist_currmed_overcounter, medicalhist_currmed_overcounter |
|
currmed_supplement |
String |
255
|
Recommended |
Supplements (Herbal, Vitamin, etc.) (Supplement, Dose, Frequency, Reason) |
|
|
Charge_medicalhist_currmed_supplement, medicalhist_currmed_supplement |
Query
|
rev_headmicroph |
String |
50
|
Recommended |
Microcephaly |
|
NK = Not known
|
Charge_medicalhist_rev_headmicroph, medicalhist_head_microph |
Query
|
rev_headmacroph |
String |
50
|
Recommended |
Macrocephaly |
|
NK = Not known
|
Charge_medicalhist_rev_headmacroph, medicalhist_head_macroph |
Query
|
rev_headstructab |
String |
50
|
Recommended |
Structural abnormalities |
|
NK = Not known
|
Charge_medicalhist_rev_headstructab, medicalhist_head_struct_ab |
|
rev_headstructabdesc |
String |
255
|
Recommended |
Structural abnormalities: Describe |
|
|
Charge_medicalhist_rev_headstructabdesc, medicalhist_head_struct_abdesc, neuro_screen_q19_other_physical_abnormalities, q19_other_physical_abnormalities |
Query
|
rev_headmeningitis |
String |
50
|
Recommended |
Meningitis |
Yes; No; NK; NS
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_headmeningitis, med_psych_hist_q16_has_child_ever, medicalhist_head_meningitits, q16_has_child_ever |
Query
|
rev_headmeningitisage |
Integer |
|
Recommended |
Meningitis: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_headmeningitisage, Charge_medicalhist_rev_headmeningititsage, medicalhist_head_meningitits_age |
Query
|
rev_headmeningitisorg |
String |
255
|
Recommended |
Meningitis: Organism |
|
|
Charge_medicalhist_rev_headmeningitisorg, Charge_medicalhist_rev_headmeningititsorg, medicalhist_head_meningitits_org |
Query
|
rev_headencephalitis |
String |
50
|
Recommended |
Encephalitis |
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_headencephalitis, medicalhist_head_encephalitis |
Query
|
rev_headencephalitisage |
Integer |
|
Recommended |
Encephalitis: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_headencephalitisage, medicalhist_head_encephalitis_age |
|
rev_headencephalitisorg |
String |
255
|
Recommended |
Encephalitis: Organism |
|
|
Charge_medicalhist_rev_headencephalitisorg, medicalhist_head_encephalitis_org |
Query
|
rev_headfebseiz |
String |
50
|
Recommended |
Febrile Seizures |
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_headfebseiz, med_psych_hist_q15_c_fever_seizures, medicalhist_head_feb_seiz, q15_c_fever_seizures |
Query
|
rev_headfebseizages |
String |
255
|
Recommended |
Febrile Seizures: Age(S) |
|
|
Charge_medicalhist_rev_headfebseizages |
Query
|
rev_headseizure |
String |
50
|
Required |
Seizures |
Yes; No; NK; NS
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_headseizure, med_psych_hist_q15_seizures_convulsions, medicalhist_head_seizure, q15_seizures_convulsions |
Query
|
rev_headseizureonset |
String |
255
|
Recommended |
Seizures: Onset |
|
|
Charge_medicalhist_rev_headseizureonset, medicalhist_head_seizure_onset |
Query
|
rev_headseizurecontrol |
String |
50
|
Required |
Seizures: Controlled |
|
NK = Not known
|
Charge_medicalhist_rev_headseizurecontrol, medicalhist_head_seizure_control |
Query
|
rev_headeeg |
String |
50
|
Recommended |
EEG |
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_headeeg, medicalhist_head_eeg |
|
rev_headeegresult |
String |
255
|
Recommended |
EEG: Results |
|
|
Charge_medicalhist_rev_headeegresult, medicalhist_head_eeg_result |
Query
|
rev_headimagestudy |
String |
50
|
Recommended |
Imaging Studies |
|
NK = Not known
|
Charge_medicalhist_rev_headimagestudy, medicalhist_head_image_study |
Query
|
rev_headimagestudytype |
String |
50
|
Recommended |
Imaging Studies: Type |
|
US;CT;MR;PET;EEG; MR; any combinations of these types
|
Charge_medicalhist_rev_headimagestudytype, medicalhist_head_image_studytype |
|
rev_headimagestudyresult |
String |
255
|
Recommended |
Imaging Studies: Results |
|
Normal; Abnormal
|
Charge_medicalhist_rev_headimagestudyresult, med_his_q_8_brain_MRI_results, medicalhist_head_image_studyresult, tsi_med_his_q_8_brain_MRI_results |
|
rev_headother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_headother, medicalhist_head_other |
Query
|
rev_eyeimpair |
String |
50
|
Recommended |
Visual impairments |
|
NK = Not known
|
Charge_medicalhist_rev_eyeimpair, medicalhist_eye_impair |
Query
|
rev_eyestrabismus |
String |
50
|
Recommended |
Strabismus |
|
NK = Not known
|
Charge_medicalhist_rev_eyestrabismus, medicalhist_eye_strabismus, q1_strabismus |
|
rev_eyeoter |
String |
255
|
Recommended |
Eyes Other/Comments: |
|
|
Charge_medicalhist_rev_eyeoter, medicalhist_eye_other |
Query
|
rev_eartest |
String |
50
|
Recommended |
Hearing Testing: |
|
NK = Not known
|
Charge_medicalhist_rev_eartest, medicalhist_ear_test |
|
rev_eartestages |
String |
255
|
Recommended |
Hearing Testing: Age(S) |
|
|
Charge_medicalhist_rev_eartestages |
Query
|
rev_eartestresult |
String |
50
|
Recommended |
Hearing Testing: Result |
Normal;Abnormal;Unknown
|
|
Charge_medicalhist_rev_eartestresult, medicalhist_ear_test_result |
|
rev_eartestfinding |
String |
255
|
Recommended |
Hearing Testing: Findings |
|
|
Charge_medicalhist_rev_eartestfinding, audiology_test_results, medicalhist_ea_rtest_finding |
Query
|
rev_earab |
String |
50
|
Recommended |
Ext. Ear Abnormalities |
|
NK = Not known
|
Charge_medicalhist_rev_earab, medicalhist_ear_ext_abn |
Query
|
rev_earabdesc |
String |
255
|
Recommended |
Ext. Ear Abnormalities: Abnormalities |
|
|
Charge_medicalhist_rev_earabdesc, medicalhist_ear_ext_abndesc |
Query
|
rev_earrecuotitis |
String |
50
|
Required |
Recurrent Otitis Media |
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_earrecuotitis, medicalhist_ear_recurrent_otitis |
Query
|
rev_earrecuotitisyear |
Integer |
|
Recommended |
Recurrent Otitis Media: #Year |
|
|
Charge_medicalhist_rev_earrecuotitisyear |
Query
|
rev_earrecuotitisage |
Integer |
|
Recommended |
Recurrent Otitis Media: Age of Onset(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_earrecuotitisage, medicalhist_ear_recur_otitis_age |
Query
|
rev_earpetube |
String |
50
|
Recommended |
PE Tubes |
|
NK = Not known
|
Charge_medicalhist_rev_earpetube, medicalhist_ear_pe_tube |
|
rev_earpetubeset |
String |
255
|
Recommended |
PE Tubes: Sets |
|
|
Charge_medicalhist_rev_earpetubeset, medicalhist_ear_pe_tube_set |
|
rev_earother |
String |
255
|
Recommended |
Ears Other/Comments |
|
|
Charge_medicalhist_rev_earother, medicalhist_ear_other, q6_ear_formation |
Query
|
rev_nosesmellprob |
String |
50
|
Recommended |
Problems with Smell |
|
NK = Not known
|
Charge_medicalhist_rev_nosesmellprob, medicalhist_nose_smell_prob |
|
rev_noseother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_noseother, medicalhist_nose_other |
Query
|
rev_mouthcleftlip |
String |
50
|
Recommended |
Is there a cleft lip and/or cleft palate? |
|
NK = Not known
|
Charge_medicalhist_rev_mouthcleftlip, medicalhist_mouth_cleftlip |
Query
|
rev_mouthcleftpalate |
String |
50
|
Recommended |
Cleft Palate |
|
NK = Not known
|
Charge_medicalhist_rev_mouthcleftpalate, medicalhist_mouth_cleftpalate |
Query
|
rev_mouthspeechdiff |
String |
50
|
Recommended |
Speech Difficulties |
|
NK = Not known
|
Charge_medicalhist_rev_mouthspeechdiff, medicalhist_mouth_speechdiff |
Query
|
rev_mouthnasalreg |
String |
50
|
Recommended |
Nasal Regurgitation |
|
NK = Not known
|
Charge_medicalhist_rev_mouthnasalreg, medicalhist_mouth_nasalreg |
|
rev_mouthother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_mouthother, medicalhist_mouth_other |
Query
|
rev_teethneonatal |
String |
50
|
Recommended |
Neonatal Teeth |
|
NK = Not known
|
Charge_medicalhist_rev_teethneonatal, medicalhist_teeth_neonatal |
Query
|
rev_teethdentalab |
String |
50
|
Recommended |
Dental abnormalities |
|
NK = Not known
|
Charge_medicalhist_rev_teethdentalab, medicalhist_teeth_dental_ab |
|
rev_teethdentalabdesc |
String |
255
|
Recommended |
Dental abnormalities: Describe |
|
|
Charge_medicalhist_rev_teethdentalabdesc, medicalhist_teeth_dental_abdesc |
|
rev_teethdentalabother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_teethdentalabother, medicalhist_teeth_dental_abother |
Query
|
rev_neckspinalab |
String |
50
|
Recommended |
Spinal abnormalities |
|
NK = Not known
|
Charge_medicalhist_rev_neckspinalab, medicalhist_neck_spinal_ab |
|
rev_neckother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_neckother, medicalhist_neck_other |
Query
|
rev_orthofracture |
String |
50
|
Recommended |
Fractures |
|
NK = Not known
|
Charge_medicalhist_rev_orthofracture, medicalhist_ortho_fracture |
Query
|
rev_orthofractureno |
Integer |
|
Recommended |
Fractures: Number |
|
|
Charge_medicalhist_rev_orthofractureno, medicalhist_ortho_fractureno |
|
rev_orthofractureloc |
String |
255
|
Recommended |
Fractures: Location |
|
|
Charge_medicalhist_rev_orthofractureloc |
Query
|
rev_orthojointdislocate |
String |
50
|
Recommended |
Joint Dislocation |
|
NK = Not known
|
Charge_medicalhist_rev_orthojointdislocate, medicalhist_ortho_joint_dislocate |
|
rev_orthojointdislocatelist |
String |
255
|
Recommended |
Joint Dislocation: Joints |
|
|
Charge_medicalhist_rev_orthojointdislocatelist |
Query
|
rev_orthoosteomylitis |
String |
50
|
Recommended |
Osteomylitis |
|
NK = Not known
|
Charge_medicalhist_rev_orthoosteomylitis, medicalhist_ortho_osteomylitis |
|
rev_orthoother |
String |
255
|
Recommended |
Other/Comments |
|
|
Charge_medicalhist_rev_orthoother, medicalhist_ortho_other |
Query
|
rev_skinbirthmark |
String |
50
|
Recommended |
Birthmarks (e.g., cafe-au-lait spots, white spots) |
|
NK = Not known
|
Charge_medicalhist_rev_skinbirthmark, medicalhist_skin_birthmark |
Query
|
rev_skineczema |
String |
50
|
Recommended |
Eczema |
|
NK = Not known
|
Charge_medicalhist_rev_skineczema, medicalhist_skin_eczema |
Query
|
rev_skinabcesses |
String |
50
|
Required |
Skin Infections/Abcesses |
|
NK = Not known
|
Charge_medicalhist_rev_skinabcesses, medicalhist_skin_abcesses |
|
rev_skinabcessesnumtreat |
String |
255
|
Recommended |
Skin Infections/Abcesses: Number/Treatment |
|
|
Charge_medicalhist_rev_skinabcessesnumtreat, medicalhist_skin_abcesses_num_treat |
|
rev_skinother |
String |
255
|
Recommended |
Skin Other/Comments |
|
|
Charge_medicalhist_rev_skinother, medicalhist_skin_other |
Query
|
rev_pulbreathab |
String |
50
|
Recommended |
Abnormal Breathing |
|
NK = Not known
|
Charge_medicalhist_rev_pulbreathab, medicalhist_pulm_breath_ab |
Query
|
rev_pulasthma |
String |
50
|
Required |
Asthma |
|
NK = Not known
|
Charge_medicalhist_rev_pulasthma, medicalhist_pulm_asthma |
|
rev_pulasthmatrigg |
String |
255
|
Recommended |
Asthma: Triggers |
|
|
Charge_medicalhist_rev_pulasthmatrigg, medicalhist_pulm_asthma_trigg |
Query
|
rev_pullungmalfunc |
String |
50
|
Recommended |
Lung Malformations |
|
NK = Not known
|
Charge_medicalhist_rev_pullungmalfunc, medicalhist_pulm_lung_malfunc |
Query
|
rev_pulpneumoniafreq |
String |
50
|
Recommended |
Frequent Pneumonia |
|
NK = Not known
|
Charge_medicalhist_rev_pulpneumoniafreq, medicalhist_pulm_pneumonia_freq |
|
rev_pulpneumoniafreqages |
String |
255
|
Recommended |
Frequent Pneumonia: Ages(S) |
|
|
Charge_medicalhist_rev_pulpneumoniafreqages, medicalhist_pulm_pneumonia_freq_onset |
Query
|
rev_pulaspiration |
String |
50
|
Recommended |
Aspiration |
|
NK = Not known
|
Charge_medicalhist_rev_pulaspiration, medicalhist_pulm_aspiration |
|
rev_pulother |
String |
255
|
Recommended |
Pulmonary Other/Comments |
|
|
Charge_medicalhist_rev_pulother, medicalhist_pulm_other |
Query
|
rev_cardiomalfunc |
String |
50
|
Required |
Cardiac Malformation |
|
NK = Not known
|
Charge_medicalhist_rev_cardiomalfunc, congenital_heart_problems, medicalhist_cardio_malform |
Query
|
rev_cardiomalfunclesion |
String |
255
|
Recommended |
Cardiac Malformation: Lesion |
|
|
Charge_medicalhist_rev_cardiomalfunclesion, medicalhist_cardio_malform_lesion |
Query
|
rev_cardiocyanosis |
String |
50
|
Recommended |
Cyanosis |
|
NK = Not known
|
Charge_medicalhist_rev_cardiocyanosis, medicalhist_cardio_cyanosis |
|
rev_cardioother |
String |
255
|
Recommended |
Cardiac Other/Comments |
|
|
Charge_medicalhist_rev_cardioother, medicalhist_cardio_other |
Query
|
rev_gastrodysphagia |
String |
50
|
Recommended |
Dysphagia |
|
NK = Not known
|
Charge_medicalhist_rev_gastrodysphagia, medicalhist_gastro_dysphagia |
Query
|
rev_gastroreflux |
String |
50
|
Required |
Reflux |
|
NK= Not known; NS = Not sure
|
Charge_medicalhist_rev_gastroreflux, medicalhist_gastro_reflux |
Query
|
rev_gastrorefluxmed |
String |
50
|
Required |
Reflux: Medication Required |
|
NK = Not known
|
Charge_medicalhist_rev_gastrorefluxmed, medicalhist_gastro_reflux_med |
Query
|
rev_gastroother |
String |
50
|
Recommended |
Other feeding difficulties |
|
NK = Not known
|
Charge_medicalhist_rev_gastroother, medicalhist_gastro_other |
Query
|
rev_gastrohernia |
String |
50
|
Recommended |
Hernia |
|
NK = Not known
|
Charge_medicalhist_rev_gastrohernia, medicalhist_gastro_hernia |
Query
|
rev_gastroherniatype |
String |
255
|
Recommended |
Hernia: Type |
|
|
Charge_medicalhist_rev_gastroherniatype, medicalhist_gastro_hernia_type |
|
rev_gastroothercom |
String |
255
|
Recommended |
Gastro Other/comments |
|
|
Charge_medicalhist_rev_gastroothercom, medicalhist_gastro_other_com |
Query
|
rev_genitorenalmalfunc |
String |
50
|
Recommended |
Renal Malformation |
|
NK = Not known
|
Charge_medicalhist_rev_genitorenalmalfunc, medicalhist_genito_rena_lmalfunc |
Query
|
rev_genitorenalmalfunctype |
String |
255
|
Recommended |
Renal Malformation: Type |
|
|
Charge_medicalhist_rev_genitorenalmalfunctype, medicalhist_genito_rena_lmalfunctype |
Query
|
rev_genitouti |
String |
50
|
Recommended |
UTI |
|
NK = Not known
|
Charge_medicalhist_rev_genitouti, medicalhist_genito_uti |
Query
|
rev_genitoutinum |
Integer |
|
Recommended |
UTI: Number |
|
|
Charge_medicalhist_rev_genitoutinum, medicalhist_genito_utinum |
Query
|
rev_genitourinediscolor |
String |
50
|
Recommended |
Discolored Urine |
|
NK = Not known
|
Charge_medicalhist_rev_genitourinediscolor, medicalhist_genitourinediscolor |
Query
|
rev_genitourinediscolorage |
Integer |
|
Recommended |
Discolored Urine: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_genitourinediscolorage, medicalhist_genito_discolor_urine_age1 |
Query
|
rev_genitourinecolor |
String |
50
|
Recommended |
Discolored Urine: Color |
|
|
Charge_medicalhist_rev_genitourinecolor, medicalhist_genito_urine_color1 |
Query
|
rev_genitocryptorchidism |
String |
50
|
Recommended |
Cryptorchidism |
|
NK = Not known
|
Charge_medicalhist_rev_genitocryptorchidism, medicalhist_genito_cryptorchidism |
Query
|
rev_genitocryptorchidismtype |
String |
50
|
Recommended |
Cryptorchidism: Type |
Left;Right;Bilateral
|
|
Charge_medicalhist_rev_genitocryptorchidismtype, medicalhist_genito_cryptorchidism_loc |
|
rev_genitoother |
String |
255
|
Recommended |
Other/comments |
|
|
Charge_medicalhist_rev_genitoother, medicalhist_genito_other |
Query
|
rev_endoprecocious |
String |
50
|
Recommended |
Precocious Puberty |
|
NK = Not known
|
Charge_medicalhist_rev_endoprecocious, medicalhist_endo_precocious |
Query
|
rev_endoprecociousage |
Integer |
|
Recommended |
Precocious Puberty: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_endoprecociousage, medicalhist_endo_precocious_age |
Query
|
rev_endohypothyroidism |
String |
50
|
Required |
Hypothyroidism |
|
NK = Not known
|
Charge_medicalhist_rev_endohypothyroidism, medicalhist_endo_hypothyroidism |
Query
|
rev_endohyperthyroidism |
String |
50
|
Required |
Hyperthyroidism |
|
NK = Not known
|
Charge_medicalhist_rev_endohyperthyroidism, medicalhist_endo_hyperthyroidism |
Query
|
rev_endoobesity |
String |
50
|
Recommended |
Obesity |
|
NK = Not known
|
Charge_medicalhist_rev_endoobesity, medicalhist_endo_obesity |
Query
|
rev_endodiabetes |
String |
50
|
Required |
Diabetes |
|
NK = Not known
|
Charge_medicalhist_rev_endodiabetes, medicalhist_endo_diabetes |
Query
|
rev_endodiabetestype |
String |
50
|
Required |
Diabetes: Type |
I;II;NA
|
|
Charge_medicalhist_rev_endodiabetestype, medicalhist_endo_diabetes_type |
Query
|
rev_endodiabetesage |
Integer |
|
Recommended |
Diabetes: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_endodiabetesage, medicalhist_endo_diabetes_age |
Query
|
rev_endopancreasinsuff |
String |
50
|
Recommended |
Pancreatic Insufficiency |
|
NK = Not known
|
Charge_medicalhist_rev_endopancreasinsuff, medicalhist_endo_pancreas_insuff |
Query
|
rev_endohypoglycemia |
String |
50
|
Recommended |
Hypoglycemia |
|
NK = Not known
|
Charge_medicalhist_rev_endohypoglycemia, medicalhist_endo_hypoglycemia |
|
rev_endoother |
String |
255
|
Recommended |
Endo Other/comments |
|
|
Charge_medicalhist_rev_endoother, medicalhist_endo_other |
Query
|
rev_hemanemia |
String |
50
|
Recommended |
Anemia |
|
NK = Not known
|
Charge_medicalhist_rev_hemanemia, medicalhist_hem_anemia |
|
rev_hemanemiatype |
String |
255
|
Recommended |
Anemia: Type |
|
|
Charge_medicalhist_rev_hemanemiatype, medicalhist_hem_anemia_type |
Query
|
rev_hembleeddisorder |
String |
50
|
Recommended |
Bleeding disorder |
|
NK = Not known
|
Charge_medicalhist_rev_hembleeddisorder, medicalhist_hem_bleed_disorder |
Query
|
rev_hembleeddisordertype |
String |
255
|
Recommended |
Bleeding disorder: Type |
|
|
Charge_medicalhist_rev_hembleeddisordertype, medicalhist_hem_bleed_disorder_type |
Query
|
rev_immunorecurinfection |
String |
50
|
Required |
Recurrent Infections((>2 pneum or sinus infect/yr, >8 OM /yr, absesses)) |
|
NK = Not known
|
Charge_medicalhist_rev_immunorecurinfection, medicalhist_immuno_recur_infection |
Query
|
rev_immunosepsis |
String |
50
|
Required |
Sepsis |
|
NK = Not known
|
Charge_medicalhist_rev_immunosepsis, medicalhist_immuno_sepsis |
Query
|
rev_immunosepsisage |
Integer |
|
Recommended |
Sepsis: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_immunosepsisage, medicalhist_immuno_sepsis_age |
Query
|
rev_immunosepsisorg |
String |
255
|
Recommended |
Sepsis: Organism |
|
|
Charge_medicalhist_rev_immunosepsisorg, medicalhist_immuno_sepsis_org |
Query
|
rev_immunoosteo |
String |
50
|
Recommended |
Osteomyelitis |
|
NK = Not known
|
Charge_medicalhist_rev_immunoosteo, medicalhist_immuno_osteo |
Query
|
rev_immunoosteoage |
Integer |
|
Recommended |
Osteomyelitis: Age(in months) |
0 :: 1200
|
|
Charge_medicalhist_rev_immunoosteoage, medicalhist_immuno_osteo_age |
|
rev_immunoosteoloc |
String |
255
|
Recommended |
Osteomyelitis: Location |
|
|
Charge_medicalhist_rev_immunoosteoloc, medicalhist_immuno_osteo_loc |
|
rev_immunoosteolocorg |
String |
255
|
Recommended |
Osteomyelitis: Organism |
|
|
Charge_medicalhist_rev_immunoosteolocorg, medicalhist_immuno_osteo_org |
Query
|
rev_immunoigdeficiency |
String |
50
|
Recommended |
Ig Deficiency |
|
NK = Not known
|
Charge_medicalhist_rev_immunoigdeficiency, medicalhist_immuno_ig_deficiency |
Query
|
rev_immunocellimmunedef |
String |
50
|
Recommended |
Cell Mediated Immune Def. |
|
NK = Not known
|
Charge_medicalhist_rev_immunocellimmunedef, medicalhist_immuno_cell_mediate_def |
Query
|
rev_immunoenvallergy |
String |
50
|
Required |
Environmental Allergies |
|
NK = Not known
|
Charge_medicalhist_rev_immunoenvallergy, medicalhist_immuno_env_allergy |
|
rev_immunoenvallergytype |
String |
255
|
Recommended |
Environmental Allergies: Type |
|
|
Charge_medicalhist_rev_immunoenvallergytype, medicalhist_immuno_env_allergy_type |
Query
|
rev_immunomedallergy |
String |
50
|
Required |
Medication Allergies |
|
NK = Not known; NA=Not Applicable
|
Charge_medicalhist_rev_immunomedallergy, med_his_q_6_allergies, medicalhist_immuno_med_allergy, tsi_med_his_q_6_allergies |
|
rev_immunomedallergymed |
String |
255
|
Recommended |
Medication Allergies: Medications |
|
|
Charge_medicalhist_rev_immunomedallergymed, med_his_q_6_allergies_describe, medicalhist_immuno_med_allergy_med1, tsi_med_his_q_6_allergies_describe |
Query
|
rev_immunoimmunization |
String |
50
|
Recommended |
Immunizations |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunization, medicalhist_immuno_immunization_status |
Query
|
rev_immunoimmunizdtap |
String |
255
|
Recommended |
DTaP |
Up to date;Behind;None;NK
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizdtap, medicalhist_immuno_immuniz_DTap |
Query
|
rev_immunoimmunizipv |
String |
255
|
Recommended |
Immunizations: IPV |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizipv, medicalhist_immuno_immuniz_IPV |
Query
|
rev_immunoimmunizhib |
String |
255
|
Recommended |
Immunizations: HIB |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizhib, medicalhist_immuno_immuniz_HIB |
Query
|
rev_immunoimmunizmmr |
String |
255
|
Recommended |
Immunizations: MMR |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizmmr, medicalhist_immuno_immuniz_MMR |
Query
|
rev_immunoimmunizhepb |
String |
255
|
Recommended |
Immunizations: HepB |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizhepb, medicalhist_immuno_immuniz_HepB |
Query
|
rev_immunoimmunizhepa |
String |
255
|
Recommended |
Immunizations: HepA |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizhepa, medicalhist_immuno_immuniz_HepA |
Query
|
rev_immunoimmunizvari |
String |
255
|
Recommended |
Immunizations: Varicella |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizvari, medicalhist_immuno_immuniz_Vari |
Query
|
rev_immunoimmunizprev |
String |
255
|
Recommended |
Immunizations: Prevnar |
|
NK = Not known
|
Charge_medicalhist_rev_immunoimmunizprev, medicalhist_immuno_immuniz_Prev |
Query
|
rev_immunoinfluenzvacc |
String |
255
|
Required |
Influenza Vaccines |
|
NK = Not known
|
Charge_medicalhist_rev_immunoinfluenzvacc, medicalhist_immuno_influenz_vacc |
Query
|
rev_immunoinfluenzvacc1d |
Integer |
|
Recommended |
Influenza Vaccine 1 Day |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc1d, medicalhist_immuno_influenz_vacc1d |
Query
|
rev_immunoinfluenzvacc1m |
Integer |
|
Recommended |
Influenza Vaccine 1 Month |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc1m, medicalhist_immuno_influenz_vacc1m |
Query
|
rev_immunoinfluenzvacc1y |
Integer |
|
Recommended |
Influenza Vaccine 1 Year |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc1y, medicalhist_immuno_influenz_vacc1y |
Query
|
rev_immunoinfluenzvacc2d |
Integer |
|
Recommended |
Influenza Vaccine 2 Day |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc2d, medicalhist_immuno_influenz_vacc2d |
Query
|
rev_immunoinfluenzvacc2m |
Integer |
|
Recommended |
Influenza Vaccine 2 Month |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc2m, medicalhist_immuno_influenz_vacc2m |
Query
|
rev_immunoinfluenzvacc2y |
Integer |
|
Recommended |
Influenza Vaccine 2 Year |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc2y, medicalhist_immuno_influenz_vacc2y |
Query
|
rev_immunoinfluenzvacc3d |
Integer |
|
Recommended |
Influenza Vaccine 3 Day |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc3d, medicalhist_immuno_influenz_vacc3d |
Query
|
rev_immunoinfluenzvacc3m |
Integer |
|
Recommended |
Influenza Vaccine 3 Month |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc3m, medicalhist_immuno_influenz_vacc3m |
Query
|
rev_immunoinfluenzvacc3y |
Integer |
|
Recommended |
Influenza Vaccine 3 Year |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc3y, medicalhist_immuno_influenz_vacc3y |
Query
|
rev_immunoinfluenzvacc4d |
Integer |
|
Recommended |
Influenza Vaccine 4 Day |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc4d, medicalhist_immuno_influenz_vacc4d |
Query
|
rev_immunoinfluenzvacc4m |
Integer |
|
Recommended |
Influenza Vaccine 4 Month |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc4m, medicalhist_immuno_influenz_vacc4m |
Query
|
rev_immunoinfluenzvacc4y |
Integer |
|
Recommended |
Influenza Vaccine 4 Year |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc4y, medicalhist_immuno_influenz_vacc4y |
Query
|
rev_immunoinfluenzvacc5d |
Integer |
|
Recommended |
Influenza Vaccine 5 Day |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc5d, medicalhist_immuno_influenz_vacc5d |
Query
|
rev_immunoinfluenzvacc5m |
Integer |
|
Recommended |
Influenza Vaccine 5 Month |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc5m, medicalhist_immuno_influenz_vacc5m |
Query
|
rev_immunoinfluenzvacc5y |
Integer |
|
Recommended |
Influenza Vaccine 5 Year |
|
|
Charge_medicalhist_rev_immunoinfluenzvacc5y, medicalhist_immuno_influenz_vacc5y |
Query
|
rev_immunoinfluenzvacc1_h1n1 |
String |
15
|
Required |
Indicate the whether the vaccine 1 given was the H1N1 vaccine |
|
999=NA/missing
|
Charge_medicalhist_rev_immunoinfluenzvacc1_h1n1 |
Query
|
rev_immunoinfluenzvacc2_h1n1 |
String |
15
|
Required |
indicate whether the vaccine 2 given was the H1N1 vaccine |
|
999=NA/missing
|
Charge_medicalhist_rev_immunoinfluenzvacc2_h1n1 |
Query
|
rev_immunoinfluenzvacc3_h1n1 |
String |
15
|
Required |
Indicate whether the vaccine 3 given was the H1N1 vaccine |
|
999=NA/missing
|
Charge_medicalhist_rev_immunoinfluenzvacc3_h1n1 |
Query
|
rev_immunoinfluenzvacc4_h1n1 |
String |
15
|
Required |
Indicate whether the vaccine 4 given was the H1N1 vaccine |
|
999=NA/missing
|
Charge_medicalhist_rev_immunoinfluenzvacc4_h1n1 |
Query
|
rev_immunoinfluenzvacc5_h1n1 |
String |
15
|
Required |
Indicate whether the vaccine 5 given was the H1N1 vaccine |
|
999=NA/missing
|
Charge_medicalhist_rev_immunoinfluenzvacc5_h1n1 |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
visitnum |
Integer |
|
Recommended |
Visit number |
|
|
|
|
drug_name |
String |
25
|
Recommended |
Drug Name |
|
|
|
|
drug_dosage |
Integer |
|
Recommended |
Drug Dosage |
0;1
|
0 = Pre-dose; 1 = Post-dose
|
|