Data Structure

ABCD Parent Medical History Questionnaire (MHX)

Version 01Submissions Not Allowed
Short Name: abcd_mx01
Categories: Med History

Medical history and health services utilization (baseline)

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Definition

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Name
Type
Required
Description
Value Range
Notes
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
src_subject_idStringRequiredSubject ID how it's defined in lab/project
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0::1440Age 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.
sexStringRequiredSex of subject at birthM;F; O; NRM = Male; F = Female; O=Other; NR = Not reported
eventnameStringRequiredThe event name for which the data was collected
medhx_select_language___1IntegerRecommended¿Español? (1, Sí)0 ; 10 = No; 1 = Yes
medhx_1aIntegerRecommendedDuring the past year, has your child been to see a doctor, nurse, nurse practitioner, dentist, or any other health professional like that, OTHER than for regular checkups? /En el último año? / ¿su niño(a) ha visto a un médico, enfermero(a), dentista o algún otro profesional similar de la salud, por algún motivo distinto a sus chequeos periódicos?1 ; 0 ; 61 = Yes /Sí; 0 = No/ No; 6 = Don't know /No sé//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_1bIntegerRecommendedhas your child been to see a doctor, nurse, nurse practitioner, dentist, or any other health professional like that, OTHER than for regular checkups. What about the rest of his/her life before the past year? / ¿Y durante el resto de su vida antes del último año?1 ; 0 ; 61 = Yes /Sí; 0 = No/ No; 6 = Don't know /No sé//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2aIntegerRecommendedAsthma Asma1 ; 01 = Yes; 0 = No
medhx_2bIntegerRecommendedHas she/he ever been to a doctor for any of these things… Allergies Alergias1 ; 01 = Yes; 0 = No
medhx_2cIntegerRecommendedHas she/he ever been to a doctor for any of these things…Brain Injury /Lesión Cerebral1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2dIntegerRecommendedHas she/he ever been to a doctor for any of these things…Bronchitis /Bronquitus1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2eIntegerRecommendedHas she/he ever been to a doctor for any of these things…Cancer/Leukemia //Cáncer/Leucimia1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2fIntegerRecommendedHas she/he ever been to a doctor for any of these things… Cerebral Palsy Parálisis Cerebral1 ; 01 = Yes; 0 = No
medhx_2gIntegerRecommendedHas she/he ever been to a doctor for any of these things… Diabetes Diabetes1 ; 01 = Yes; 0 = No
medhx_2hIntegerRecommendedHas she/he ever been to a doctor for any of these things… Epilepsy or Seizures Epilepsia o convulsiones1 ; 01 = Yes; 0 = No
medhx_2iIntegerRecommendedHas she/he ever been to a doctor for any of these things… Hearing Problem Problema Auditivo1 ; 01 = Yes; 0 = No
medhx_2jIntegerRecommendedHas she/he ever been to a doctor for any of these things…Kidney Disease /Enfermedad Renal1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2kIntegerRecommendedHas she/he ever been to a doctor for any of these things…Lead Poisoning /Intoxicación por Plomo1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2lIntegerRecommendedSince we last saw you, has she/he been to a doctor for any of these things? Has she/he ever been to a doctor for any of these things…Muscular Dystrophy /Distrofia muscular1 ; 01 = Yes SÍ; 0 = No No// Now I'd like to ask you about your child's use of health services since we last saw you on_____.
medhx_2mIntegerRecommendedHas she/he ever been to a doctor for any of these things… Multiple Sclerosis Esclerosis múltiple1 ; 01 = Yes; 0 = No
medhx_2nIntegerRecommendedHas she/he ever been to a doctor for any of these things… Has she/he ever been to a doctor for any of these things…Problems with Vision (including the need for glasses) /Problemas de la vista (incluyendo la necesidad de lentes/gafas)1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2oIntegerRecommendedHas she/he ever been to a doctor for any of these things… Problems with Heart Problemas del corazón1 ; 01 = Yes; 0 = No
medhx_2pIntegerRecommendedHas she/he ever been to a doctor for any of these things…Sickle Cell Anemia /Anemia de células falciformes1 ; 01 = Yes; 0 = No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2qIntegerRecommendedHas she/he ever been to a doctor for any of these things…Very Bad Headaches /Dolores de cabeza muy intensos1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2rIntegerRecommendedHas she/he ever been to a doctor for any of these things…An Operation /Cirugías1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_2sIntegerRecommendedHas she/he ever been to a doctor for any of these things…Any Other Illness /Cualquier otra enfermedad1 ; 01 = Yes; 0 = No // Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_4aIntegerRecommendedHas he/she been to an emergency room in the past year? / ¿Su niño(a) ha visitado una sala de emergencias en el último año?1 ; 0 ; 6 ; 71 = Yes /Sí; 0 = No /No; 6 = Don't know /No Sé; 7 = Refuse to answer /Niego contestar //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_4bIntegerRecommendedHow many times has he/she been to the emergency room in that past year? / ¿Cuántas veces ha visitado él/ella la sala de emergencias en este último año?1::51 = 1 time /1 vez; 2 = 2 times /2 veces; 3 = 3-4 times/ 3-4 veces; 4 = 5-9 times /5-9 veces; 5 = 10+ times/ 10+ veces //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_5aIntegerRecommendedHas he/she been to the emergency room any time BEFORE this past year, that is, any other time in his/her whole life? / ¿Su niño(a) visitó la sala de emergencias en algún momento ANTES de este último año; es decir, en algún otro momento de su vida?1 ; 0 ; 6 ; 71 = Yes /Sí; 0 = No /No; 6 = Don't know /No Sé; 7 = Refuse to answer /Niego contestar //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_5bIntegerRecommendedHow many times did s(he) go to the emergency room before the past year? / ¿Cuántas veces acudió a la sala de emergencias antes de este último año ?1::51 = 1 time /1 vez; 2 = 2 times /2 veces; 3 = 3-4 times/ 3-4 veces; 4 = 5-9 times /5-9 veces; 5 = 10+ times/ 10+ veces //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6aIntegerRecommendedHas she/he ever been to a doctor for any of these things… Broken Bones Fracturas1 ; 01 = Yes Sí; 0 = No No
medhx_6a_notesFloatRecommendedBroken Bones. How many times? / ¿Cuántas veces?0 :: 20Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6bIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Sprains /Esguinces1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6b_notesFloatRecommendedSprains. How many times? / ¿Cuántas veces?0 :: 20Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6cIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Cuts or Scrapes /Cortadas o rasguños1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6c_timesFloatRecommendedCuts or Scrapes. How many times? / ¿Cuántas veces?0 :: 50Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6dIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Stitches /Suturas1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6d_notesFloatRecommendedStitches. How many times? / ¿Cuántas veces?Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6eIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Other Serious Wounds /Otras heridas graves1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6e_timesFloatRecommendedOther Serious Wounds. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6fIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Falls/ Caídas1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6f_notesFloatRecommendedFalls. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6gIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Burns /Quemaduras1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6g_timesFloatRecommendedBurns. How many times? / ¿Cuántas veces?0 :: 8Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6hIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...High Fever /Fiebre alta1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6h_timesFloatRecommendedHigh Fever. How many times? / ¿Cuántas veces?0::20Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6iIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Head Injury /Lesión en la cabeza1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6i_timesFloatRecommendedHead Injury. How many times? / ¿Cuántas veces?Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6jIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Knocked Unconscious/ Pérdida del conocimiento1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6j_timesFloatRecommendedKnocked Unconscious. How many times? / ¿Cuántas veces?0 :: 25Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6kIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Bruises /Moretones1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6k_timesFloatRecommendedBruises. How many times? / ¿Cuántas veces?Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6lIntegerRecommendedSince we last saw you, has she/he been to a doctor for any of these things? Has he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Asthma Attack/ Ataque de asma1 ; 01 = Yes Sí; 0 = No No //Now I'd like to ask you about your child's use of health services since we last saw you on_____.
medhx_6l_notesFloatRecommendedAsthma Attack. How many times? / ¿Cuántas veces?Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6mIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Broken Teeth/ Dientes rotos1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6m_timesFloatRecommendedBroken Teeth. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6nIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Animal Bite/ Mordedura de animal1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6n_notesFloatRecommendedAnimal Bite. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6oIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Overdose/ Sobredosis1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6o_notesFloatRecommendedOverdose. How many times? / ¿Cuántas veces?0 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6pIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Seizure/ Convulsión1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6p_notesFloatRecommendedSeizure. How many times? / ¿Cuántas veces?0 :: 50Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6qIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Accidental Poisoning/ Envenenamiento accidental1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6q_notesFloatRecommendedAccidental Poisoning. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6rIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Gun Shot Wound /Herida por arma de fuego1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6r_notesFloatRecommendedGun Shot Wound. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6sIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Wound from knife or any other weapon /Herida por cuchillo o cualquier otra arma1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6s_timesFloatRecommendedWound from knife or any other weapon. How many times? / ¿Cuántas veces?1 :: 100Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6tIntegerRecommendedHas he/she ever been to a doctor, a nurse, nurse practitioner, the emergency room or a clinic because any of these things happened...Other /Otro hospitalization reasons1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_6t_timesIntegerRecommendedOther hospitalizations. How many times? / ¿Cuántas veces?Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_8aIntegerRecommendedHas he/she ever been in the hospital overnight or longer? / ¿Él/ella ha pasado una noche o más en el hospital?1 ; 0 ; 61 = Yes /Sí; 0 = No/ No; 6 = Don't know /No sé//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_9aIntegerRecommendedHas he/she ever had general anesthesia or sedation for any surgery or procedure? / ¿Alguna vez él/ella ha estado bajo anestesia general o sedación para alguna cirugía o procedimiento?1 ; 0 ; 61 = Yes /Sí; 0 = No/ No; 6 = Don't know /No sé//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_9bFloatRecommendedgeneral anesthesia or sedation for any surgery or procedure. How many times? / ¿Cuántas veces?0 :: 15Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_9cFloatRecommendedgeneral anesthesia or sedation for any surgery or procedure. At what age for the most recent time? / ¿A qué edad durante el tiempo más reciente?0 :: 10Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_11IntegerRecommendedIs he/she able to see the difference between blue and green? / ¿Es su niño(a) capaz de ver la diferencia entre el azul y el verde?1 ; 01 = Yes/ Sí; 0 = No/ No//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
medhx_12IntegerRecommendedHow about the difference between blue and yellow? / ¿Qué tal la diferencia entre el azul y el amarillo?1 ; 01 = Yes/ Sí; 0 = No/ No//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.