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The Filter Cart provides a powerful way to query and access data for which you may be interested.  

A few points related to the filter cart are important to understand with the NDA Query/Filter implementation: 

First, the filter cart is populated asyncronously.  So, when you run a query, it may take a moment to populate but this will happen in the background so you can define other queries during this time.  

When you are adding your first filter, all data associated with your query will be added to the filter cart (whether it be a collection, a concept, a study, a data structure/elment or subjects). Not all data structures or collections will necessarily be displayed.  For example, if you select the NDA imaging structure image03, and further restrict that query to scan_type fMRI, only fMRI images will appear and only the image03 structure will be shown.  To see other data structures, select "Find All Subject Data" which will query all data for those subjects. When a secord or third filter is applied, an AND condition is used.  A subject must exist in all filters.  If the subject does not appear in any one filter, that subjects data will not be included in your filter cart. If that happens, clear your filter cart, and start over.  

It is best to package more data than you need and access those data using other tools, independent of the NDA (e.g. miNDAR snapshot), to limit the data selected.  If you have any questions on data access, are interested in using avaialble web services, or need help accessing data, please contact us for assistance.  

Frequently Asked Questions

Glossary

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NDA provides a single access to de-identified autism research data. For permission to download data, you will need an NDA account with approved access to NDA or a connected repository (AGRE, IAN, or the ATP). For NDA access, you need to be a research investigator sponsored by an NIH recognized institution with federal wide assurance. See Request Access for more information.

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Medical History

5,943 Shared Subjects

Medical History
Clinical Assessments
Med History
05/14/2014
medhistory01
11/18/2019
View Change History
01
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* guid
src_subject_id String 20 Required Subject ID how it's defined in lab/project aid, bid, id, patid, pid, randid, record_id, subject_id, subjectid, subjectnumber
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY Required field co_doa, datacollecteddate, intvdate, med_history_date, med_hx_visit_date, v1_pe_date, visit_date
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0 :: 1260 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. intvage, v1_pe_age
sex String 20 Required Sex of the subject
M;F
M = Male; F = Female gender
Query relationship Integer Recommended Relationship of respondent to individual
1::93;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 13 = Other; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 27=Missing Data; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); 90=Other; -999=Missing; 89 = Biological parent; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent RESPREL
respondent_other_specify String 50 Recommended Respondent: Other (specify) RESPREL_SP
Query age_concern Integer Recommended Age of first developmental concern (months) 0 :: 1200 DIAG_AOFC, agedevelopconcernsmon
Query devel_concern_cog Integer Recommended 2. Developmental concerns (check all that apply): (choice=Cognitive/learning) 0;1 0=Unchecked; 1=Checked developconcernscheck_cognitivele
Query devel_concern_beh Integer Recommended 2. Developmental concerns (check all that apply): (choice=Behavior) 0;1 0=Unchecked; 1=Checked developconcernscheck_behavior
Query devel_concern_hear Integer Recommended 2. Developmental concerns (check all that apply): (choice=Hearing) 0;1 0=Unchecked; 1=Checked developconcernscheck_hearing
Query devel_concern_mot Integer Recommended 2. Developmental concerns (check all that apply): (choice=Motor) 0;1 0=Unchecked; 1=Checked developconcernscheck_motor
Query devel_concern_lang Integer Recommended 2. Developmental concerns (check all that apply): (choice=Language) 0;1 0=Unchecked; 1=Checked developconcernscheck_language
Query aut_diag Integer Required Autism-related diagnosis 1::4;999 1 = Autism; 2 = Autism Spectrum Disorder; 3 = Asperger syndrome; 4 = PDD-NOS autismrelateddiagche, diagnosis
Query diag_diagnosismadeby String 50 Recommended Diagnosis made by Physician;Psychologist;Other; NK NK = Not known diagmadeby, diagnosismadeby
Query diagnosis_other String 20 Recommended Did the subject recieve another diagnosis? Yes; No; Don't Know (DK); Not Applicable (N/A) OTHDIAGYN, developconcernscheck_other
diagnosis_other_specify String 500 Recommended What other diagnoses has the participant had? OTHDIAGSP, autismrelateddiagotherspec, developconcernsother
Query othdiagy Integer Recommended other diagnosis Years
Query othdiagm Integer Recommended other diagnosis Months
Query othdiag_age Integer Recommended Age at other diagnosis months
Query preg_complic String 10 Required Complications during pregnancy?
Yes; No; NK
NK = Not known cmedhx8
preg_comp_note String 300 Recommended Note regarding complications during pregnancy PGCOMPLSP
Query preg_dxdrug String 10 Required Used prescription medications during pregnancy?
Yes; No; NK
NK = Not known
any_medication_preg String 200 Recommended was the mother given any medication during pregnancy PGMEDSSP
Query pgart Integer Recommended 9. Used Assisted Reproductive Technology (ART)? 0::2
pgartsp String 200 Recommended ART Used: Please Describe
Query preg_age_mom Integer Recommended Age of mother at the time of birth In years; 999=Unknown MAGEATBRTH, cmedhx1
Query preg_age_dad Integer Recommended Age of father at the time of birth In years; 999=Unknown FAGEATBRTH
Query birth_weight_lbs Float Recommended Birth weight pounds BIRTH_WEIGHT_LBS, cmedhx7a
Query birth_weight_oz Float Recommended Birth weight ounces BWOZ, cmedhx7b
Query bwnk_2 Integer Recommended Birth weight not Known or Not Available (choice=NK) 0;1 0=Unchecked; 1=Checked
Query ldnb_lgthin Float Recommended What was the babys length at birth(inches) -1 = Not known
Query blnk_2 Integer Recommended Birth length not Known or Not Available (choice=NK) 0;1 0=Unchecked; 1=Checked
Query full_term String 10 Required Full-term delivery? 37-42 weeks
Yes; No; NK
NK = Not known
info_gest String 50 Recommended No. Weeks Gestation (G.A.)
Query ldnb_hosptotalmom Float Recommended How many days did the mom stay in the hospital after birth
Query walk10_age Integer Recommended Walking 10 steps - age 0 :: 1200 p7902devhistagewalkingmonth
Query ad016 Integer Recommended Age of first single words (months) 994 = Milestone not reached; 996 = N/K, but apparently normal; 997 = N/K, but apparently delayed; 998 = N/A; 999 = N/K or not asked p7902devhistagefirstwordsmonth
Query age_3word Integer Recommended Age at 3-word sentences (in months) p7902devhistagefirst3wordsente2
Query current_lang String 10 Recommended Current speech/language. Verbal? Yes; No; NK NK = Not known
Query verb_words Integer Recommended If yes, how many words? 1::4 1 = <10 Single words; 2 = Speaks in 10 or more single words; 3 = Speaks in 2 word combinations; 4 = Speaks in 3 or more word combinations
Query intellig Integer Recommended 20. Is your childs speech intelligible to you? 0::2 0=No; 1= Yes; 2=Sometimes
Query intelligoth Integer Recommended 21. Is your childs speech intelligible to other people? 0::2 0=No; 1= Yes; 2=Sometimes
Query aac Integer Recommended 22. Does your child use an augmentative communication device? 0::2 0=No; 1=Yes; 2=NK
Query aac_pecs Integer Recommended What type of AAC does your child use? (choice=PECS) 0;1 0=Unchecked; 1=Checked
Query aac_ipad Integer Recommended What type of AAC does your child use? (choice=iPad single words) 0;1 0=Unchecked; 1=Checked
Query aac_spgen Integer Recommended What type of AAC does your child use? (choice=Speech generating device) 0;1 0=Unchecked; 1=Checked
Query aacoth Integer Recommended What type of AAC does your child use? (choice=Other type) 0;1 0=Unchecked; 1=Checked
speechdevsp String 200 Recommended Please describe speech generating device:
speechdevoth String 200 Recommended Please describe other AAC type:
Query aacfreq Integer Recommended How often does your child use the AAC? 1::5 1=Frequently; 2=Sometimes in different contexts; 3=Only at home; 4=Only at school; 5=Rarely
Query child_devdelay String 50 Recommended Does (did) the Child have a Developmental Delay?
Yes;No; NK
DELAY
Query rx_behav String 10 Required Prescription medications for behavioral concerns
Yes; No; NK
NK = Not known
Query rx_phys String 10 Required Prescription medications for physical health concerns
Yes; No; NK
NK = Not known
Query otc_med String 10 Required Over-the-counter medications
Yes; No; NK
NK = Not known
Query ds_med String 10 Required Dietary supplements
Yes; No; NK
NK = Not known
ds_medsp String 200 Recommended Dietary Supplements: Please Describe
Query gastro_spec_diet String 50 Required Does subject have a special diet?
Yes; No; NK
NK = Not known
specialdiet_current_desc String 1,000 Recommended Special diet - Describe GASTRO_SPEC_SP
Query specialdiet_past String 6 Recommended taking special diets in the past? TRUE;FALSE; NK SPDIETP
spdietphowlong String 50 Recommended Special Diet in the Past: How Long
spdietpsp String 100 Recommended Special Diet in the Past: Please Describe
Query weight_std Float Recommended Weight - Standard Unit -1 = Not known CHWGT, dx20_in, weight
Query fs_v2_height_feet Integer Recommended How tall is the subject now (feet)? CHHGTF
Query fs_v2_height_inches Float Recommended How tall is the subject now (inches)? CHHGTI
Query hosp_med Integer Recommended 32. Has your child ever been hospitalized for: (choice=Medical) 0;1 0=Unchecked; 1=Checked
Query hosp_beh Integer Recommended 32. Has your child ever been hospitalized for: (choice=Behavioral) 0;1 0=Unchecked; 1=Checked
Query hosp_mh Integer Recommended 32. Has your child ever been hospitalized for: (choice=Mental Health) 0;1 0=Unchecked; 1=Checked
Query hospagem Integer Recommended At what ages has your child been hospitalized for medical concerns?
hosplngthm String 50 Recommended For how long:
Query hospageb Integer Recommended At what ages has your child been hospitalized for behavioral concerns?
hosplngthb String 50 Recommended For how long:
Query hospagemh Integer Recommended At what ages has your child been hospitalized for mental health concerns?
hosplngthmh String 50 Recommended For how long:
Query child_retts String 50 Required Does the Child have Rett's Syndrome?
Yes;No;999
999=NA/missing GEN_DIS_RETT
Query child_downssynd String 50 Required Does (did) the Child have Down's Syndrome?
Yes;No;999
999=NA/missing GEN_DIS_DOWN
Query child_tuberscl String 50 Required Does (did) the Child have Tuberous Sclerosis?
Yes; No; NK; NS
NK= Not known; NS = Not sure GEN_DIS_TUB, q26
Query child_fragilex String 50 Required Does (did) the Child have Fragile X?
Yes;No;999
999=NA/missing GEN_DIS_FRAGX
Query fhi_df_nfib_chd Integer Required Family History: Neurofibromatosis Child 0;1;999 0=Unchecked; 1=Checked GEN_DIS_NEUROF
Query child_geneticdis String 50 Recommended Does (did) the Child have a Genetic Disorder?
Yes; No; NK; NS
NK= Not known; NS = Not sure GEN_DIS_OTHGEN
Query gen_dis_conf_rett Integer Recommended Is the Rett Syndrome confirmed by a physician-ordered genetic analysis? 0::2 0=No; 1=Yes; 2=NK
Query gen_dis_conf_down Integer Recommended Is the Down Syndrome confirmed by a physician-ordered genetic analysis? 0::2 0=No; 1=Yes; 2=NK
Query gen_dis_conf_tub Integer Recommended Is the Tuberous Sclerosis Complex confirmed by a physician-ordered genetic analysis? 0::2 0=No; 1=Yes; 2=NK
Query gen_dis_conf_fragx Integer Recommended Is the Fragile X Syndrome confirmed by a physician-ordered genetic analysis? 0::2 0=No; 1=Yes; 2=NK
Query gen_dis_conf_neurof Integer Recommended Is the Neurofibromatosis I confirmed by a physician-ordered genetic analysis? 0::2 0=No; 1=Yes; 2=NK
child_geneticdis_cmt String 255 Recommended Specify Child's Genetic Disorder GEN_DISOTH
Query rev_headmeningitis String 50 Recommended Meningitis Yes; No; NK; NS NK= Not known; NS = Not sure
Query meningitisy Integer Recommended Meningitis Years
Query meningitism Integer Recommended Meningitis Months
Query rev_headmeningitisage Integer Recommended Meningitis: Age(in months) 0 :: 1200
rev_headmeningitisorg String 255 Recommended Meningitis: Organism
Query rev_headencephalitis String 50 Recommended Encephalitis
Yes; No; NK; NS
NK= Not known; NS = Not sure
Query encephalitisy Integer Recommended Encephalitis Years
Query encephalitism Integer Recommended Encephalitis Months
Query rev_headencephalitisage Integer Recommended Encephalitis: Age(in months) 0 :: 1200
rev_headencephalitisorg String 255 Recommended Encephalitis: Organism
Query rev_headfebseiz String 50 Recommended Febrile Seizures
Yes; No; NK; NS
NK= Not known; NS = Not sure
rev_headfebseizages String 255 Recommended Febrile Seizures: Age(S)
Query rev_headseizure String 50 Required Seizures
Yes; No; NK; NS
NK= Not known; NS = Not sure neuro_psych_seizures, seizure
rev_headseizureonset String 255 Recommended Seizures: Onset
Query rev_headseizurecontrol String 50 Required Seizures: Controlled
Yes;No;NK
NK = Not known
nfebseizhow String 100 Recommended How are the seizures controlled?
Query fhxcp String 5 Required Cerebral Palsy
Yes;No; NK
NK = Not known
Query hist_trauma String 10 Recommended History of head trauma
Yes; No; NK; NS
NK= Not known; NS = Not sure
Query rev_headimagestudy String 50 Recommended Imaging Studies
Yes;No;NK
NK = Not known
Query headimage_us Integer Recommended Head imaging type (choice=Ultrasound) 0;1 0=Unchecked; 1=Checked
Query ctscanofbrain String 10 Recommended Did the subject take a CT scan of brain?
TRUE;FALSE;UNKNOWN;NK
NK = Not known HEADIMAGE_CT
Query mribrainscan String 10 Recommended Did the subject take an MRI scan of brain?
TRUE;FALSE;UNKNOWN;NK
NK = Not known HEADIMAGE_MR, mri001
Query diag_pet String 50 Recommended PET scan
Yes; No; NK; NS
NK= Not known; NS = Not sure HEADIMAGE_PET, pet001
Query diag_eeg String 50 Recommended EEG
Yes;No
HEADIMAGE_EEG, eeg_conducted
Query usres Integer Recommended Results: Ultrasound 1;2 1=Normal; 2=Abnormal
Query ctscanresult Integer Recommended Details of MRI/CT scan result(s) 1;2;3 1 = Normal; 2 = Abnormal; 3 = Unknown CTRES
Query mriscanresults Integer Recommended Details of the brain MRI result(s) 1;2;3 1 = Normal; 2 = Abnormal; 3 = Unknown MRRES
Query petres Integer Recommended Results: PET scan 1::3 1=Normal; 2=Abnormal; 3= Not Sure
Query eegresults Integer Recommended Details of the EEG result(s) 1;2;3 1 = Normal; 2 = Abnormal; 3 = Unknown EEGRES
braincomm String 250 Recommended Brain imaging comments mri003
Query vis_blind String 10 Recommended Significant visual loss or congenital blindness Yes; No; NK NK = Not known VISCORR
Query weareyeglasses Integer Recommended Does (did) the Child wear Glasses/lenses? 0;1;2 0 = No; 1 = Yes; 2 = Unknown EYESCOMM
rev_eyeoter String 255 Recommended Eyes Other/Comments: eyes
Query rev_eartest String 50 Recommended Hearing Testing:
Yes;No;NK
NK = Not known
rev_eartestages String 255 Recommended Hearing Testing: Age(S)
Query rev_eartestresult String 50 Recommended Hearing Testing: Result Normal;Abnormal;Unknown
Query hear_loss String 10 Required Deafness or significant hearing loss
Yes;No;NK
NK = Not known
Query othmem_hearingcor String 50 Recommended Hearing corrected?
Yes;No; NK
NK = Not known
Query hearcorry Integer Recommended Hearing corrected Years
Query hearcorrm Integer Recommended Hearing corrected Months
Query hearcorrage Integer Recommended Age of hearing correction (months)
Query rev_earrecuotitis String 50 Required Recurrent Otitis Media
Yes; No; NK; NS
NK= Not known; NS = Not sure
Query rev_earrecuotitisyear Integer Recommended Recurrent Otitis Media: #Year
Query recuotitisy Integer Recommended Recurrent otitis Years
Query recuotitism Integer Recommended Recurrent otitis Months
Query rev_earrecuotitisage Integer Recommended Recurrent Otitis Media: Age of Onset(in months) 0 :: 1200
Query rev_earpetube String 50 Recommended PE Tubes
Yes;No;NK
NK = Not known EAR_PETUBE
rev_earother String 255 Recommended Ears Other/Comments EARCOMM, ears, gen_med_ent_info
Query rev_mouthcleptlip Integer Recommended 48. Cleft lip
Query rev_mouthcleptpalate Integer Recommended 49. Cleft Palate 0;1 0=No; 1=Yes
Query feed_swallow_problem String 10 Recommended Has the participant demonstrated any feeding or swallowing problems?
Yes;No; NK
SWALLOW
Query rev_mouthspeechdiff String 50 Recommended Speech Difficulties
Yes;No;NK
NK = Not known SPEECH
mouthcomm String 100 Recommended Other/Comments
Query rev_teethdentalab String 50 Recommended Dental abnormalities
Yes;No;NK
NK = Not known
rev_teethdentalabdesc String 255 Recommended Dental abnormalities: Describe DENTCOMM
Query rev_neckspinalab String 50 Recommended Spinal abnormalities
Yes;No;NK
NK = Not known
rev_neckother String 255 Recommended Other/Comments NECKCOMM
Query rev_skinbirthmark String 50 Recommended Birthmarks (e.g., cafe-au-lait spots, white spots)
Yes;No;NK
NK = Not known
Query rev_skineczema String 50 Recommended Eczema
Yes;No;NK
NK = Not known
Query rev_skinabcesses String 50 Required Skin Infections/Abcesses
Yes;No;NK
NK = Not known
rev_skinother String 255 Recommended Skin Other/Comments SKINCOMM
Query rev_pulbreathab String 50 Recommended Abnormal Breathing
Yes;No;NK
NK = Not known
Query rev_pulasthma String 50 Required Asthma
Yes;No;NK
NK = Not known
Query rev_lung String 10 Recommended Lung disease Yes;No;NK NK = Not known
rev_pulother String 255 Recommended Pulmonary Other/Comments PULMCOMM, respiratory
Query rev_cardiomalfunc String 50 Required Cardiac Malformation
Yes;No;NK
NK = Not known
Query rev_cardiocyanosis String 50 Recommended Cyanosis
Yes;No;NK
NK = Not known
Query rev_rythm String 10 Recommended Abnormal rhythm or heart rate Yes;No;NK NK = Not known
rev_cardioother String 255 Recommended Cardiac Other/Comments CARDIOCOMM, cardiac_detail
Query rev_gastrodysphagia String 50 Recommended Dysphagia
Yes;No;NK
NK = Not known
Query rev_gastroreflux String 50 Required Reflux
Yes; No; NK; NS
NK= Not known; NS = Not sure
Query rev_gastrorefluxmed String 50 Required Reflux: Medication Required
Yes;No;NK
NK = Not known
Query rev_gastroother String 50 Recommended Other feeding difficulties
Yes;No;NK
NK = Not known
rev_gastroothercom String 255 Recommended Gastro Other/comments GASTROCOMM, gastrointestinal
Query rev_endoprecocious String 50 Recommended Precocious Puberty
Yes;No;NK
NK = Not known
Query endoprecociousy Integer Recommended Early puberty Years
Query endoprecociousm Integer Recommended Early puberty Months
Query rev_endoprecociousage Integer Recommended Precocious Puberty: Age(in months) 0 :: 1200
Query rev_endohypothyroidism String 50 Required Hypothyroidism
Yes;No;NK
NK = Not known mhxa24_1
Query rev_endohyperthyroidism String 50 Required Hyperthyroidism
Yes;No;NK
NK = Not known
Query rev_endodiabetes String 50 Required Diabetes
Yes;No;NK
NK = Not known mhxa2
Query rev_endodiabetestype String 50 Required Diabetes: Type
I;II;999
Query rev_endohypoglycemia String 50 Recommended Hypoglycemia
Yes;No;NK
NK = Not known
rev_endoother String 255 Recommended Endo Other/comments ENDOCOMM
Query rev_hemanemia String 50 Recommended Anemia
Yes;No;NK
NK = Not known
Query rev_hembleeddisorder String 50 Recommended Bleeding disorder
Yes;No;NK
NK = Not known
hemacomm String 100 Recommended Hematology Other/Comments
Query rev_immunorecurinfectio Integer Recommended 73. Recurrent infections (>2 pneumonia or sinus infections/yr, >8 OM /yr, abscesses) 0;1;-9 0=No;1=Yes;-9=Unknown gen_med_sinus
Query rev_immunoigdeficiency String 50 Recommended Ig Deficiency
Yes;No;NK
NK = Not known
Query rev_immunocellimmunedef String 50 Recommended Cell Mediated Immune Def.
Yes;No;NK
NK = Not known
Query rev_immunoenvallergy String 50 Required Environmental Allergies
Yes;No;NK
NK = Not known
Query rev_immunomedallergy String 50 Required Medication Allergies
Yes;No;NK;NA
NK = Not known; NA=Not Applicable cmedhx13, med_074
Query rev_immunoimmunization String 50 Recommended Immunizations
Up to date;Behind;None;NK
NK = Not known cmedhx14
Query othmem_bipolar String 50 Recommended Bipolar disorder (Manic/depression)
Yes;No; NK
NK = Not known neuro_psych_bipolar
Query othmem_depression String 50 Recommended Depression
Yes;No; NK
NK = Not known
Query othmem_anxiety String 50 Recommended Anxiety disorder
Yes;No; NK
NK = Not known
Query cfmh_othr_ocd Integer Recommended Obsessive compulsive disorder 1;0; -9 0 = No; 1 = Yes; -9 = Not known
Query othmem_schizophrenia String 50 Recommended Schizophrenia
Yes;No; NK
NK = Not known
Query othmem_selfinj String 50 Recommended Self-injuring behavior
Yes;No; NK
NK = Not known
Query othmem_adhd String 50 Recommended Attention deficit hyperactivity disorder (ADHD)
Yes;No; NK
NK = Not known
Query othmem_eatingdis String 50 Recommended Eating disorder. Bulimia, Anorexia, other
Yes;No; NK
NK = Not known neuro_psych_ed
othmem_eatingdis_type String 100 Recommended If yes, specify type
Query sleep_pat String 10 Recommended Disrupted sleep patterns Yes;No;NK NK = Not known
Query touret String 10 Required Tourette Syndrome
Yes; No; NK; NS
NK= Not known; NS = Not sure
mhcomm String 100 Recommended Mental Health Other/Comments neuro_psych_psych
Query data_derived Integer Recommended Data Derived From 1::4; 999 1 = Physical examination; 2 = Medical record; 3 = Both; 4=Parental report; 999=missing
Query mhx001aa Integer Recommended History of: Allergies - Drugs 1;2; 9 1=No; 2=Yes; 9=not evaluated allergy, mhx01a
mhx001ab String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Allergies - Drugs mhx01b
Query mhx001ba Integer Recommended History of: Allergies - Other 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated allergies_diagnosis_past_o, mhxs_q09a, q09c
mhx001b String 250 Recommended Allergies. Other (Specify:) allergies_ms
mhx001bb String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Allergies - Other
Query mhx002a Integer Recommended History of:Sensitivity to study medication(s) 1;2;9 1=No; 2=Yes;9=not evaluated
mhx002b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Sensitivity to study medication(s)
Query q19_a5 Integer Recommended HEENT (includes thryroid) 0; 1; -7; -8; -9; 999 Field should not be left blank. If missing, please use -7,8, -9. mhx003a, mhx02a, mhxa24, mhxa27_1
mhx003b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: HEENT disorder mhx02b
Query mhx004a Integer Recommended History of: Cardiovascular disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated cardio, cardiovascular_diagnosis_p, gen_med_cardiac, mhx03a, mhxa25, mhxa28_1, mhxs_q03a, q03c
mhx004b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Cardiovascular disorder mhx03b
Query mhx005a Integer Recommended History of: Renal disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated mhx04a, mhxa11, mhxs_q12a, q12a, renal_diagnosis_past_or_cu, renalgen
mhx005b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Renal disorder mhx04b
Query mhx006a Integer Recommended History of: Hepatic disorder
1::3;9
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated hepatic, hepatic_diagnosis_past_or, med_042, mhx05a, mhxa9, mhxs_q13a, q13a
mhx006b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Hepatic disorder mhx05b
Query mhx007aa Integer Recommended History of: Pulmonary disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated mhx06a, mhxs_q02a
mhx007ab String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Pulmonary disorder mhx06b
Query w1_m_cu_asthma Integer Recommended health at interview - has a history of asthma 0;1; -888; -999 0 = No; 1 = Yes; -999 = missing; -888 = not applicable mhx007ba
mhx007bb String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: History of Asthma
Query mhx008a Integer Recommended History of: Gastrointestinal disorder
1::3;9
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated gastrint, gastrointestinal_diagnosis, med_040, mhx07a, mhxa8, mhxs_q05a, q05c
mhx008b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Gastrointestinal disorder mhx007b, mhx07b
Query mhx009a Integer Recommended History of: Musculoskeletal disorder
1::3;9
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated med_052, mhx08a, mhxs_q07a, muscular, musculo_skeletal_diagnosis, q07c
mhx009b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Musculoskeletal disorder mhx08b
Query mhx010a Integer Recommended History of: Neurologic disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated central_nervous_system_pas, mhx09a, mhxa4, mhxs_q10a, q10c
mhx010b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Neurologic disorder mhx09b
Query mhx011a Integer Recommended History of: Ophthalmologic disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated mhxs_q11a, q11a
mhx011b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Ophthalmologic disorder
Query mhx012a Integer Recommended History of: Psychiatric disorder 1;2 1=No; 2=Yes
mhx012b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Psychiatric disorder
Query mhx013a Integer Recommended History of: Dermatologic disorder 1::3;9 1=No; 2=Yes;9=not evaluated dermat, dermotological_diagnosis_p, mhx10a, mhxa13a
mhx013b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Dermatologic disorder mhx10b
Query medhx_metsynd Integer Recommended Metabolic Syndrome 0::2 0 = No, 1 = Yes, 2 = Not sure mhx014a, mhx11a
mhx014b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Metabolic disorder mhx11b
Query mhx015a Integer Recommended History of: Hematologic disorder
1;2;9
1=No; 2=Yes;9=not evaluated med_057, mhx12a, mhxa15
mhx015b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Hematologic disorder mhx12b
Query mhx016a Integer Recommended History of: Endocrine disorder
1::3;9
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated endocrin, endrocrinine_metabolite_di, med_027, mhx13a, mhxa23_1, mhxs_q04a
mhx016b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Endocrine disorder mhx13b
Query mhx017a Integer Recommended History of: Genitourinary disorder 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated mhx14a, mhxs_q06a, q06c
mhx017b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Genitourinary disorder mhx14b
Query mhx018a Integer Recommended History of: Reproductive System disorder 1;2;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated
mhx018b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Reproductive disorder
Query mhx019a Integer Recommended History of: Infectious Disease
1;2;9
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated med_063, mhx15a, mhxa18
mhx019b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Infectious Disease mhx15b
Query mhx020a Integer Recommended History of: Other 1 1::3;9 1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated mhxa25_1, mhxs_q15a, other_history_past_or_curr, othergen
mhx020 String 250 Recommended Specify Other History 1 mhx016, mhxs_q15b, other_history
mhx020b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Other
Query mhx021a Integer Recommended History of: Other 2 1::3 1=No; 2=Yes; 3=Yes, Inactive mhx16a, mhxs_q16a
mhx021 String 250 Recommended Specify Other History 2 mhx16, mhxs_q16b
mhx021b String 250 Recommended If YES, Enter onset/resolved date indicate ongoing with treatment or not. If NOT EVALUATED, explain or describe below: Other mhx16b
site String 101 Recommended Site Study Site asite, mhxs_site_x, site_uid, siteid
visit String 50 Recommended Visit name int1, interval, mhxs_interval, visit_name, wave
Query daysrz Integer Recommended days since randomization mdga0b, mhxa0b, visitdt
Query fseqno Integer Recommended Sequence Number 0::999 The FSEQNO variable in the ADJ form has a special interpretation compared to other forms. For example, ADJ FSEQNO of '1' can be thought of as being '001', FSEQNO of '2' can be thought of as being '002', and FSEQNO of '3' can be thought of as being '003'. The first digit of FSEQNO relates to the corresponding ENF sequence number at that visit and the third digit relates to the specific adjudicator who completed the adjudication form.
version_form String 100 Recommended Form used/assessment name form_name, vers
Query baseline_k_006 Integer Recommended Stroke 0;1; -888; -999 0=No; 1=Yes; -888=Not Applicable; -999=Missing; mdga1, med_006, mhxa1a, neuro_psych_stroke, stroke_tia, stroke_yn
Query mhxa1b Integer Recommended Date crisis resolved (physician determination): mdga2_a
Query mhxa1c Integer Recommended Coronary artery disease 0;1; -9 0=No; 1=Yes; -9 =NK mdga3, med_010
Query mhxa1d Integer Recommended Angina 0;1 0=No; 1=Yes mdga4, med_012
Query mhxa1e Integer Recommended Heart attack/ myocardial infarction 0;1; -9; 9 0=No; 1=Yes; 9=not evaluated; -9=unknown mdga5, med_014
Query mhxa1f Integer Recommended Peripheral vascular disease 0;1 0=No; 1=Yes mdga6, med_016
Query mhxa1g Integer Recommended Abdominal aortic aneurysm 0;1 0=No; 1=Yes mdga7, med_018
Query mhxa1h Integer Recommended Congestive heart failure 0;1 0=No; 1=Yes mdga8, med_020
Query quesmoth_probhighbp String 50 Recommended Hypertension (High blood pressure)
Yes;No;Don't Know
dx3, mdga9, med_022, mhxa1i
Query mhxa2a Integer Recommended If yes, Is the patient now prescribed insulin? 0;1;999 0=No; 1=Yes;999= legitimiately skipped med_024
Query mhxa2b Integer Recommended If yes, Is the patient now prescribed an oral hypoglycemic agent? 0;1;999 0=No; 1=Yes;999= legitimiately skipped med_025
Query baseline_k_004 Integer Recommended HIV 0;1; -888; -999 0=No; 1=Yes; -888=Not Applicable; -999=Missing; mdga17, med_026, mhxa3
Query mhxa5 Integer Recommended Eyes 0;1 0=No; 1=Yes med_031
Query mdga2 Integer Recommended Eye, Ears, Nose or Throat 0;1 1=Yes; 0=No eyesnose, gen_med_ent, med_033, mhxa6
Query mhxa7a Integer Recommended Chronic Obstructive Pulmonary Disease 0;1 0=No; 1=Yes copd, mdga14a, med_036
Query mhxa7b Integer Recommended Other pulmonary disease 0;1 0=No; 1=Yes mdga15, med_038
Query hepat Integer Recommended Hepatitis 1;0;-7; -9 0=No; 1=Yes;-7=Refused; -9 =unknown mdga19, med_044, mhxa10
Query medhx_genital Integer Recommended Genital Problems 0::2 0 = No, 1 = Yes, 2 = Not sure mhxa12
Query mhxa14a Integer Recommended Musculoskeletal: Osteoarthritis 0;1 0=No; 1=Yes med_053
Query mhxa14b Integer Recommended Musculoskeletal: Osteoporosis 0;1 0=No; 1=Yes mdga16, med_055
Query mhxa16 Integer Recommended Immune System (include allergies) 0;1 0=No; 1=Yes med_059
Query mhxa17 Integer Recommended Other Sexually Transmitted Diseases 0;1 0=No; 1=Yes mdga18, med_061
Query baseline_k_003 Integer Recommended Cancer 0;1; -888; -999 0=No; 1=Yes; -888=Not Applicable; -999=Missing; med_065, mhxa19
Query medhx_surg Integer Recommended Major Surgeries? 0::2 0 = No, 1 = Yes, 2 = Not sure med_067, mhxa20, surgery
Query q21_5f Integer Recommended Other major illness or injury 0; 1; -7; -8; -9; 999 Field should not be left blank. If missing, please use -7, 8, -9. mdga20, med_069, mhxa21
Query hysterec Integer Recommended hysterectomy 0;1;-7; 888; 999 0=No; 1=Yes; -7=Refused; 888=N/A; 999=missing data hysterec_yn, med_071, mhxa22
Query mhxa22a Integer Recommended If Yes, with oophorectomy? (Y/N/U) 0;1;2;999 0=No; 1=Yes; 2= Unknown;999= legitimiately skipped
Query mxha17 String 20 Recommended General Appearance/Skin
A;N
A=Abnormal; N=Normal med_146, mhxa23, mhxa26_1
Query mxha20 String 20 Recommended Chest
A;N
A=Abnormal; N=Normal med_140, mhxa26, mhxa29_1
Query mhxa27 Integer Recommended Abdominal 0;1 0=Abnormal; 1=Normal mhxa30
Query mxha22 String 20 Recommended Extremities/Joints A;N A=Abnormal; N=Normal mhxa28, mhxa31
Query mhxa29 Integer Recommended Neurological 0;1 0=Abnormal; 1=Normal mhxa32
Query mdga10 Integer Recommended Diagnosed with: Hyperlipidemia 0;1; -9 0=No; 1=Yes; -9=unknown
Query mdga11a Integer Recommended Diagnosed with: Other heart disease 0;1 0=No; 1=Yes heart_disease
Query mdga12 Integer Recommended Diagnosed with: Diabetes Type I (insulin dependent) 0;1 0=No; 1=Yes
Query mdga13 Integer Recommended Diagnosed with: Diabetes Type II 0;1 0=No; 1=Yes
mdga20a String 150 Recommended Medical Illness 1
mdga20b String 150 Recommended Medical Illness 2
mdga20c String 150 Recommended Medical Illness 3
mdga20d String 150 Recommended Medical Illness 4
mdga20e String 150 Recommended Medical Illness 5
mdga20f String 150 Recommended Medical Illness 6
Query ch20prob Float Recommended 10 Year Probability Of CHD
study String 100 Recommended Study mhxs_studyid, studyid
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified formcomp, frmcomp
Query subtrial_name Integer Recommended Name of subtrial 1::3 1=Crossover; 2=Guanfacine; 3= Open Label MPH
Query mhalldre Integer Recommended Allergies Drugs 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhallote Integer Recommended Allergies Other 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated mhx001a, q09a
Query mhsensme Integer Recommended Sensitivity to study medication(s) 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhheente Integer Recommended HEENT Disorder 1::4;-9;9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown;4=Yes; 9=not evaluated
Query mhcardie Integer Recommended Cardiovascular Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated q03a
Query mhrenale Integer Recommended Renal Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated q12c
Query mhhepate Integer Recommended Hepatic Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated q13c
Query mhpulmne Integer Recommended Pulmonary Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhasthme Integer Recommended History of Asthma 1::4;-9;9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown;4=Yes; 9=not evaluated
Query mhgastre Integer Recommended Gastrointestinal Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated gen_med_gastro, mhx007a, q05a
Query mhmusske Integer Recommended Musculoskeletal Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated gen_med_muscoskeletal, q07a
Query mhneuroe Integer Recommended Neurologic Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated q10a
Query mhophthe Integer Recommended Ophthalmologic Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated q11c
Query mhpsyche Integer Recommended Psychiatric Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhdermae Integer Recommended Dermatologic Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhmetabe Integer Recommended Metabolic Disorder 1::4;-9;9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown;4=Yes; 9=not evaluated q01c, q25
Query mhhemate Integer Recommended Hematologic Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhendoce Integer Recommended Endocrine Disorder
1::3; -9; 9
1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated gen_med_endocrine, q04a
Query mhgenure Integer Recommended Genitourinary Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated gen_med_kidney, q06a
Query mhreproe Integer Recommended Reproductive System Disorder 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhinfece Integer Recommended Infectious Disease 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhothr1 Integer Recommended Other 1 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhothr2 Integer Recommended Other 2 1::3; -9; 9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown; 9=not evaluated
Query mhsur Integer Recommended Any surgeries 0;1 0=No; 1=Yes
Query mhsur1e Integer Recommended Major Surgery 1 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown gen_med_surgery
Query mhsur2e Integer Recommended Major Surgery 2 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown
Query mhsur3e Integer Recommended Major Surgery 3 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown
Query mhsur4e Integer Recommended Major Surgery 4 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown
Query mhsur5e Integer Recommended Major Surgery 5 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown
Query mhpbirth Integer Recommended Other condition premature birth 1;2 1=Yes 2=No cmedhx6
Query mhcoord Integer Recommended Other condition coordination problem 1;2 1=Yes 2=No
Query mhspeech Integer Recommended Other condition speech delay 1;2 1=Yes 2=No
Query mhlang Integer Recommended Other condition language difficulty 1;2 1=Yes 2=No
Query mhlearn Integer Recommended Other condition learning disability 1;2; -9 1=Yes 2=No; -9=NK
Query mhsur1dt Integer Recommended Major Surgery 1 Date in days from the randomization date (MHSUR1DT = Date of surgery - randomization date) Date of the surgery was assumed to be 15th of the month
Query mhsur2dt Integer Recommended Major Surgery 2 Date in days from the randomization date (MHSUR2DT = Date of surgery - randomization date) Date of the surgery was assumed to be 15th of the month
Query mhsur3dt Integer Recommended Major Surgery 3 Date in days from the randomization date (MHSUR3DT = Date of surgery - randomization date) Date of the surgery was assumed to be 15th of the month
Query mhsur4dt Integer Recommended Major Surgery 4 Date in days from the randomization date (MHSUR4DT = Date of surgery - randomization date) Date of the surgery was assumed to be 15th of the month
Query mhsur5dt Integer Recommended Major Surgery 5 Date in days from the randomization date (MHSUR5DT = Date of surgery - randomization date) Date of the surgery was assumed to be 15th of the month
session_id String 20 Recommended session ID/screening ID screeningid
medhxevt String 250 Recommended Medical history Event
medhxdsc String 250 Recommended Medical history event Description
medhxmth String 30 Recommended Medical History event Month
Query medhxyr Integer Recommended Medical History event Year
Query medhxprs Integer Recommended Medical history event Currently Present? 1;2 1=Yes; 2=No
Query nervsys Integer Recommended Nervous system disorders (other than MD) 0;1 0=No;1=Yes
Query medhx_respprob Integer Recommended Respiratory Problems 0::2 0 = No, 1 = Yes, 2 = Not sure gen_med_respiratory, med_035, other_resp, respir
Query lymph Integer Recommended Hematopoietic-Lymphatic disorders 0;1 0=No;1=Yes
Query malig Integer Recommended Malignancy 0;1 0=No;1=Yes
Query scrn09b Integer Recommended Alcohol abuse 0;1 0=No; 1=Yes alcabuse, neuro_psych_substance
Query curalc Integer Recommended Current alcohol use 0;1 0=No;1=Yes alcohol
Query curalcfr Integer Recommended Current alcohol use frequency 1::5 1=Occasional (<1 drink/week); 2=Occasional (1-2 drinks/week); 3=Occasional (?3 drinks/week); 4=Most days of the week (1-2 drinks/day); 5= Most days of the week (?3 drinks/day) alcohol_2
Query ysua Integer Recommended Abuse. Other drug abuse/dependence. Diagnosis for other substance abuse 0 :: 1 0 = Absent; 1 = Present subsbuse
Query male Integer Recommended Is the subject male? 0;1 0=No;1=Yes
Query menopaus Integer Recommended Depression from menopause 0;1 0=No;1=Yes
Query rlhqlql Integer Recommended Patient's status is childbearing potential
1;2;9
1=No; 2=Yes; 9=unknown childbr
Query contrcep Integer Recommended Any contraception use 0;1 0=No;1=Yes current_contraceptives
Query age1stmp Integer Recommended first menstrual period 999= NA mensage
Query numpreg Integer Recommended number of pregnancies pregnum
Query lbirth Integer Recommended Live births livebrth
Query miscar Integer Recommended Number of miscarriages mscarnum
Query abort Integer Recommended Abortions abortnum
Query oralcntr Integer Recommended Has the patient ever taken oral contraceptives 0;1 0=No;1=Yes
Query postpart Integer Recommended Postpartum 1;0;-7 0=No; 1=Yes;-7=Refused postprtm
Query useoral Integer Recommended Depression from oral contraceptives 0;1 0=No;1=Yes
Query pms Integer Recommended Depression from PMS 0;1 0=No;1=Yes
Query menostas Integer Recommended Menopause status 1::3 1=Post-menopausal (natural or surgical); 2=Peri-menopausal; 3=Pre-menopausal
Query mnpsage Integer Recommended Age of menopause (Years) menoage
Query estrogen Integer Recommended hormone replacement therapy 0;1;-7 0=No; 1=Yes; -7=Refused takehorm
Query menscaus Integer Recommended Menopause due to: 1::3 1=Natural; 2=Surgery (ovaries removed); 3=Chemotherapy or radiation
Query agelast Integer Recommended Age of last normal menstrual period
Query me3 Integer Recommended Did the patient have a hysterectomy? 0;1 0=No; 1=Yes posthyst
Query regmense Integer Recommended Regular menstrual periods 0;1; 999 0=No;1=Yes; 999=NA regular_periods
Query mensdays Integer Recommended Average menstrual cycle length
Query condom Integer Recommended BC: Condom 0;1 0=No;1=Yes
Query spermcd Integer Recommended BC: Spermicide 0;1 0=No;1=Yes
Query bcp Integer Recommended Oral Birth Control Pill 0;1 0=No; 1=Yes brthcntrl
Query iud Integer Recommended Use of IUD 0;1 0=No;1=Yes
Query implant Integer Recommended BC: Implant 0;1 0=No;1=Yes
Query tuballig Integer Recommended BC: Tubal ligation 0;1 0=No;1=Yes
Query controth Integer Recommended Use of other birth control 0;1 0=No;1=Yes
Query lasatmense Integer Recommended Premenopause last menstrual date
Query mpdatm Integer Recommended Date of last menstrual period begin_last_period, mensesdt
Query phase Integer Recommended Phase 9 =follow up
Query days_baseline Integer Recommended Days since baseline date, lof
Query week Float Recommended Week in level/study 99=week 10-week 14
midihist_002a String 250 Recommended Allergies- Other Specified mhxs_q09b
midihist_003a String 250 Recommended HEENT Disorder explain or describe
midihist_013a String 250 Recommended Hepatic Disorder describe hepatic, mhxs_q13b
midihist_012a String 250 Recommended Renal Disorder describe mhxs_q12b, renal_gento_urinary
midihist_014a String 250 Recommended Pulmonary Disorder describe mhxs_q02b
midihist_015a String 250 Recommended Gastrointestinal Disorder describe gen_med_gastro_info, mhxs_q05b
midihist_016a String 250 Recommended Musculoskeletal Disorder describe gen_med_muscoskeletal_info, mhxs_q07b, mhxs_q08b, musculo_skeletal
midihist_017a String 250 Recommended Neurologic Disorder describe central_nervous_sustem, mhxs_q10b
midihist_018a String 250 Recommended Dermatologic Disorder describe dermotological
midihist_020a String 250 Recommended Hemotologic Disorder describe gen_med_blood_info
endocmt String 250 Recommended Endocrine/Diabetes comments endrocrinine_metabolite, gen_med_endocrine_info, mhxs_q04b
midihist_025a String 250 Recommended Genitourinary Disorder describe gen_med_kidney_info, mhxs_q06b
midihist_026a String 250 Recommended Infectious Disease describe
midihist_040a String 250 Recommended Other medical history 1 describe
mhx003b_1 String 250 Recommended Explain Cardiovascular disorder history cardiovascular, mhxs_q03b
mhx011b_1 String 250 Recommended Explain Metabolic disorder history mhxs_q01b
lab020 Date Recommended Date of PI/clinician signature date_con_review_inves_1, mhx017
Query fmri001 Integer Recommended Was a Bold fMRI performed on this subject? 0;1;-9 0=No; 1=Yes; -9=Unknown
fmri002 Date Recommended When was the Bold fMRI performed?
fmri003 String 200 Recommended fMRI comments
Query mrs001 Integer Recommended Was a Glx MRS performed on this subject? 0;1;-9 0=No; 1=Yes; -9=Unknown
mrs002 Date Recommended When was the Glx MRS performed?
mrs003 String 200 Recommended Glx MRS: Comments
Query visday Integer Recommended Number of days from study baseline to date of visit daymedhxc
Query respondent String 20 Recommended Respondent
Mother;Father;Both; Child; Other; Parent
nfmedhxc
respond_detail_oth_spec String 255 Recommended Respondent details infrmoth, respiratory_detail
Query fh07 Integer Recommended 7. Subject adopted 0;1;9 adopted
Query cmedhx3 Integer Recommended Take any medications other than vitamins and iron? 0;1 0 = No;1 = Yes
Query cmedhx9 Integer Recommended Did the baby have any other trouble? (Jaundice, infections, other?) 0;1 0 = No;1 = Yes
Query cmedhx10 Integer Recommended How many days did the baby stay in the hospital after birth?
Query daycmedh11a Integer Recommended Study Day of last medical exam
Query cmedhx14a Integer Recommended Any bad reactions to immunizations? 0;1 0 = No;1 = Yes
Query cmedhx18 Integer Recommended Are any current medications taken regularly? 0;1 0 = No;1 = Yes
Query cmedhx19 Integer Recommended Are there any past medications which were taken regularly? 0;1 0 = No;1 = Yes
Query cmedhx20 Integer Recommended Any operations? 0;1 0 = No;1 = Yes
Query cmedhx21 Integer Recommended Has your child had frequent ear infections? 0;1 0 = No;1 = Yes
Query cmedhx25 Integer Recommended Is there asthma, recurrent cough or any lung problems? 0;1 0 = No;1 = Yes
Query cmedhx27 Integer Recommended Any problems with urination? 0;1 0 = No;1 = Yes
Query cmedhx28 Integer Recommended Any problems with diarrhea or constipation? 0;1 0 = No;1 = Yes
Query cmedhx29 Integer Recommended Have there been any convulsions or other problems with the nervous system? 0;1 0 = No;1 = Yes
Query cmedhx30 Integer Recommended Any eczema, hives, or other skin conditions? 0;1 0 = No;1 = Yes med_050, skin_yn
Query cmedhx31 Integer Recommended Has your child ever been anemic? 0;1 0 = No;1 = Yes
Query cmedhx34 Integer Recommended Any hormonal problems? 0;1 0 = No;1 = Yes
Query cmedhx37 Integer Recommended Any history of physical and/or sexual abuse? 0;1 0 = No;1 = Yes
Query cmedhx38 Integer Recommended Any other medical problems? 0;1 0 = No;1 = Yes
illness_pregnancy String 200 Recommended did the mother experience any illnesses during pregnancy Yes; No cmedhx2
Query presmed_alcohol String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Drink alcohol
Yes;No
cmedhx4
Query presmed_smoke String 50 Recommended In this pregnancy, did the birth mother do any of the following activities - Smoke cigarettes or other tobacco products
Yes;No;999
999=NA/missing cmedhx5
Query height_std Float Recommended Height - Standard Unit -1 = Not known height
Query othmem_foodallergy String 50 Recommended Food Allergy
Yes;No
cmedhx13a, med_076
Query hi_81e Integer Recommended Past two years. Bee or Insect Sting Allergies 0;1 0=No; 1=Yes cmedhx13b
hospitalizations String 200 Recommended has the subject had any hospitalisations cmedhx15, p7902devhisthospitalizations
Query tc9 Integer Recommended Life threatening illness and/or serious injury 1;2;-99;77;88 1= Yes; 2= No; -99= NA; 77= Refused ; 88= Missing cmedhx16
Query edihea Integer Recommended Head injury
0;1;2;9; -999
0 = No; 1 = Possible; 2 = Definite; 9 = Not answered/Not evaluated; -999= Don't know/Missing Data cmedhx17, neuro_psych_tbi
Query visionproblems Integer Recommended Vision: Does (did) the subject have Vision/eye problems?
0;1;2
0 = No/False; 1 = Yes/True; 2 = Unknown cmedhx22
Query q17_b11 Integer Recommended Any problem with mouth lips or teeth -7;-8;-9;0;1 Field should not be left blank. If missing please use -78 -9. cmedhx23
Query wk_sore_throat Integer Recommended 42. Sore throat 0;1 No = 0; Yes = 1; cmedhx24
Query q17_b14 Integer Recommended Has she/he ever been to a doctor for any of these things…Problems with Heart /Problemas del corazón 0::2 0 = No, 1 = Yes, 2 = Not sure//Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life. cmedhx26
Query medhx_kidur Integer Recommended Kidney/Urinary Problems 0::2 0 = No, 1 = Yes, 2 = Not sure cmedhx32, kidney_yn, med_046
Query elig_18 Integer Recommended Liver disease 0;1 0=No; 1=Yes cmedhx33
Query cfmh_othr_migraine Integer Recommended Migraine headaches 0;1; -9 0 = No; 1 = Yes; -9=unknown cmedhx35, dx14, migraine_yn
Query medhx_sleep_prob String 50 Recommended Does subject have sleep problems?
Yes; No
cmedhx36
Query chronic2 Integer Recommended Type of chronic illness - Asthma 1;2 1=no; 2=yes dx1
Query diabetes Integer Recommended Diabetes, or problems with blood sugar levels, if so are you insulin dependant 1::4;999 1 = No; 2 = Yes, in the past; 3 = Yes, currently; 4 = Under doctor's care now dx2
Query medcon_dx4 Integer Recommended Arthritis or rheumatism 0;1 0=No; 1=Yes dx4
Query medcon_dx5 Integer Recommended Cancer diagnosed within the last 3 years 0;1 0=No; 1=Yes dx5
Query medcon_dx6 Integer Recommended A neurological condition, such as epilepsy, convulsions, fainting spells, or Parkinsons disease 0;1 0=No; 1=Yes dx6, med_029
Query medcon_dx7 Integer Recommended Stroke or major paralysis (inability to use arms or walk) 0;1 0=No; 1=Yes dx7
Query baseline_k_002 Integer Recommended Heart disease or heart attack 0;1; -888; -999 0=No; 1=Yes; -888=Not Applicable; -999=Missing; dx8, heartatk_yn
Query medcon_dx9 Integer Recommended Back problems including disk or spine 0;1 0=No; 1=Yes dx9
Query scq_05 Integer Recommended Ulcer or Stomach Disease 0;1 0=No; 1=Yes dx10, ulcer_yn
Query medcon_dx11 Integer Recommended Chronic inflamed bowel, enteritis, or colitis 0;1 0=No; 1=Yes dx11
Query cfmh_othr_thyroiddis Integer Recommended Thyroid Disease 1;0; -9 0 = No; 1 = Yes; -9=Unknown dx12
Query medcon_dx13 Integer Recommended Kidney failure 0;1 0=No; 1=Yes dx13
Query medcon_dx15 Integer Recommended Do you have trouble seeing even with glasses or contact lenses 0;1 0=No; 1=Yes dx15
Query medcon_dx16 Integer Recommended Not including asthma, has a doctor told you that you have chronic lung disease such as chronic bronchitis or emphysema? 0;1 0=No; 1=Yes dx16
Query medcon_dx17 Integer Recommended Do you have a physical disability such as a loss of an arm or leg, or loss of your eyesight or hearing or a birth defect that limits your ability to do daily activities? 0;1 0=No; 1=Yes dx17
Query dusa1a Integer Recommended If yes, on average, how many cigarettes per day have you smoked in the past 7 days? 0::100; 999 999= Legitimately skipped dx18
Query cig_smoking1_100 Integer Recommended Have you smoked at least 100 cigarettes in your entire life? PX030601_Cigarette_Smoking_100 1;2;97 1=Yes; 2=No; 97=Don't Know/Refused dx18a
Query weight_met Float Recommended Weight - Metric Unit dx19, med_104
Query medcon_dx21 Integer Recommended How often do you get physical exercise, either on your job or in a recreational activity? 1::4 1=regularly; 2= occasionally; 3= seldom; 4= never dx21
Query clinicid Integer Recommended Clinic ID aclinic
Query interv Integer Recommended Intervention Status 0;1 1=ITV, intervention; 0=TAU, treatment as usual
Query tchronds Integer Recommended Number of major chronic medical conditions
Query rchronds Float Recommended square root of total chronic diseases
Query chronds3 Integer Recommended major chronic medical conditions 1=none;2=one;3=two or more
Query chron0 Integer Recommended no major chronic medical conditions 0;1 0=No;1=Yes
Query chron1 Integer Recommended 1 major chronic medical condition 0;1 0=No;1=Yes
Query chron2 Integer Recommended 2 or more major chronic medical conditions 0;1 0=No;1=Yes
date_updated Date Recommended Date record updated edit_date
Query mhxa1b_1 Integer Recommended Cardiovascular Disorders: Transient Ischemic Attacks, TIAs 0;1 0=No;1=Yes med_008
Query mhxa33 String 2 Recommended Other illness/disease A;N A=Abnormal; N=Normal
Query mhxs_q01a Integer Recommended Metabolic History 1::3 1=No; 2=Yes; 3=Yes, Inactive q01a
Query mhxs_q08a Integer Recommended Skin/Appendages History 1::3 1=No; 2=Yes; 3=Yes, Inactive q08c
Query mhxs_q01c Integer Recommended Metabolic Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q02c Integer Recommended Respiratory/Pulmonary Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q03c Integer Recommended Cardiovascular Disease Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q04c Integer Recommended Endocrinological System Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q05c Integer Recommended Gastrointestinal System Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q06c Integer Recommended Genitourinary/Reproductive Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q07c Integer Recommended Musculoskeletal System Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q08c Integer Recommended Skin/Appendages Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q09c Integer Recommended Allergies Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q10c Integer Recommended Neurological System Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q11c Integer Recommended Ophthalmologic Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q12c Integer Recommended Renal Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q13c Integer Recommended Hepatic Significance 1;2 1= Yes, significant; 2= Not signifiant
Query mhxs_q14c Integer Recommended Hematopoietic System Significance 1;2 1= Yes, significant; 2= Not signifiant
mhxs_q11b String 250 Recommended Ophthalmologic Description
Query mhxs_q14a Integer Recommended Hematopoietic System History 1::3 1=No; 2=Yes; 3=Yes, Inactive hematopoietic_lymphatic_di, q14a
mhxs_q14b String 250 Recommended Hematopoietic System Description hematopoietic_lymphatic
mhxs_q15 String 45 Recommended Other 1 Name gen_med_other
Query mhxs_q15c Integer Recommended Other 1 Significance 1;2 1= Yes, significant; 2= Not signifiant gen_med_other_info
mhxs_q16 String 45 Recommended Other 2 Name
Query mhxs_q16c Integer Recommended Other 2 Significance 1;2 1= Yes, significant; 2= Not signifiant
mhxs_q17 String 30 Recommended Other 3 Name
Query mhxs_q17a Integer Recommended Other 3 History 1::3 1=No; 2=Yes; 3=Yes, Inactive
mhxs_q17b String 250 Recommended Other 3 Description
Query mhxs_q17c Integer Recommended Other 3 Significance 1;2 1= Yes, significant; 2= Not signifiant
mhxs_q18 String 30 Recommended Other 4 Name
Query mhxs_q18a Integer Recommended Other 4 History 1::3 1=No; 2=Yes; 3=Yes, Inactive
mhxs_q18b String 250 Recommended Other 4 Description
Query mhxs_q18c Integer Recommended Other 4 Significance 1;2 1= Yes, significant; 2= Not signifiant
Query visitday Integer Recommended day of visit mhxs_visitdat_x, studyday
Query medhisx_q02a Integer Recommended Respiratory/Pulmonary System 1::3 1=No; 2=Yes; 3=Yes, Inactive q02a, respiratory_diagnosis_past
Query medhisx_q02c Integer Recommended Respiratory/Pulmonary Clin. Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q02c
Query medhisx_q04c Integer Recommended Endocrinological System Clin. Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q04c
Query medhisx_q08a Integer Recommended Skin/Appendages 1::3 1=No; 2=Yes; 3=Yes, Inactive q08a
Query medhisx_q14c Integer Recommended Hematopoietic System Clinically Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q14c
Query medhisx_q15a Integer Recommended Other 1 1::3 1=No; 2=Yes; 3=Yes, Inactive q15a
Query medhisx_q15c Integer Recommended Other 1 Clinically Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q15c
Query medhisx_q16a Integer Recommended Other 2 1::3 1=No; 2=Yes; 3=Yes, Inactive q16a
Query medhisx_q16c Integer Recommended Other 2 Clinically Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q16c
Query medhisx_q17a Integer Recommended Other 3 1::3 1=No; 2=Yes; 3=Yes, Inactive q17a
Query medhisx_q17c Integer Recommended Other 3 Clinically Relevant 1::3; -9 1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown q17c
Query medhisx_q18 Integer Recommended Adverse Psycho-social 1;2;9 1=Yes; 2=No; 9=Not applicable q18
Query medhisx_q19 Integer Recommended Fragile X Syndrome 1;2;9 1=Yes; 2=No; 9=Not applicable q19
Query medhisx_q20 Integer Recommended Cornelia De Lange Syndrome 1;2;9 1=Yes; 2=No; 9=Not applicable q20
Query medhisx_q21 Integer Recommended Landau-Kleffner Syndrome 1;2;9 1=Yes; 2=No; 9=Not applicable q21
Query medhisx_q22 Integer Recommended Sturge Weber Syndrome 1;2;9 1=Yes; 2=No; 9=Not applicable q22
Query medhisx_q23 Integer Recommended Other Genetic Syndrome 1;2;9 1=Yes; 2=No; 9=Not applicable q23
Query medhisx_q24 Integer Recommended Neurofibromatosis 1;2;9 1=Yes; 2=No; 9=Not applicable q24
Query medhisx_q27 Integer Recommended Conigenital Rubella Exposure 1;2;9 1=Yes; 2=No; 9=Not applicable q27
Query ci_enrolled Integer Recommended Participant enrolled 0;1 0=No; 1=Yes enrolled
Query sitedatasource_1 Integer Recommended Source of Data: Site 0;1; -888; -999 0=False; 1=True; -888=Not Applicable; -999=Missing; infosrcr
Query sitedatasource_phone Integer Recommended Source of Data: Telephone 0;1; -888; -999 0=False; 1=True; -888=Not Applicable; -999=Missing; infosrct
Query sitedatasource_physician Integer Recommended Source of Data: Physician 0;1; -888; -999 0=False; 1=True; -888=Not Applicable; -999=Missing; infosrcp
Query anymedhist Integer Recommended No Medication History 1;2 1= Yes; 2= No nomeds
Query ad_exc11 Integer Recommended Current use of antidepressants or anticonvulsants 0;1 0=No; 1=Yes antimed
medication_name String 255 Recommended Name of medication medname
cmind String 200 Recommended Indication purpind
Query cmroute Integer Recommended Route
1::17;99;999
1 = oral; 2 = intravenous; 3 = subcutaneous; 4 = topical; 5 = inhalation; 6 = transdermal; 7 = rectal; 8 = intramuscular; 9 = sublingual; 10 = PEG; 99 = Other (specify); 999 =unknown; 11=oral/intramuscular; 12 = Nasal; 13 = Vaginal; 14 = Auricular; 15 = Intra-articular; 16 = Intraocular; 17 = Depot route
cmrouto String 200 Recommended Route other specify
ddose String 50 Recommended daily dose -9=unknown dose
Query cmunit Integer Recommended Units
1::29; 99
1 = micrograms (mkg); 2 = milligrams (mg); 3 = grams (g); 4 = tablet(s); 5 = capsule(s); 6 = gtt; 7 = meq; 8 = international units (IU); 9 = units (U); 10=Percent (%); 11=Compount/more than one medicine combind; 12=Grains (gr); 13=mg/kg; 99 = Other (specify); 14 = ml; 15 = mg/mL; 16 = mcg/mL; 17 = tbls; 18 = 3tts; 19 = cc; 20 = ss; 21 = puff; 22 = spray/squirt; 23 = suppository; 24 = teaspoon; 25 = uL; 26 = unknown; 27 = oz;28=millicurie; 29=microcurie units
cmunito String 200 Recommended Unit other specify
Query cmfreq Integer Recommended Frequency
1::31;99
1 = QD; 2 = BID; 3 = TID; 4 = QID; 5 = QHS; 6 = CONT IV; 7 = PRN; 8=Q4H; 9=Q6H; 10=Q8H; 11=Q12H; 12=BIS; 13=QS; 14=QM; 15=U; 99 = Other (specify); 16=QOD; 17=qam; 18=qw; 19=q30m; 20=q1h; 21=q5h; 22=biw; 23=qpm; 24=q15m; 25=q3h; 26 = q6pm; 27=tiw; 28 = ac; 29 = q2h;30=once; 31=Unknown freq
cmfreqo String 200 Recommended Frequency other specify
Query startdy Integer Recommended Start Day adddate
Query endday Integer Recommended Stop Day stopdate
Query cmcont Integer Recommended Continuing at end of study? 1;2 1=Yes; 2=No continue
comments String 4,000 Recommended Comments about assessment co_notes, med_compliance_comments, medical_history
labsample29 String 10 Recommended Date of last menstrual period NA=if male or pre-puberty lmp_date
Query reason_irregular_period Integer Recommended Reason for irregular period 0::3 0= Surgical Menopause;1= Natural Menopause;2= Non-Menopausal;3= Birth Control
Query smoker Integer Recommended Smoker? 0;1; 9 0=No; 1=Yes; 9=NK/missing co_current_smoke_yn, smoking, smoking_status
Query quantity_currentuse Float Recommended Number of cigarettes smoked per day 0 :: 500 cigs_per_day
Query cr3c Float Recommended Tobacco Use: If yes, smoked: Number of pack-years co_pack_years, pack_years
current_medication String 300 Recommended subject's current medications meds
Query drug_class Integer Recommended Drug Class 1::6 1= Antidepressants;2= Mood Stabilizers;3= Sedatives;4= Antipsychotics;5= Stimulants;6= Other
Query antidepressants Integer Recommended Antidepressants 1= Anafranil (clomipramine hydrchloride);2= Asendin (amoxapine);3= Celexa (citalopram hydrobromide);4= Desyrel (trazodone);5= Effexor (venlafaxine);6= Lexapro (escitalopram oxalate);7= Ludiomil (maprotiline);8= Luvox (fluvoxamine);9= Marplan (isocarboxazid);10= Nardil (phenelzine sulfate);11= Norpramin (desipramine);12= Pamelor/Aventyl (nortriptyline);13= Parnate (tranylcypromine);14= Paxil (paroxetine);15= Prozac (fluoxetine);16= Remeron (mirtazapine);17= Serzone (nefazodone);18= Sinequan (doxepine);19= Surmontil (trimipramine);20= Tofranil (imipramine);21= Vivactil (protriptyline);22= Wellbutrin (bupropion);23= Zoloft (sertraline);24= Cymbalta (duloxetine)
Query mood_stabilizers1 Integer Recommended Mood Stabilizers 1= Lamictal (lamotrigine);2= Lithium;3= Tegretol (carbamazepine);4= Valproic Acid (depakene= depakote) mood_stabilizers
Query sedatives1 Integer Recommended Sedatives / Hypnotics / Minor Tranquilizers 1= Ambien (zolpidem= midzolam);2= Atarax (hydroxyzine);3= Ativan (lorazepam);4= Benadryl (diphenhydramine);5= Buspar (buspirone);6= Dalmane (flurazepam hydrochloride);7= Halcion (triazolam);8= Klonopin (clonazepam);9= Librium (chlordiazepoxide);10= Miltown/Equanil (meprobamate);11= Noctec (chloral hydrate);12= Placidyl (ethchlorvynol);13= Restoril (temazepam);14= Seconal (secobarbital);15= Serax (oxazepam);16= Tranzene (chlorazepate);17= Valium (diazepam);18= Xanax (alprazolam) sedatives
Query antipsychotics1 Integer Recommended Antipsychotics 1= Abilify (ariprapizole);2= Clozaril (clozapine);3= Geodon (ziprasidone);4= Haldol (haloperidol);5= Loxitane (loxapine);6= Mellaril (thioridazine);7= Moban (molindone);8= Navane (thiothixene);9= Prolixin (fluphenazine);10= Risperdal (risperidone);11= Serentil (mesoridazine);12= Seroquel (sertindole);13= Stelazine (trifluoperazine);14= Thorazine (chlorpromazine);15= Trilafon (perphenazine);16= Zyprexa (olanzapine) antipsychotics
Query stimulants1 Integer Recommended Stimulants 1= Adderall (amphetamine/dextroamphetamine);2= Concerta (methylphenidate hydrochloride);3= Cylert (pemoline);4= Dexedrine (amphetamine);5= Metadate (methylphenidate hydrochloride);6= Provigil (modafinil);7= Ritalin (methylphenidate) stimulants
Query other_drugs1 Integer Recommended Other Drugs 1= Neurontin (gabapentin);2= Trileptal (oxycarbazepine [anti-epileptic]);3= Topamax (topiramate [anti-epileptic]);4= Strattera (atomoxetine [norepinephrine reuptake blocker]);5= Symbyax (olanzapine and fluoxetine hydrochloride) other_drugs
Query macnumep Integer Recommended Total number of episodes of manic syndrome, including current 99 = too numerous or indistinct to count; -9=Unknown lifetime_episodes_mania
Query manic_age Integer Recommended Manic and Hypomania Age of Onset -9=Unknown age_of_onset_mania
Query depr_onset Integer Recommended Depression age of onset age_of_onset_depression
Query lifetime_episodes_depression Integer Recommended Number of lifetime depressed episodes
Query recent_episode Integer Recommended Most recent episode 1::5 1= Depression;2= Hypomania;3= Mania;4= Mixed;5= Unknown
recent_episode_notes String 255 Recommended Approximate dates/notes about recent episode
Query age_concern_yr Integer Recommended Age of first developmental concern (years) 0::100 agedevelopconcernsyr
Query aut_related String 10 Recommended Is there an Autism related diagnosis Yes; No; Not known autismrelateddiagnosis
Query additional_it_q1 String 20 Recommended Do you have any concerns about your child's development?
Yes; No
developmentalconcerns
Query diag_ageatdiag Integer Recommended Age at diagnosis(in months)
0 :: 1200
diagnosisagemon
Query diag_ageatdiag_yr Integer Recommended Age at diagnosis(in years) 0::100 ageatdiagnosisyear, diagnosisageyr
diag_diagnosismadeby_otr String 4,000 Recommended Diagnosis made by Other specified diagmadebyother, diagnosismadebyother
Query age_3word_year Integer Recommended Age at 3-word sentences (in years) p7902devhistagefirst3wordsente
Query ad016_year Integer Recommended Age of first single words (years) p7902devhistagefirstwordsyear
Query walk10_age_yr Integer Recommended Walking 10 steps - age (years) p7902devhistagewalkingyear
Query devel_changes Integer Recommended Any changes in developmental history since last visit? 1; 2; 9 1 = Yes; 2 = No; 9 = Not applicable p7902devhistchangesindevhist
devel_changes_spec String 50 Recommended Any changes in developmental history since last visit? - Specified p7902devhistchangesindevhistsp
Query adja5b Integer Recommended Admission to an emergency department 0;1 1=Yes; 0=No Indicate all criteria defining the study endpoint (select all that apply): p7902devhistemergencyvisits
Query srfa6g Integer Recommended Emergency Room (Medical) number of visits 0::200 er, p7902devhistnumofemergencyvisi
Query numhosp Integer Recommended If yes, number of times hospitalized hospital, p7902devhistnumofhospitalizati
Query diag_changes Integer Recommended Changes in diagnostic history since last visit? 0; 1 0 = No; 1 = Yes changessincelastvisit
physicianspecialty String 50 Recommended Physicians's specialty
Query co_levels_ppm Float Recommended Expired CO levels (PPM)
Query co_levels_cohb Float Recommended Expired CO levels ( COHb)
Query cr3 Integer Recommended Tobacco Use: Did person ever smoke? 0;1; 9 0 = no;1 = yes; 9=NK/missing co_ever_smoke_yn
Query co_age_start Integer Recommended If you have ever smoked or currently smoke, what age did you start:
cig_smoke String 200 Recommended The amount of cigarettes you smoke and ages you have smoked co_how_many_cigs
Query freq_unit_per Integer Recommended Frequency unit 1::3 1=Per day; 2=Per week; 3=Per month co_smoke_freq
Query prescan_003 Integer Recommended How many cigarettes did you smoke during the last 8 hours? co_smoke_today_how_many
labsample27 String 10 Recommended Time since subject last smoked tobacco NA=Non-user co_smoke_last, tobacco_tlu
Query cigarette_number_packs Float Recommended indicate the average number of packs of cigarettes smoked daily co_packs_day
Query cigaretteuse_time_yrs Float Recommended indicate the number of years that the participant has smoked cigarettes co_years_smokes
Query co_age_quit Integer Recommended What age did you quit?
Query co_nic_replace_yn Integer Recommended Are you on nicotine replacement? 1;2;9 1=Yes; 2=No; 9=Unknown/Missing
doa_futdt String 20 Recommended Future date entered (Assessment) co_doa_futdt
dode String 10 Recommended Date of Data Entry co_dode
dode_futdt String 20 Recommended Future date entered (Data Entry) co_dode_futdt
Query form_completed Integer Recommended Was the form completed? 1::4 1=Yes; 2=No; 3=Unverified; 4 = N/A-Not in age range co_form_complete
Query form_explain Integer Recommended Why was this form not completed? 86::99 99=Participant unable to complete due to cognitive impairment; 98=Participant unable to complete due to physical impairment; 97=Participant refused to begin/finish; 96=Participant completed but with less than best effort; 95=Participant unable to be contacted; 94=Participant deceased; 93=Participant withdrew consent; 92=Time constraints; 91=Rater forgot to administer; 90=Missed appointment; 89=Participant was terminated from study; 88=Other;87 = Not Done (reason unspecified); 86 = Not Applicable co_explain
other_reason_nc String 100 Recommended Other reason form was not completed co_other_reason_nc
Query assessment_complete Integer Recommended Complete? 0::2 0=Incomplete; 1=Unverified; 2=Complete nicotine_expired_co_complete
Query migraine_current Integer Recommended Has the subject had a migraine within the last month 0;1 0=No; 1=Yes
Query pol_therapy Integer Recommended Physical, occupational, or language therapy 0;1 0=No; 1=Yes
Query neurologist Integer Recommended Has the subject ever seen a neurologist? 0;1 0=No; 1=Yes
surg_surgtype1 String 255 Recommended TYPE OF SURGERY 1
medreason1 String 250 Recommended Reason for taking medication 1
pcpkps_76 String 100 Recommended Referral Speicified
surg_reasonhosp1 String 255 Recommended WHY HOSPITALIZED 1
Query head_circum Float Recommended Head Circumference (in cm) -1 = Not known
Query chrt_que_1a Integer Recommended 1. Suicide Ideation - Passive (i.e. wanting to be dead) and/or active (i.e. method, intent, plan) suicidal ideation present. 0;1 0=No; 1=Yes
Query ca639 Integer Recommended Past psychosis - Suicidal behavior: Suicidal gestures or attempts 0;1 0=No; 1=Yes neuro_psych_psychosis
Query ss10 Integer Recommended Interview reliability 1::5 1=Very good; 2=Good; 3=Fair; 4=Poor; 5=Very poor
Query ari_c_2 Integer Recommended 2. Often Lose temper. 0::2; -9 0=not true, 1=somewhat true, 2=certainly true; -9=incomplete
wk_mri_date Date Recommended MRI. Date mri002
petdd Date Recommended PET date pet002
pet003 String 150 Recommended CPKPET comments
Query visnum Float Recommended Numeric Visit Number -1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits visit_number_med_hx
Query aescode Integer Recommended Staff code number of person completing this form rater_med_hx
Query race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query ethnicity String 30 Recommended Ethnicity of participant Hispanic or Latino; Not Hispanic or Latino; Unknown
Query panss_115 String 500 Recommended G1.Do you have any medical illness or disease?
rev_immunomedallergymed String 255 Recommended Medication Allergies: Medications
Query v1_mh_cap1_ongoing Integer Recommended Condition 1 Ongoing (yes/no) 0;1 0= no; 1= yes
Query mhf_22 Integer Recommended Checks if condition is ongoing - other III 0;1 0=No; 1=Yes
Query saea26a3a Integer Recommended med illness 1 ongoing 0;1 0 = No; 1 = Yes
Query saea26b3a Integer Recommended med illness 2 ongoing 0;1 0 = No; 1 = Yes
Query saea26c3a Integer Recommended med illness 3 ongoing 0;1 0 = No; 1 = Yes
Query saea26d3a Integer Recommended med illness 4 ongoing 0;1 0 = No; 1 = Yes
Query thc14d Integer Recommended Event 1: Is it on going 0;1 0=No; 1=Yes
Query thc19d Integer Recommended Event 2: Is it on going 0;1 0=No; 1=Yes
fammedhx_other_specify String 255 Recommended If any other disorder/illness: specify
fammedhx_other_specify2 String 255 Recommended If any other disorder/illness: specify 2
fammedhx_other_specify3 String 255 Recommended If any other disorder/illness: specify 3
surg_surgtype2 String 255 Recommended TYPE OF SURGERY 2
surg_surgtype3 String 255 Recommended TYPE OF SURGERY 3
wk_surgery_other String 50 Recommended Surgery. If other, please specify
wk_surgery_com String 250 Recommended Surgery. Comments (Medications taken?) gen_med_surgery_info, histroy_of_surgeries
Query dx_ongoing Integer Recommended Is diagnosis ongoing? 0;1 0 = no; 1 = yes
Query mhx2_b Integer Recommended If diabetes history, what is the non-insulin control? 1;2 1=Diet controlled; 2=Oral hypoglycemics
Query pcos Integer Recommended diagnosed pcos 0;1;-7; -9; -8 0=No; 1=Yes; -7=Refused; -9=unknown; -8=NA
otherrace String 100 Recommended specify other race The following questions are about you or the child's family.
Query fls1 Integer Recommended Have you fallen since your last appointment? 0;1;-7;-9 0 =no; 1 = yes; -9 = don't know; -7 = refused
Query mse1 Integer Recommended Feeling dizzy or faint 0;1;-7;-9 0 =no; 1 = yes; -9 = don't know; -7 = refused
Query fls1d Integer Recommended Did you sustain any injuries? Any bruises? 0;1;-7;-9 0 =no; 1 = yes; -9 = don't know; -7 = refused
Query fls1e Integer Recommended Did you see a physician or seek medical attention? 0;1;-7;-9 0 =no; 1 = yes; -9 = don't know; -7 = refused
Query me2 Integer Recommended Status 0;1 0 = Past [Inactive]; 1 = Active
surgerydatedd1_1 Date Recommended Date surgery 1
surgerydatedd2_1 Date Recommended Surgery Date 2
surgerydatedd3_1 Date Recommended Surgery Date 3
typeofsurgerycode4_1 String 100 Recommended Type of surgery Code 4
typeofsurgerycode5_1 String 100 Recommended Type of surgery Code 5
Query sigp1 Integer Recommended Physician signature present 0;1 0 = No; 1 = Yes
Query sigd1 Integer Recommended Physician/PI signature date (days since randomization)
Query temperature Float Recommended Temperature (degrees Fahrenheit) 0::300
Query pulse Float Recommended Pulse med_121
Query hips Float Recommended 6. Hips inches; 999=Legitimately skipped
Query waist Float Recommended 5. Waist inches
Query hd_01 Float Recommended Head circumference measurement number 1 0 :: 1260 (cm)
Query hd_02 Float Recommended Head circumference measurement number 2 0 :: 1260 (cm)
Query hd_03 Float Recommended Head circumference measurement number 3 0 :: 1260 (cm)
Query mominch Float Recommended How tall is the child's BIOLOGIC mother (inches)?
Query mother_weight Float Recommended Mother - Weight
Query dadinch Float Recommended How tall is the child's BIOLOGIC father (inches)?
Query shoeson Integer Recommended Shoes on during height measurement? 1 1 = Yes
Query sysbp Float Recommended Sitting systolic blood pressure (mmHg) med_119
Query diabp Float Recommended Sitting diastolic blood pressure (mmHg) med_120
Query hd_avg Float Recommended Head circumference measurement: Average 0::1260
Query dadwgt Float Recommended Biological Father's weight in pounds
Query relac Integer Recommended Other relative 1's relationship to subject 1::10 1 = Stepmother; 2 = Adoptive Mother; 3 = Grandmother; 4 = Other Female Relative; 5 = Other Female Nonrelative; 6 = Stepfather; 7 = Adoptive Father; 8 = Grandfather; 9 = Other Male Relative; 10 = Other Male Nonrelative
Query relachgt Float Recommended Other relative 1's height in inches
Query relacwgt Float Recommended Other relative 1's weight in pounds
Query relad Integer Recommended Other relative 2's relationship to subject 1::10 1 = Stepmother; 2 = Adoptive Mother; 3 = Grandmother; 4 = Other Female Relative; 5 = Other Female Nonrelative; 6 = Stepfather; 7 = Adoptive Father; 8 = Grandfather; 9 = Other Male Relative; 10 = Other Male Nonrelative
Query reladhgt Float Recommended Other relative 2's height in inches
Query reladwgt Float Recommended Other relative 2's weight in pounds
Query relae Integer Recommended Other relative 3's relationship to subject 1::10 1 = Stepmother; 2 = Adoptive Mother; 3 = Grandmother; 4 = Other Female Relative; 5 = Other Female Nonrelative; 6 = Stepfather; 7 = Adoptive Father; 8 = Grandfather; 9 = Other Male Relative; 10 = Other Male Nonrelative
Query relaehgt Float Recommended Other relative 3's height in inches
Query relaewgt Float Recommended Other relative 3's weight in pounds
Query relaf Integer Recommended Other relative 4's relationship to subject 1::10 1 = Stepmother; 2 = Adoptive Mother; 3 = Grandmother; 4 = Other Female Relative; 5 = Other Female Nonrelative; 6 = Stepfather; 7 = Adoptive Father; 8 = Grandfather; 9 = Other Male Relative; 10 = Other Male Nonrelative
Query relafhgt Float Recommended Other relative 4's height in inches
Query relafwgt Float Recommended Other relative 4's weight in pounds
smoking_other_desc String 100 Recommended What is nicotine product is used
Query alcohol_3 Integer Recommended Maximum number of drinks in a given day in the past month
Query ears_past_or_current Integer Recommended Ears Diagnosis: Past or Current 1::3 1= Past; 2= Current; 3= N/A
nose String 50 Recommended Nose(nasal congestion, nose bleeds, postnasal drip): describe and include year of diagnosis
Query nose_diagnosis_past_or_cur Integer Recommended Nose Diagnosis:Past or Current 1::3 1= Past; 2= Current; 3= N/A
throat_mouth String 50 Recommended Throat/Mouth(tonsilitis, dry mouth, mouth sores, scratch/sore throat): describe and include year of diagnosis
Query throat_mouth_diagnosis_pas Integer Recommended Throat/Mouth Diagnosis:Past or Current 1::3 1= Past; 2= Current; 3= N/A
Query drug_alcohol_use_start_pas Integer Recommended Drug/Alcohol use start: Past or Current 1::3 1= Past; 2= Current; 3= N/A
drug_alcohol_use String 200 Recommended Drug/Alcohol use: describe and include year of diagnosis
Query dem_55_asthma Integer Recommended Do you have asthma? 0;1 1=Yes; 0=No asthma, asthma_yn
Query asthma_dx Integer Recommended Asthma was diagnosed by 1; 2 1= Self; 2= Doctor
Query asthmaage Integer Recommended Asthma (Age) months asthma_age
Query asthma_ly Integer Recommended Asthma was a problem last year 0; 1 0= No; 1= Yes
Query cfmh_othr_tuberscl Integer Recommended Tuberous Sclerosis 1;0 0 = No; 1 = Yes tuberculosis_yn
Query tuberculosis_dx Integer Recommended Tuberculosis was diagnosed by 1; 2 1= Self; 2= Doctor
Query medhx_tuber_age Integer Recommended Tuberous Sclerosis: Age diagnosed/onset (in months) tuberculosis_age
Query tuberculosis_ly Integer Recommended Tuberculosis a problem last year 0; 1 0= No; 1= Yes
Query breathing_yn Integer Recommended Any other trouble breathing, such as Emphysema, chronic bronchitis, or brown lung 0; 1 0= No; 1= Yes
Query breathing_dx Integer Recommended Any other trouble breathing, such as Emphysema, chronic bronchitis, or brown lung was diagnosed by 1; 2 1= Self; 2= Doctor
Query medhx_sleep_breathe_age Integer Recommended Difficulty breathing: Age started (in months) breathing_age
Query breathing_ly Integer Recommended Any other trouble breathing, such as Emphysema, chronic bronchitis, or brown lung was a problem last year 0; 1 0= No; 1= Yes
Query arg_yn Integer Recommended Arthritis, rheumatism, or gout diagnosis 0; 1 0= No; 1= Yes
Query arg_dx Integer Recommended Arthritis, rheumatism, or gout was diagnosed by 1; 2 1= Self; 2= Doctor
Query arg_age Integer Recommended Arthritis, rheumatism, or gout age of onset About how old were you when you first had this condition?
Query arg_ly Integer Recommended Arthritis, rheumatism, or gout was a problem last year 0; 1 0= No; 1= Yes
Query diabetes_yn Integer Recommended High sugar or diabetes diagnosis 0; 1 0= No; 1= Yes med_023
Query diabetes_dx Integer Recommended High sugar or diabetes was diagnosed by 1; 2 1= Self; 2= Doctor
Query rev_endodiabetesage Integer Recommended Diabetes: Age(in months) 0 :: 1200 diabetes_age
Query diabetes_ly Integer Recommended High sugar or diabetes was a problem last year 0; 1 0= No; 1= Yes
Query insulin_yn Integer Recommended Insulin dependence diagnosis 0; 1 0= No; 1= Yes
Query insulin_dx Integer Recommended Insulin dependence was diagnosed by 1; 2 1= Self; 2= Doctor
Query insulin_age Integer Recommended Insulin dependence age of onset About how old were you when you first had this condition?
Query insulin_ly Integer Recommended Insulin dependence was a problem last year 0; 1 0= No; 1= Yes
Query thyroid Integer Recommended Thyroid disease 1;0;-7 0=No; 1=Yes;-7=Refused hypthy_yn
Query hypthy_dx Integer Recommended Hypo- or Hyper-thyroidism was diagnosed by 1; 2 1= Self; 2= Doctor
Query hypthy_age Integer Recommended Hypo- or Hyper-thyroidism age of onset About how old were you when you first had this condition?
Query hypthy_ly Integer Recommended Hypo- or Hyper-thyroidism was a problem last year 0; 1 0= No; 1= Yes
Query feversym Integer Recommended Rheumatic or Scarlet fever 0;1 1=Yes, 0=No rheu_yn
Query rheu_dx Integer Recommended Rheumatic fever or rheumatic heart disease was diagnosed by 1; 2 1= Self; 2= Doctor
Query feverage Integer Recommended Rheumatic or Scarlet fever (Age) months rheu_age
Query rheu_ly Integer Recommended Rheumatic fever or rheumatic heart disease was a problem last year 0; 1 0= No; 1= Yes
Query arterio_yn Integer Recommended Hardening of the arteries or arteriosclerosis diagnosis 0; 1 0= No; 1= Yes
Query arterio_dx Integer Recommended Hardening of the arteries or arteriosclerosis was diagnosed by 1; 2 1= Self; 2= Doctor
Query arterio_age Integer Recommended Hardening of the arteries or arteriosclerosis age of onset About how old were you when you first had this condition?
Query arterio_ly Integer Recommended Hardening of the arteries or arteriosclerosis was a problem last year 0; 1 0= No; 1= Yes
Query hbp_yn Integer Recommended High blood pressure diagnosis 0; 1 0= No; 1= Yes
Query hbp_dx Integer Recommended High blood pressure was diagnosed by 1; 2 1= Self; 2= Doctor
Query hbp_age Integer Recommended High blood pressure age of onset About how old were you when you first had this condition?
Query hbp_ly Integer Recommended High blood pressure was a problem last year 0; 1 0= No; 1= Yes
Query stroke_dx Integer Recommended A stroke or Cerebrovascular accident was diagnosed by 1; 2 1= Self; 2= Doctor
Query stroke_age Integer Recommended A stroke or Cerebrovascular accident age of onset About how old were you when you first had this condition?
Query stroke_ly Integer Recommended A stroke or Cerebrovascular accident was a problem last year 0; 1 0= No; 1= Yes
Query heartatk_dx Integer Recommended Heart attack was diagnosed by 1; 2 1= Self; 2= Doctor
Query heartatk_age Integer Recommended Heart attack age of onset About how old were you when you first had this condition?
Query heartatk_ly Integer Recommended Heart attack was a problem last year 0; 1 0= No; 1= Yes
Query highchol_yn Integer Recommended High cholestrol diagnosis 0; 1 0= No; 1= Yes
Query highchol_dx Integer Recommended High cholestrol was diagnosed by 1; 2 1= Self; 2= Doctor
Query highchol_age Integer Recommended High cholestrol age of onset About how old were you when you first had this condition?
Query highchol_ly Integer Recommended High cholestrol was a problem last year 0; 1 0= No; 1= Yes
Query cfmh_othr_cancer Integer Recommended Cancer 1;0 0 = No; 1 = Yes cancer_yn
othmem_cancer_cmt String 255 Recommended Cancer. Specify Type cancer_type
Query cancer_dx Integer Recommended Cancer was diagnosed by 1; 2 1= Self; 2= Doctor
Query cancer_age Integer Recommended Cancer age of onset About how old were you when you first had this condition?
Query cancer_ly Integer Recommended Cancer was a problem last year 0; 1 0= No; 1= Yes
Query cyst_yn Integer Recommended Non-cancerous Tumor, growth of Cyst diagnosis 0; 1 0= No; 1= Yes
Query cyst_dx Integer Recommended Non-cancerous Tumor, growth of Cyst was diagnosed by 1; 2 1= Self; 2= Doctor
Query cyst_age Integer Recommended Non-cancerous Tumor, growth of Cyst age of onset About how old were you when you first had this condition?
Query cyst_ly Integer Recommended Non-cancerous Tumor, growth of Cyst was a problem last year 0; 1 0= No; 1= Yes
Query scq_07 Integer Recommended Liver Disease 0;1 0=No; 1=Yes liver_yn
Query liver_dx Integer Recommended Liver problems was diagnosed by 1; 2 1= Self; 2= Doctor
Query liver_age Integer Recommended Liver problems age of onset About how old were you when you first had this condition?
Query liver_ly Integer Recommended Liver problems was a problem last year 0; 1 0= No; 1= Yes
Query ulcer_dx Integer Recommended Stomach ulcers were diagnosed by 1; 2 1= Self; 2= Doctor
Query ulcer_age Integer Recommended Stomach ulcers age of onset About how old were you when you first had this condition?
Query ulcer_ly Integer Recommended Stomach ulcers were a problem last year 0; 1 0= No; 1= Yes
Query digest_yn Integer Recommended Digestive problems diagnosis 0; 1 0= No; 1= Yes
Query digest_dx Integer Recommended Digestive problems was diagnosed by 1; 2 1= Self; 2= Doctor
Query digest_age Integer Recommended Digestive problems age of onset About how old were you when you first had this condition?
Query digest_ly Integer Recommended Digestive problems was a problem last year 0; 1 0= No; 1= Yes
Query medhx_ulc Integer Recommended Ulcerative Colitis 0::2 0 = No, 1 = Yes, 2 = Not sure colitis_yn
Query colitis_dx Integer Recommended Colitis was diagnosed by 1; 2 1= Self; 2= Doctor
Query medhx_ulc_age Integer Recommended Ulcerative Colitis: Age diagnosed/onset (in months) colitis_age
Query colitis_ly Integer Recommended Colitis was a problem last year 0; 1 0= No; 1= Yes
Query cfmh_othr_sicklecell Integer Recommended Sickle cell anemia 1;0 0 = No; 1 = Yes anemia_yn
Query anemia_dx Integer Recommended Anemia was diagnosed by 1; 2 1= Self; 2= Doctor
Query anemia_age Integer Recommended Anemia age of onset About how old were you when you first had this condition?
Query anemia_ly Integer Recommended Anemia was a problem last year 0; 1 0= No; 1= Yes
Query skin_dx Integer Recommended Skin condition was diagnosed by 1; 2 1= Self; 2= Doctor
Query skin_age Integer Recommended Skin condition age of onset About how old were you when you first had this condition?
Query skin_ly Integer Recommended Skin condition was a problem last year 0; 1 0= No; 1= Yes
Query cfmh_othr_hearingimp Integer Recommended Hearing impairment 1;0 0 = No; 1 = Yes hear_yn
Query hear_dx Integer Recommended Serious hearing trouble was diagnosed by 1; 2 1= Self; 2= Doctor
Query hear_age Integer Recommended Serious hearing trouble age of onset About how old were you when you first had this condition?
Query hear_ly Integer Recommended Serious hearing trouble was a problem last year 0; 1 0= No; 1= Yes
Query medhx_colorblind Integer Recommended Color blind? 0;1 0 = No, 1 = Yes colorblind_yn
Query colorblind_dx Integer Recommended Color blind was diagnosed by 1; 2 1= Self; 2= Doctor
Query colorblind_age Integer Recommended Color blind age of onset About how old were you when you first had this condition?
Query colorblind_ly Integer Recommended Color blind was a problem last year 0; 1 0= No; 1= Yes
Query glasses_yn Integer Recommended Needing glasses diagnosis 0; 1 0= No; 1= Yes
Query glasses_dx Integer Recommended Needing glasses was diagnosed by 1; 2 1= Self; 2= Doctor
Query glasses_age Integer Recommended Needing glasses age of onset About how old were you when you first had this condition?
Query glasses_ly Integer Recommended Needing glasses was a problem last year 0; 1 0= No; 1= Yes
glasses_vis String 25 Recommended Quality of vision If so, how bad is your vision?
Query contact_yn Integer Recommended Contact lenses diagnosis 0; 1 0= No; 1= Yes
Query contact_dx Integer Recommended Contact lenses was diagnosed by 1; 2 1= Self; 2= Doctor
Query contact_age Integer Recommended Contact lenses age of onset About how old were you when you first had this condition?
Query contact_ly Integer Recommended Contact lenses was a problem last year 0; 1 0= No; 1= Yes
Query blind_yn Integer Recommended Blindness diagnosis 0; 1 0= No; 1= Yes
Query blind_dx Integer Recommended Blindness was diagnosed by 1; 2 1= Self; 2= Doctor
Query blind_age Integer Recommended Blindness age of onset About how old were you when you first had this condition?
Query blind_ly Integer Recommended Blindness was a problem last year 0; 1 0= No; 1= Yes
Query speech_yn Integer Recommended Speech impairment diagnosis 0; 1 0= No; 1= Yes
Query speech_dx Integer Recommended Speech impairment was diagnosed by 1; 2 1= Self; 2= Doctor
Query speech_age Integer Recommended Speech impairment age of onset About how old were you when you first had this condition?
Query speech_ly Integer Recommended Speech impairment was a problem last year 0; 1 0= No; 1= Yes
Query kidney_dx Integer Recommended Kidney, bladder or urinary tract problem was diagnosed by 1; 2 1= Self; 2= Doctor
Query medhx_kidur_age Integer Recommended Kidney/Urinary: Age diagnosed/onset (in months) kidney_age
Query kidney_ly Integer Recommended Kidney, bladder or urinary tract problem was a problem last year 0; 1 0= No; 1= Yes
Query othsympt Integer Recommended other menstrual symptoms 0;1;-7 0=No; 1=Yes; -7=Refused menstrual_yn
Query menstrual_dx Integer Recommended Menstrual trouble was diagnosed by 1; 2 1= Self; 2= Doctor
Query menstrual_age Integer Recommended Menstrual trouble age of onset About how old were you when you first had this condition?
Query menstrual_ly Integer Recommended Menstrual trouble was a problem last year 0; 1 0= No; 1= Yes
Query uterus_yn Integer Recommended Disease of uterus or ovaries diagnosis 0; 1 0= No; 1= Yes
Query uterus_dx Integer Recommended Disease of uterus or ovaries was diagnosed by 1; 2 1= Self; 2= Doctor
Query uterus_age Integer Recommended Disease of uterus or ovaries age of onset About how old were you when you first had this condition?
Query uterus_ly Integer Recommended Disease of uterus or ovaries was a problem last year 0; 1 0= No; 1= Yes
Query maslump_yn Integer Recommended Mastectomy or Lumpectomy diagnosis 0; 1 0= No; 1= Yes
Query maslump_dx Integer Recommended Mastectomy or Lumpectomy was diagnosed by 1; 2 1= Self; 2= Doctor
Query maslump_age Integer Recommended Mastectomy or Lumpectomy age of onset About how old were you when you first had this condition?
Query maslump_ly Integer Recommended Mastectomy or Lumpectomy was a problem last year 0; 1 0= No; 1= Yes
Query hysterec_dx Integer Recommended Hysterectomy was diagnosed by 1; 2 1= Self; 2= Doctor
Query hysterec_age Integer Recommended Hysterectomy age of onset About how old were you when you first had this condition?
Query hysterec_ly Integer Recommended Hysterectomy was a problem last year 0; 1 0= No; 1= Yes
Query seize_yn Integer Recommended Seizures, convulsions, blackouts or fainting spells diagnosis 0; 1 0= No; 1= Yes
Query seize_dx Integer Recommended Seizures, convulsions, blackouts or fainting spells was diagnosed by 1; 2 1= Self; 2= Doctor
Query seizuresage Integer Recommended Seizures/Epilepsy (Age) months seize_age
Query seize_ly Integer Recommended Seizures, convulsions, blackouts or fainting spells was a problem last year 0; 1 0= No; 1= Yes
Query std_yn Integer Recommended STD diagnosis 0; 1 0= No; 1= Yes
Query std_dx Integer Recommended STD was diagnosed by 1; 2 1= Self; 2= Doctor
Query std_age Integer Recommended STD age of onset About how old were you when you first had this condition?
Query std_ly Integer Recommended STD was a problem last year 0; 1 0= No; 1= Yes
Query paralysis_yn Integer Recommended Paralysis diagnosis 0; 1 0= No; 1= Yes
Query paralysis_dx Integer Recommended Paralysis was diagnosed by 1; 2 1= Self; 2= Doctor
Query paralysis_age Integer Recommended Paralysis age of onset About how old were you when you first had this condition?
Query paralysis_ly Integer Recommended Paralysis was a problem last year 0; 1 0= No; 1= Yes
Query headtrauma_yn Integer Recommended Head trauma diagnosis 0; 1 0= No; 1= Yes
Query headtrauma_dx Integer Recommended Head trauma was diagnosed by 1; 2 1= Self; 2= Doctor
Query headtrauma_age Integer Recommended Head trauma age of onset About how old were you when you first had this condition?
Query headtrauma_ly Integer Recommended Head trauma was a problem last year 0; 1 0= No; 1= Yes
Query coma_yn Integer Recommended Coma diagnosis 0; 1 0= No; 1= Yes
Query coma_dx Integer Recommended Coma was diagnosed by 1; 2 1= Self; 2= Doctor
Query coma_age Integer Recommended Coma age of onset About how old were you when you first had this condition?
Query coma_ly Integer Recommended Coma was a problem last year 0; 1 0= No; 1= Yes
Query migraine_dx Integer Recommended Migraine was diagnosed by 1; 2 1= Self; 2= Doctor
Query migraine_age Integer Recommended Migraine age of onset About how old were you when you first had this condition?
Query migraine_ly Integer Recommended Migraine was a problem last year 0; 1 0= No; 1= Yes
Query back_yn Integer Recommended Trouble with neck, back or spine diagnosis 0; 1 0= No; 1= Yes
Query back_dx Integer Recommended Trouble with neck, back or spine was diagnosed by 1; 2 1= Self; 2= Doctor
Query back_age Integer Recommended Trouble with neck, back or spine age of onset About how old were you when you first had this condition?
Query back_ly Integer Recommended Trouble with neck, back or spine was a problem last year 0; 1 0= No; 1= Yes
Query cfmh_othr_learndis Integer Recommended Learning Disability 1;0 0 = No; 1 = Yes learn_yn
Query learn_dx Integer Recommended Learning disability was diagnosed by 1; 2 1= Self; 2= Doctor
Query medhx_learndisability_age Integer Recommended Learning Disabilities: Age diagnosed (in months) learn_age
Query learn_ly Integer Recommended Learning disability was a problem last year 0; 1 0= No; 1= Yes
Query medhx_2b Integer Recommended Has she/he ever been to a doctor for any of these things… Allergies Alergias 1 ; 0 1 = Yes; 0 = No allergies_yn
Query allergies_dx Integer Recommended Allergies were diagnosed by 1; 2 1= Self; 2= Doctor
Query allergies_age Integer Recommended Allergies age of onset About how old were you when you first had this condition?
Query allergies_ly Integer Recommended Allergies were a problem last year 0; 1 0= No; 1= Yes
Query dental_yn Integer Recommended Dental problems diagnosis 0; 1 0= No; 1= Yes
Query dental_dx Integer Recommended Dental problems was diagnosed by 1; 2 1= Self; 2= Doctor
Query dental_age Integer Recommended Dental problems age of onset About how old were you when you first had this condition?
Query dental_ly Integer Recommended Dental problems was a problem last year 0; 1 0= No; 1= Yes
Query pms_yn Integer Recommended Symptoms of pre-menstrual syndrome such as bloating, irritability, feeling down diagnosis 0; 1 0= No; 1= Yes
Query pms_dx Integer Recommended Symptoms of pre-menstrual syndrome such as bloating, irritability, feeling down was diagnosed by 1; 2 1= Self; 2= Doctor
Query pms_age Integer Recommended Symptoms of pre-menstrual syndrome such as bloating, irritability, feeling down age of onset About how old were you when you first had this condition?
Query pms_ly Integer Recommended Symptoms of pre-menstrual syndrome such as bloating, irritability, feeling down was a problem last year 0; 1 0= No; 1= Yes
med_cur String 25 Recommended Medications taking currently Current medications
med_prev String 25 Recommended Medications taken previously Previous medications
Query depress_familyhx Integer Recommended Depression: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_dep_yn
fam_dep_rel String 25 Recommended Depression diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_dep_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_mania_yn Integer Recommended Mania diagnosed in family member 0; 1 0= No; 1= Yes
fam_mania_rel String 25 Recommended Mania diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_mania_info String 25 Recommended Additional info about the family member's diagnosis
Query schizo_familyhx Integer Recommended Schizophrenia: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_schiz_yn
fam_schiz_rel String 25 Recommended Schizophrenia/Psychosis diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_schiz_info String 25 Recommended Additional info about the family member's diagnosis
Query panic_familyhx Integer Recommended Panic or Anxiety Disorder: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_anx_yn
fam_anx_rel String 25 Recommended Panic/Anxiety diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_anx_info String 25 Recommended Additional info about the family member's diagnosis
Query ocd_familyhx Integer Recommended Obsessive Compulsive Disorder: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_ocd_yn
fam_ocd_rel String 25 Recommended Obsessive/Compulsive Disorder diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_ocd_info String 25 Recommended Additional info about the family member's diagnosis
Query alcohol_familyhx Integer Recommended Alcohol Abuse/Dependence: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_subabuse_yn
fam_subabuse_rel String 25 Recommended Alcohol/Drug Abuse diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_subabuse_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_eat_yn Integer Recommended Eating Disorder diagnosed in family member 0; 1 0= No; 1= Yes
fam_eat_rel String 25 Recommended Eating Disorder diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_eat_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_other_psy1_yn Integer Recommended Other condition diagnosed in family member 0; 1 0= No; 1= Yes
fam_other_psy1_spec String 25 Recommended Please specify what this diagnosis is
fam_other_psy1_rel String 25 Recommended Other condition diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_other_psy1_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_diabetes_yn Integer Recommended Diabetes diagnosed in family member 0; 1 0= No; 1= Yes
fam_diabetes_rel String 25 Recommended Diabetes diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_diabetes_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_hypertens_yn Integer Recommended Hypertensive Disease diagnosed in family member 0; 1 0= No; 1= Yes
fam_hypertens_rel String 25 Recommended Hypertensive Disease diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_hypertens_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_heart_yn Integer Recommended Heart Disease diagnosed in family member 0; 1 0= No; 1= Yes
fam_heart_rel String 25 Recommended Heart Disease diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_heart_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_cancer_yn Integer Recommended Cancer diagnosed in family member 0; 1 0= No; 1= Yes
fam_cancer_rel String 25 Recommended Cancer diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_cancer_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_other_med1_yn Integer Recommended Other condition diagnosed in family member 0; 1 0= No; 1= Yes
fam_other_med1_spec String 25 Recommended Please specify what this diagnosis is
fam_other_med1_rel String 25 Recommended Other condition diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_other_med1_info String 25 Recommended Additional info about the family member's diagnosis
Query seizure_familyhx Integer Recommended Seizures: Anyone in family had symptoms 0;1;-7;-8;-9 0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply fam_seize_yn
fam_seize_rel String 25 Recommended Seizures diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_seize_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_stroke_yn Integer Recommended Stroke diagnosed in family member 0; 1 0= No; 1= Yes
fam_stroke_rel String 25 Recommended Stroke diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_stroke_info String 25 Recommended Additional info about the family member's diagnosis
Query fhx02a Integer Recommended Dementia:No immediate family members 0;1 1=Yes; 0=No fam_dementia_yn
fam_dementia_rel String 25 Recommended Dementia diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_dementia_info String 25 Recommended Additional info about the family member's diagnosis
Query fam_other_med2_yn Integer Recommended Other condition diagnosed in family member 0; 1 0= No; 1= Yes
fam_other_med2_spec String 25 Recommended Please specify what this diagnosis is
fam_other_med2_rel String 25 Recommended Other condition diagnosed in which family member Mother; Father; Sister; Brother; DZ twin sister; DZ twin brother; MZ twin sister; MZ twin brother; Maternal aunt; Maternal uncle; Paternal aunt; Paternal uncle; Maternal cousin; Paternal cousin; Maternal grandmother; Maternal grandfather; Paternal grandmother; Paternal grandfather
fam_other_med2_info String 25 Recommended Additional info about the family member's diagnosis For psychiatric history, please note if the person was hospitalized (or medication only) under "Additional Information".
Query eyes_diagnosis_past_or_cur Integer Recommended Diagnoses with eyes 1::3 1= Past; 2= Current; 3= N/A
Query history_of_surgeries Integer Recommended History of Sugeries 1::3 1= Past; 2= Current; 3= N/A
medication1_name String 500 Recommended Name first medication that the participant has taken 0 = No medication; 999= Legitimately skipped med1_name
med1_type String 50 Recommended Type of medication 1
medication1_dosage String 100 Recommended First medication dosage 0 = No medication; 999 = Missing med1_dose
med1_length String 50 Recommended How long have you been taking medication 1
med1_last_taken String 50 Recommended When did you last take medication 1
medication2_name String 200 Recommended Name second medication that the participant has taken 0 = No medication; 999= Legitimately skipped med2_name
med2_type String 50 Recommended Type of medication 2
medication2_dosage String 100 Recommended Second medication dosage 0 = No medication; 999 = Missing med2_dose
med2_length String 50 Recommended How long have you been taking medication 2
med2_last_taken String 50 Recommended When did you last take medication 2
medication3_name String 150 Recommended Name third medication that the participant has taken 0 = No medication; 999= Legitimately skipped med3_name
med3_type String 50 Recommended Type of medication 3
medication3_dosage String 100 Recommended Third medication dosage 0 = No medication; 999 = Missing med3_dose
med3_length String 50 Recommended How long have you been taking medication 3
med3_last_taken String 50 Recommended When did you last take medication 3
medication4_name String 100 Recommended Name fourth medication that the participant has taken 0 = No medication; 999= Legitimately skipped med4_name
med4_type String 50 Recommended Type of medication 4
medication4_dosage String 100 Recommended Fourth medication dosage 0 = No medication; 999 = Missing med4_dose
med4_length String 50 Recommended How long have you been taking medication 4
med4_last_taken String 50 Recommended When did you last take medication 4
medication5_name String 500 Recommended Name fifth medication that the participant has taken 0 = No medication; 999= Legitimately skipped med5_name
med5_type String 50 Recommended Type of medication 5
medication5_dosage String 100 Recommended Fifth medication dosage 0 = No medication; 999 = Missing med5_dose
med5_length String 50 Recommended How long have you been taking medication 5
med5_last_taken String 50 Recommended When did you last take medication 5
medication6_name String 500 Recommended Name sixth medication that the participant has taken 0 = No medication; 999= Legitimately skipped med6_name
med6_type String 50 Recommended Type of medication 6
medication6_dosage String 100 Recommended Sixth medication dosage 0 = No medication; 999 = Missing med6_dose
med6_length String 50 Recommended How long have you been taking medication 6
med6_last_taken String 50 Recommended When did you last take medication 6
medication7_name String 100 Recommended Name seventh medication that the participant has taken 0 = No medication; 999= Legitimately skipped med7_name
med7_type String 50 Recommended Type of medication 7
medication7_dosage String 100 Recommended Seventh medication dosage 0 = No medication; 999 = Missing med7_dose
med7_length String 50 Recommended How long have you been taking medication 7
med7_last_taken String 50 Recommended When did you last take medication 7
medication8_name String 100 Recommended Name eighth medication that the participant has taken 0 = No medication; 999= Legitimately skipped med8_name
med8_type String 50 Recommended Type of medication 8
medication8_dosage String 100 Recommended Eighth medication dosage 0 = No medication; 999 = Missing med8_dose
med8_length String 50 Recommended How long have you been taking medication 8
med8_last_taken String 50 Recommended When did you last take medication 8
Query cardiac_surgery Integer Recommended History of cardiac surgery 0;1 0 = No; 1 = Yes
Query head_injury Integer Recommended History of head injury with loss of consciousness 0;1 0 = No; 1 = Yes
preeeg_6_1a String 100 Recommended If you have had any coffee or caffeine today, when was the last time? 0 = No caffeine caffeine_tlu
alcohol_tlu String 50 Recommended Time of last use of alcohol
rec_drugs_tlu String 50 Recommended Time of last use of recreational drugs
Query color_vision_screening Integer Recommended Passed color vision screening? 0 = No; 1 = Yes
Query drug_screen Integer Recommended Drug screen result 0 = Negative; 1= Positive
Query pregnan Integer Recommended pregnancy test 0::5;-7;9 0=Negative; 1=Positive; 2=Test not conducted; -7=Refused; 9=NA;3=Not pregnant (per pregnancy test); 4=Not pregnant (has not reached menarche); 5=Pregnancy suspected, but not confirmed pregnancy_test
eeg_result String 255 Recommended Details of EEG result(s) eeg_conducted_comments
med_135 Integer Recommended Ears: no ear lesions, ear canals and tympanic membranes without lesions 0;1 1 = Yes;0 = No
med_136 Integer Recommended Nose: septum in midline and mucous membrane without lesions 0;1 1 = Yes;0 = No
med_137 Integer Recommended Mouth/Tongue: mucous of tongue, gums and throat without lesions, normal tongue mobility 0;1 1 = Yes;0 = No
med_138 Integer Recommended Teeth: teeth without cavities or missing pieces 0;1 1 = Yes;0 = No
med_139 Integer Recommended Neck: supple, no goiter, no lymphadenopathy 0;1 1 = Yes;0 = No
med_147 Integer Recommended Limbs: no deformities and no limitations in mobility, no muscle atrophy 0;1 1 = Yes;0 = No
med_150 Integer Recommended Motor: full range of motion and 5/5 motor strength in all extremities/muscle groups 0;1 1 = Yes;0 = No
med_153 Integer Recommended Cerebellar: Romberg test negative, no ataxia 0;1 1 = Yes;0 = No
sens_exam String 10 Recommended Is sensory exam normal?
Yes;No;NK
NK = Not known med_151
chest_lung String 10 Recommended Chest/lung exam
normal; abnormal; other; not done
med_141
cran_nerv String 10 Recommended Are the cranial nerves normal (do face, tongue and palate move normally)?
Yes;No;NK
NK = Not known med_149
abdomen String 10 Recommended Abdomen exam
normal; abnormal; other
med_143
nerflxs Integer Recommended Neuro Exam Reflexes Results
1;2
1=Normal; 2=Abnormal med_152
temp_celc Integer Recommended temperature Celsius
hr_screening_status Integer Recommended Heart Rate Results
1;2
1= Normal; 2= Abnormal med_142
cardio_respratecount String 50 Recommended Respiratory Rate - Count med_122
q19_b6 Integer Recommended Abnormal movement (includes tics, dyskinesias) 0::2 0 = No, 1 = Yes, 2 = Not sure med_131
dysm_eyes Integer Recommended Eyes - Normal 0; 1 0 = No; 1 = Yes med_134
dysm_head Integer Recommended Head - Normal 0; 1 0 = No; 1 = Yes med_133
height_met Float Recommended Height - Metric Unit med_109
med_129 Integer Recommended Nourishment/Hydration normal? 0;1 1 = Well nourished, normal skin turgor and hydration;0 = No
med_130 Integer Recommended Gait/ambulation normal? 0;1 1 = no ataxia, normal gait and station; 0 = abnormal
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:

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  • 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

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