C3Q02
Item
During the past 12 months/Since (his/her) birth], how often have (S.C.)’s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) affected (his/her) ability to do things other children (his/her) age do? Would you say:
integer
C4019131 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
C0441655 (UMLS CUI [1,3])
C3Q03
Item
Do (S.C.)’s (medical, behavioral, or other health conditions/emotional, developmental, or behavioral problems) affect (his/her) ability to do things a great deal, some, or very little?
integer
C4040478 (UMLS CUI [1,1])
C0439792 (UMLS CUI [1,2])
C3Q11
Item
Which of the following statements best describes (S.C.)’s health care needs? (S.C.)’s health care needs change all the time, (S.C.)’s health care needs change only once in a while, or (S.C.)’s health care needs are usually stable?
integer
C1282982 (UMLS CUI [1])
C3Q23
Item
Would you say (he/she) experiences a lot, a little, or no difficulty with breathing or other respiratory problems, such as wheezing or shortness of breath?
integer
C0424805 (UMLS CUI [1])
C3Q24
Item
Would you say (he/she) experiences a lot,a little, or no difficulty swallowing, digesting food, or metabolism?
integer
C0011168 C3898930 (UMLS CUI [1,1])
C0025517 (UMLS CUI [1,2])
C3Q25
Item
Would you say (he/she) experiences a lot, a little, or no difficulty with blood circulation?
integer
C4020760 (UMLS CUI [1])
C3Q26
Item
Repeated or chronic physical pain, including headaches?
integer
C0150055 (UMLS CUI [1])
C3Q21
Item
Seeing even when wearing glasses or contact lenses?
integer
C3665386 (UMLS CUI [1])
C3Q22
Item
Hearing even when using a hearing aid or other device?
integer
C0260662 (UMLS CUI [1,1])
C0018768 (UMLS CUI [1,2])
C3Q27
Item
Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty taking care of (himself/herself), for example, doing things like eating, dressing and bathing?
integer
C0015745 (UMLS CUI [1])
C0518459 (UMLS CUI [2])
C0518460 (UMLS CUI [3])
C3Q28
Item
IF (S.C.) 0 - 9 MONTHS OLD, SAY: crawling or moving arms or legs? IF S.C 10 - 23 MONTHS OLD, SAY: walking or crawling? IF S.C 24+ MONTHS OLD, SAY: walking or running?
integer
C0561977 (UMLS CUI [1])
C1635178 (UMLS CUI [2])
C0080331 (UMLS CUI [3])
C0035953 (UMLS CUI [4])
C3Q29
Item
Using [his/her] hands
integer
C0565699 (UMLS CUI [1])
C3Q30
Item
Learning, understanding, or paying attention?
integer
C0233831 (UMLS CUI [1])
C0162340 (UMLS CUI [2])
C3Q31
Item
Speaking, communicating, or being understood?
integer
C1527347 (UMLS CUI [1])
C3Q32
Item
With feeling anxious or depressed?
integer
C0003467 (UMLS CUI [1])
C0011581 (UMLS CUI [2])
C3Q33
Item
With behavior problems, such as acting-out, fighting, bullying, or arguing?
integer
C0233514 (UMLS CUI [1])
C3Q34
Item
Making and keeping friends?
integer
C3175223 (UMLS CUI [1])
Item
You reported that (S.C.) does not experience any difficulty in any of the areas just mentioned. In your opinion, would you say this is because (S.C.)’s health problems are being treated and are under control?
integer
C2911690 (UMLS CUI [1])
Code List
You reported that (S.C.) does not experience any difficulty in any of the areas just mentioned. In your opinion, would you say this is because (S.C.)’s health problems are being treated and are under control?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
C3Q35A
Item
Why is it that [CHILD’S NAME]’s health problems do not currently cause [him/her] difficulty?
text
C2911690 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Item
Attention Deficit Disorder or Attention Deficit Hyperactive Disorder, that is, ADD or ADHD?
integer
C0041671 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
Code List
Attention Deficit Disorder or Attention Deficit Hyperactive Disorder, that is, ADD or ADHD?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have ADD or ADHD?
integer
C0041671 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
Code List
Does [S.C.] currently have ADD or ADHD?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q31C
Item
Would you describe [his/her] ADD or ADHD as mild, moderate, or severe?
integer
C0041671 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
Item
Depression ever?
integer
C0011581 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Depression ever?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q32B
Item
Does [S.C.] currently have Depression?
integer
C0011581 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q32C
Item
Would you describe [his/her] Depression as mild, moderate, or severe?
integer
C0011581 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Anxiety problems?
integer
C0003467 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Anxiety problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q33B
Item
Does [S.C.] currently have anxiety problems?
integer
C0003467 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q33C
Item
Would you describe [his/her] anxiety problems as mild, moderate, or severe?
integer
C0003467 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Behavioral or conduct problems, such as oppositional defiant disorder or conduct disorder?
integer
C0474413 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Behavioral or conduct problems, such as oppositional defiant disorder or conduct disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q34B
Item
Does [S.C] currently have behavioral or conduct problems?
integer
C0474413 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q34C
Item
Would you describe [his/her] behavioral or conduct problems as mild, moderate, or severe?
integer
C0474413 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Ever had Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
integer
C0004352 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0262926 (UMLS CUI [3,2])
Code List
Ever had Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C] currently have Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
integer
C0004352 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
Code List
Does [S.C] currently have Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q35C
Item
Would you describe [his/her] Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder as mild, moderate, or severe?
integer
C0004352 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0392364 (UMLS CUI [3,2])
K2Q35D
Item
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
integer
C0011900 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
to K2Q35D
Item
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
integer
C0011900 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
Item
Any developmental delay that affects (his/her) ability to learn?
integer
C0424605 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Any developmental delay that affects (his/her) ability to learn?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q36B
Item
Does [S.C.] currently have developmental delay?
integer
C0424605 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q36C
Item
Would you describe [his/her] developmental delay as mild, moderate, or severe?
integer
C0424605 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Intellectual disability or mental retardation?
integer
C3714756 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
Code List
Intellectual disability or mental retardation?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have intellectual disability or mental retardation?
integer
C3714756 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
Code List
Does [S.C.] currently have intellectual disability or mental retardation?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q37C
Item
Would you describe [his/her] intellectual disability or mental retardation as mild, moderate, or severe?
integer
C3714756 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
Item
Asthma?
integer
C0004096 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q40B
Item
Does [S.C.] currently have asthma?
integer
C0004096 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Diabetes?
integer
C0011847 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have diabetes?
integer
C0011847 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
Does [S.C.] currently have diabetes?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Epilepsy or seizure disorder?
integer
C0014544 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Epilepsy or seizure disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have epilepsy or seizure disorder?
integer
C0014544 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
Does [S.C.] currently have epilepsy or seizure disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q42C
Item
Would you describe [his/her] epilepsy or seizure disorder as mild, moderate, or severe?
integer
C0014544 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Migraines or frequent headaches?
integer
C0149931 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0948396 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
Code List
Migraines or frequent headaches?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C] currently have migraines or frequent headaches?
integer
C0149931 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0948396 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
Code List
Does [S.C] currently have migraines or frequent headaches?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
A head injury, concussion, or traumatic brain injury or concussion?
integer
C0018674 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0262926 (UMLS CUI [3,2])
Code List
A head injury, concussion, or traumatic brain injury or concussion?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have a head injury, concussion, or traumatic brain injury?
integer
C0018674 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
Code List
Does [S.C.] currently have a head injury, concussion, or traumatic brain injury?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q44C
Item
Would you describe [his/her] injury as mild, moderate, or severe?
integer
C0018674 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0392364 (UMLS CUI [3,2])
Item
Heart problem, including congenital heart disease?
integer
C0018799 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Heart problem, including congenital heart disease?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q45B
Item
Does [S.C.] currently have a heart problem?
integer
C0018799 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Blood problems such as anemia or sickle cell disease? Please do not include Sickle Cell Trait.
integer
C0018939 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Blood problems such as anemia or sickle cell disease? Please do not include Sickle Cell Trait.
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q46B
Item
Does [S.C.] currently have a blood problem?
integer
C0018939 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q46C
Item
Are (his/her) blood problems related to anemia, sickle cell disease, hemophilia, or something else?
integer
C0018939 (UMLS CUI [1])
Item
Cystic Fibrosis?
integer
C0010674 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Cystic Fibrosis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have Cystic Fibrosis?
integer
C0010674 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
Does [S.C.] currently have Cystic Fibrosis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q48A
Item
Cerebral Palsy?
integer
C0007789 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
K2Q48B
Item
Does [S.C.] currently have Cerebral Palsy?
integer
C0007789 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Muscular Dystrophy?
integer
C0026850 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Code List
Muscular Dystrophy?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q49B
Item
Does [S.C.] currently have Muscular Dystrophy?
integer
C0026850 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Down Syndrome?
integer
C0013080 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q50B
Item
Does [S.C.] currently have Down Syndrome?
integer
C0013080 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Arthritis or other joint problems?
integer
C0003864 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0575044 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
Code List
Arthritis or other joint problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have arthritis or other joint problems?
integer
C0003864 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0575044 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
Code List
Does [S.C.] currently have arthritis or other joint problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Allergies?
integer
C0020517 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have allergies?
integer
C0020517 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
Does [S.C.] currently have allergies?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Are any of these food allergies?
integer
C0016470 (UMLS CUI [1,1])
Code List
Are any of these food allergies?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
C3Q14
Item
During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
integer
C0242807 (UMLS CUI [1,1])
C0036375 (UMLS CUI [1,2])
C3843288 (UMLS CUI [1,3])
to C3Q14
Item
During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
integer
C0242807 (UMLS CUI [1,1])
C0036375 (UMLS CUI [1,2])
C3843288 (UMLS CUI [1,3])
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to attend school on a regular basis?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C2372109 (UMLS CUI [1,3])
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to attend school on a regular basis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to participate in sports, clubs, or other organized activities?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C1821909 (UMLS CUI [1,3])
Code List
Do (S.C.)'s medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to participate in sports, clubs, or other organized activities?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with [his/her] ability to participate in play with other children?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0037420 (UMLS CUI [1,3])
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with [his/her] ability to participate in play with other children?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to go on outings, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0023292 (UMLS CUI [1,3])
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to go on outings, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)