ID

15310

Description

The Family History Questionnaire is a 9-item proxy-administered questionnaire completed by a parent for their young child. It asks about the child’s personal and family history of speech and language impairment. ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.

Link

https://cde.nlm.nih.gov

Keywords

Versions (1)
  1. 9/27/17 9/27/17 -
Uploaded on

September 27, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Family History of Speech and Language Impairment Protocol PhenX Toolkit

English

Family History of Speech and Language Impairment Protocol PhenX Toolkit

1 forms  
PhenX - family history of speech and language impairment protocol
Description

PhenX - family history of speech and language impairment protocol

Alias
UMLS CUI-1
C3171968
By age 2, was your child talking in short phrases or sentences?
Description

talking in short phrases or sentences

Data type

text

Alias
UMLS CUI [1]
C3260460
When your child was two years old, were you concerned that he/she was having difficulty learning to talk?
Description

difficulty learning to talk

Data type

text

Alias
UMLS CUI [1]
C3260462
At this time, do people frequently have trouble understanding your child?
Description

trouble understanding your child

Data type

text

Alias
UMLS CUI [1]
C3260463
Has anyone in your child's family had speech or language therapy?
Description

family had speech or language therapy

Data type

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C2111197
Has anyone in your child's family had speech or language therapy? If Yes, What for?
Description

family had speech or language therapy reason

Data type

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C2111197
UMLS CUI [1,3]
C0392360
Has anyone in your child's family had difficulty learning to read or had problems with school work?
Description

family had difficulty learning to read

Data type

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0851265
Has anyone in your child's family had difficulty learning to read or had problems with school work? (e.g. repeated a grade)If Yes, what are the details?
Description

difficulty learning to read

Data type

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0851265
Has anyone in your child's family been diagnosed as mentally retarded?
Description

family been diagnosed as mentally retarded

Data type

text

Alias
UMLS CUI [1]
C0079822
Does anyone in your child's family have a hearing difficulty?
Description

hearing difficulty in family

Data type

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C1313969
Has anyone in your child's family been slow in learning to talk?
Description

slow in learning to talk

Data type

text

Alias
UMLS CUI [1]
C3260476
Has anyone in your child's family had any other type of communication disorder such as: Stuttering
Description

family stuttering

Data type

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0038506
Has anyone in your child's family had any other type of communication disorder such as: Is less talkative
Description

family less talkative

Data type

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C2219903
Has anyone in your child's family had any other type of communication disorder such as: Has a hard time carrying on a conversation
Description

family carrying on a conversation

Data type

boolean

Alias
UMLS CUI [1]
C3260482
Has anyone in your child's family had any other type of communication disorder such as: Doesn't like to read
Description

family do not like to read

Data type

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0034754
Has anyone in your child's family had any other type of communication disorder such as: Doesn't read well
Description

family problems reading

Data type

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0871215
Has anyone in your child's family had any other type of communication disorder such as: Has difficulty thinking of words (s)he wants to say when talking
Description

family thinking of words

Data type

boolean

Alias
UMLS CUI [1]
C3260488
Has anyone in your child's family had any other type of communication disorder such as: Has a poorer vocabulary than other family members
Description

family poor vocabulary

Data type

boolean

Alias
UMLS CUI [1]
C3260490
Has anyone in your child's family had any other type of communication disorder such as: Is a poor speller
Description

family poor speller

Data type

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0679451
Has anyone in your child's family had any other type of communication disorder such as: Has awkward sentence structures when writing or talking
Description

family awkward sentences

Data type

boolean

Alias
UMLS CUI [1]
C3260494
Has anyone in your child's family had any other type of communication disorder such as: Mispronounces long words
Description

family mispronounces words

Data type

boolean

Alias
UMLS CUI [1]
C3260496
Has anyone in your child's family had any other type of communication disorder such as: Is hard to follow when (s)he tells you something, such as a personal experience
Description

family hard to follow

Data type

boolean

Alias
UMLS CUI [1]
C3260498
Has anyone in your child's family had any other type of communication disorder such as: Has difficulty explaining things
Description

family difficulty explaining

Data type

boolean

Alias
UMLS CUI [1]
C3260500
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Similar models

Family History of Speech and Language Impairment Protocol PhenX Toolkit

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PhenX - family history of speech and language impairment protocol
C3171968 (UMLS CUI-1)
Item
By age 2, was your child talking in short phrases or sentences?
text
C3260460 (UMLS CUI [1])
talking in short phrases or sentences
Code List
By age 2, was your child talking in short phrases or sentences?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
When your child was two years old, were you concerned that he/she was having difficulty learning to talk?
text
C3260462 (UMLS CUI [1])
talking in short phrases or sentences
Code List
When your child was two years old, were you concerned that he/she was having difficulty learning to talk?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
At this time, do people frequently have trouble understanding your child?
text
C3260463 (UMLS CUI [1])
talking in short phrases or sentences
Code List
At this time, do people frequently have trouble understanding your child?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has anyone in your child's family had speech or language therapy?
text
C0241889 (UMLS CUI [1,1])
C2111197 (UMLS CUI [1,2])
talking in short phrases or sentences
Code List
Has anyone in your child's family had speech or language therapy?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
family had speech or language therapy reason
Item
Has anyone in your child's family had speech or language therapy? If Yes, What for?
text
C0241889 (UMLS CUI [1,1])
C2111197 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
Has anyone in your child's family had difficulty learning to read or had problems with school work?
text
C0241889 (UMLS CUI [1,1])
C0851265 (UMLS CUI [1,2])
talking in short phrases or sentences
Code List
Has anyone in your child's family had difficulty learning to read or had problems with school work?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
difficulty learning to read
Item
Has anyone in your child's family had difficulty learning to read or had problems with school work? (e.g. repeated a grade)If Yes, what are the details?
text
C0241889 (UMLS CUI [1,1])
C0851265 (UMLS CUI [1,2])
Item
Has anyone in your child's family been diagnosed as mentally retarded?
text
C0079822 (UMLS CUI [1])
talking in short phrases or sentences
Code List
Has anyone in your child's family been diagnosed as mentally retarded?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does anyone in your child's family have a hearing difficulty?
text
C0241889 (UMLS CUI [1,1])
C1313969 (UMLS CUI [1,2])
talking in short phrases or sentences
Code List
Does anyone in your child's family have a hearing difficulty?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has anyone in your child's family been slow in learning to talk?
text
C3260476 (UMLS CUI [1])
talking in short phrases or sentences
Code List
Has anyone in your child's family been slow in learning to talk?
CL Item
Yes  (Yes )
C1705108 (UMLS CUI-1)
CL Item
No  (No )
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
family stuttering
Item
Has anyone in your child's family had any other type of communication disorder such as: Stuttering
boolean
C0241889 (UMLS CUI [1,1])
C0038506 (UMLS CUI [1,2])
family less talkative
Item
Has anyone in your child's family had any other type of communication disorder such as: Is less talkative
boolean
C0241889 (UMLS CUI [1,1])
C2219903 (UMLS CUI [1,2])
family carrying on a conversation
Item
Has anyone in your child's family had any other type of communication disorder such as: Has a hard time carrying on a conversation
boolean
C3260482 (UMLS CUI [1])
family do not like to read
Item
Has anyone in your child's family had any other type of communication disorder such as: Doesn't like to read
boolean
C0241889 (UMLS CUI [1,1])
C0034754 (UMLS CUI [1,2])
family problems reading
Item
Has anyone in your child's family had any other type of communication disorder such as: Doesn't read well
boolean
C0241889 (UMLS CUI [1,1])
C0871215 (UMLS CUI [1,2])
family thinking of words
Item
Has anyone in your child's family had any other type of communication disorder such as: Has difficulty thinking of words (s)he wants to say when talking
boolean
C3260488 (UMLS CUI [1])
family poor vocabulary
Item
Has anyone in your child's family had any other type of communication disorder such as: Has a poorer vocabulary than other family members
boolean
C3260490 (UMLS CUI [1])
family poor speller
Item
Has anyone in your child's family had any other type of communication disorder such as: Is a poor speller
boolean
C0241889 (UMLS CUI [1,1])
C0679451 (UMLS CUI [1,2])
family awkward sentences
Item
Has anyone in your child's family had any other type of communication disorder such as: Has awkward sentence structures when writing or talking
boolean
C3260494 (UMLS CUI [1])
family mispronounces words
Item
Has anyone in your child's family had any other type of communication disorder such as: Mispronounces long words
boolean
C3260496 (UMLS CUI [1])
family hard to follow
Item
Has anyone in your child's family had any other type of communication disorder such as: Is hard to follow when (s)he tells you something, such as a personal experience
boolean
C3260498 (UMLS CUI [1])
family difficulty explaining
Item
Has anyone in your child's family had any other type of communication disorder such as: Has difficulty explaining things
boolean
C3260500 (UMLS CUI [1])
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