ID

14718

Beskrivning

Age-specific questions are asked in this protocol to two different age ranges of children. For children ages 13 and 14, a set of questions is asked directly to the child. For children 6 or 7 years old, a set of questions is asked of the parents. 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.

Länk

https://cde.nlm.nih.gov

Nyckelord

Versioner (1)
  1. 26/4/16 26/4/16 -
Uppladdad den

26 de abril de 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Personal and Family History of Respiratory Symptoms/Diseases - Child Protocol PhenX Toolkit

Engelsk

Personal and Family History of Respiratory Symptoms/Diseases - Child Protocol PhenX Toolkit

1 Formulär  
PhenX - respiratory - personal - family hx of respiratory symptoms - diseases - child protocol
Beskrivning

PhenX - respiratory - personal - family hx of respiratory symptoms - diseases - child protocol

Alias
UMLS CUI-1
C3169706
Have you ever had wheezing or whistling in the chest at any time in the past?
Beskrivning

Have you ever had wheezing or whistling in the chest at any time in the past?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173767
Have you had wheezing or whistling in the chest in the last 12 months?
Beskrivning

Have you had wheezing or whistling in the chest in the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173769
How many attacks of wheezing have you had in the last 12 months?
Beskrivning

How many attacks of wheezing have you had in the last 12 months?

Datatyp

integer

Alias
UMLS CUI [1]
C3173771
In the last 12 months, how often, on average, has your sleep been disturbed due to wheezing?
Beskrivning

In the last 12 months, how often, on average, has your sleep been disturbed due to wheezing?

Datatyp

integer

Alias
UMLS CUI [1]
C3173773
In the last 12 months, has wheezing ever been severe enough to limit your speech to only one or two words at a time between breaths?
Beskrivning

In the last 12 months, has wheezing ever been severe enough to limit your speech to only one or two words at a time between breaths?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173775
Have you ever had asthma?
Beskrivning

Have you ever had asthma?

Datatyp

boolean

Alias
UMLS CUI [1]
C0004096
In the last 12 months, has your chest sounded wheezy during or after exercise?
Beskrivning

In the last 12 months, has your chest sounded wheezy during or after exercise?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173777
In the last 12 months, have you had a dry cough at night, apart from a cough associated with a cold or chest infection?
Beskrivning

In the last 12 months, have you had a dry cough at night, apart from a cough associated with a cold or chest infection?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173779
Have you ever had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?
Beskrivning

Have you ever had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173781
In the past 12 months, have you had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?
Beskrivning

In the past 12 months, have you had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173783
In the past 12 months, has this nose problem been accompanied by itchy or watery eyes?
Beskrivning

In the past 12 months, has this nose problem been accompanied by itchy or watery eyes?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173785
In which of the past 12 months did this nose problem occur?
Beskrivning

In which of the past 12 months did this nose problem occur?

Datatyp

integer

Alias
UMLS CUI [1]
C3173787
In the past 12 months, how much did this nose problem interfere with your daily activities?
Beskrivning

In the past 12 months, how much did this nose problem interfere with your daily activities?

Datatyp

integer

Alias
UMLS CUI [1]
C3173789
Have you ever had hay fever?
Beskrivning

Have you ever had hay fever?

Datatyp

boolean

Alias
UMLS CUI [1]
C0018621
Have you ever had an itchy rash which was coming and going for at least six months?
Beskrivning

Have you ever had an itchy rash which was coming and going for at least six months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173791
Have you had this itchy rash at any time in the last 12 months?
Beskrivning

Have you had this itchy rash at any time in the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173793
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?
Beskrivning

Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173795
Has this rash cleared completely at any time during the last 12 months?
Beskrivning

Has this rash cleared completely at any time during the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173797
In the last 12 months, how often, on average, have you been kept awake at night by this itchy rash?
Beskrivning

In the last 12 months, how often, on average, have you been kept awake at night by this itchy rash?

Datatyp

integer

Alias
UMLS CUI [1]
C3173799
Have you ever had eczema?
Beskrivning

Have you ever had eczema?

Datatyp

boolean

Alias
UMLS CUI [1]
C0013595
Has your child ever had wheezing or whistling in the chest at any time in the past?
Beskrivning

Has your child ever had wheezing or whistling in the chest at any time in the past?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173803
Has your child had wheezing or whistling in the chest in the last 12 months?
Beskrivning

Has your child had wheezing or whistling in the chest in the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173805
How many attacks of wheezing has your child had in the last 12 months?
Beskrivning

How many attacks of wheezing has your child had in the last 12 months?

Datatyp

integer

Alias
UMLS CUI [1]
C3173807
In the last 12 months, how often, on average, has your child's sleep been disturbed due to wheezing?
Beskrivning

In the last 12 months, how often, on average, has your child's sleep been disturbed due to wheezing?

Datatyp

integer

Alias
UMLS CUI [1]
C3173184
In the last 12 months, has wheezing ever been severe enough to limit your child's speech to only one or two words at a time between breaths?
Beskrivning

In the last 12 months, has wheezing ever been severe enough to limit your child's speech to only one or two words at a time between breaths?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173186
Has your child ever had asthma?
Beskrivning

Has your child ever had asthma?

Datatyp

boolean

Alias
UMLS CUI [1]
C0004096
In the last 12 months, has your child's chest sounded wheezy during or after exercise?
Beskrivning

In the last 12 months, has your child's chest sounded wheezy during or after exercise?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173926
In the last 12 months, has your child had a dry cough at night, apart from a cough associated with a cold or chest infection?
Beskrivning

In the last 12 months, has your child had a dry cough at night, apart from a cough associated with a cold or chest infection?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173928
Has your child ever had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?
Beskrivning

Has your child ever had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173930
In the past 12 months, has your child had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?
Beskrivning

In the past 12 months, has your child had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173932
In the past 12 months, has this nose problem been accompanied by itchy, watery eyes?
Beskrivning

In the past 12 months, has this nose problem been accompanied by itchy, watery eyes?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173934
In which of the past 12 months did this nose problem occur?
Beskrivning

In which of the past 12 months did this nose problem occur?

Datatyp

integer

Alias
UMLS CUI [1]
C3173787
In the past 12 months, how much did this nose problem interfere with your child's daily activities?
Beskrivning

In the past 12 months, how much did this nose problem interfere with your child's daily activities?

Datatyp

integer

Alias
UMLS CUI [1]
C3173936
Has your child ever had hay fever?
Beskrivning

Has your child ever had hay fever?

Datatyp

boolean

Alias
UMLS CUI [1]
C0018621
Has your child ever had an itchy rash that was coming and going for at least 6 months?
Beskrivning

Has your child ever had an itchy rash that was coming and going for at least 6 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173940
Has your child had this itchy rash at any time in the last 12 months?
Beskrivning

Has your child had this itchy rash at any time in the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173942
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?
Beskrivning

Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173795
At what age did this itchy rash first occur?
Beskrivning

At what age did this itchy rash first occur?

Datatyp

integer

Alias
UMLS CUI [1]
C3173944
Has this rash cleared completely at any time during the last 12 months?
Beskrivning

Has this rash cleared completely at any time during the last 12 months?

Datatyp

boolean

Alias
UMLS CUI [1]
C3173797
In the last 12 months, how often, on average, has your child been kept awake at night by this itchy rash
Beskrivning

In the last 12 months, how often, on average, has your child been kept awake at night by this itchy rash

Datatyp

integer

Alias
UMLS CUI [1]
C3173946
Has your child ever had eczema?
Beskrivning

Has your child ever had eczema?

Datatyp

boolean

Alias
UMLS CUI [1]
C0013595
Tillbaka till toppen

Similar models

Personal and Family History of Respiratory Symptoms/Diseases - Child Protocol PhenX Toolkit

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
PhenX - respiratory - personal - family hx of respiratory symptoms - diseases - child protocol
C3169706 (UMLS CUI-1)
wheezing whistling chest past
Item
Have you ever had wheezing or whistling in the chest at any time in the past?
boolean
C3173767 (UMLS CUI [1])
wheezing whistling chest last 12 months
Item
Have you had wheezing or whistling in the chest in the last 12 months?
boolean
C3173769 (UMLS CUI [1])
Item
How many attacks of wheezing have you had in the last 12 months?
integer
C3173771 (UMLS CUI [1])
wheezing times 12 months
Code List
How many attacks of wheezing have you had in the last 12 months?
CL Item
None (1)
CL Item
1 to 3 (2)
CL Item
4 to 12  (3)
CL Item
More than 12 (4)
wheezing sleep disturbances last 12 months
Item
In the last 12 months, how often, on average, has your sleep been disturbed due to wheezing?
integer
C3173773 (UMLS CUI [1])
wheezing limit speech 12 months
Item
In the last 12 months, has wheezing ever been severe enough to limit your speech to only one or two words at a time between breaths?
boolean
C3173775 (UMLS CUI [1])
asthma
Item
Have you ever had asthma?
boolean
C0004096 (UMLS CUI [1])
wheezy chest exercise last 12 months
Item
In the last 12 months, has your chest sounded wheezy during or after exercise?
boolean
C3173777 (UMLS CUI [1])
dry cough night 12 months
Item
In the last 12 months, have you had a dry cough at night, apart from a cough associated with a cold or chest infection?
boolean
C3173779 (UMLS CUI [1])
sneezing blocked runny nose
Item
Have you ever had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?
boolean
C3173781 (UMLS CUI [1])
sneezing runny blocked nose without flus
Item
In the past 12 months, have you had a problem with sneezing, or a runny or blocked nose, when you DID NOT have a cold or the flu?
boolean
C3173783 (UMLS CUI [1])
nose itchy eyes 12 months
Item
In the past 12 months, has this nose problem been accompanied by itchy or watery eyes?
boolean
C3173785 (UMLS CUI [1])
Item
In which of the past 12 months did this nose problem occur?
integer
C3173787 (UMLS CUI [1])
months nose problem occur
Code List
In which of the past 12 months did this nose problem occur?
CL Item
January (1)
C3829466 (UMLS CUI-1)
CL Item
February (2)
C3830166 (UMLS CUI-1)
CL Item
March (3)
C3829202 (UMLS CUI-1)
CL Item
April (4)
C3715024 (UMLS CUI-1)
CL Item
May (5)
C3812381 (UMLS CUI-1)
CL Item
June (6)
C3829443 (UMLS CUI-1)
CL Item
July (7)
C3829447 (UMLS CUI-1)
CL Item
August (8)
C3831448 (UMLS CUI-1)
CL Item
September (9)
C3828193 (UMLS CUI-1)
CL Item
October (10)
C3828732 (UMLS CUI-1)
CL Item
November (11)
C3828767 (UMLS CUI-1)
CL Item
December (12)
C3830550 (UMLS CUI-1)
Item
In the past 12 months, how much did this nose problem interfere with your daily activities?
integer
C3173789 (UMLS CUI [1])
nose interfere activities 12 months
Code List
In the past 12 months, how much did this nose problem interfere with your daily activities?
CL Item
Not at all  (1)
C2984077 (UMLS CUI-1)
CL Item
A little  (2)
C2984078 (UMLS CUI-1)
CL Item
A moderate amount  (3)
C3869891 (UMLS CUI-1)
CL Item
A lot (4)
C2984081 (UMLS CUI-1)
hay fever
Item
Have you ever had hay fever?
boolean
C0018621 (UMLS CUI [1])
itchy rash ever
Item
Have you ever had an itchy rash which was coming and going for at least six months?
boolean
C3173791 (UMLS CUI [1])
itchy rash last 12 months
Item
Have you had this itchy rash at any time in the last 12 months?
boolean
C3173793 (UMLS CUI [1])
itchy rash places
Item
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?
boolean
C3173795 (UMLS CUI [1])
itchy rash cleared completely
Item
Has this rash cleared completely at any time during the last 12 months?
boolean
C3173797 (UMLS CUI [1])
Item
In the last 12 months, how often, on average, have you been kept awake at night by this itchy rash?
integer
C3173799 (UMLS CUI [1])
itchy rash awake night
Code List
In the last 12 months, how often, on average, have you been kept awake at night by this itchy rash?
CL Item
Never in the last 12 months  (1)
CL Item
Less than one night per week (2)
CL Item
One or more nights per week (3)
eczema
Item
Have you ever had eczema?
boolean
C0013595 (UMLS CUI [1])
child wheezing chest ever
Item
Has your child ever had wheezing or whistling in the chest at any time in the past?
boolean
C3173803 (UMLS CUI [1])
child wheezing last 12 months
Item
Has your child had wheezing or whistling in the chest in the last 12 months?
boolean
C3173805 (UMLS CUI [1])
Item
How many attacks of wheezing has your child had in the last 12 months?
integer
C3173807 (UMLS CUI [1])
wheezing times 12 months
Code List
How many attacks of wheezing has your child had in the last 12 months?
CL Item
None (1)
CL Item
1 to 3 (2)
CL Item
4 to 12  (3)
CL Item
More than 12 (4)
child wheeze sleep disturbances last 12 months
Item
In the last 12 months, how often, on average, has your child's sleep been disturbed due to wheezing?
integer
C3173184 (UMLS CUI [1])
child wheeze limit speech last 12 months
Item
In the last 12 months, has wheezing ever been severe enough to limit your child's speech to only one or two words at a time between breaths?
boolean
C3173186 (UMLS CUI [1])
asthma
Item
Has your child ever had asthma?
boolean
C0004096 (UMLS CUI [1])
child wheeze exercise 12 months
Item
In the last 12 months, has your child's chest sounded wheezy during or after exercise?
boolean
C3173926 (UMLS CUI [1])
dry cough night 12 months
Item
In the last 12 months, has your child had a dry cough at night, apart from a cough associated with a cold or chest infection?
boolean
C3173928 (UMLS CUI [1])
sneeze runny nose ever
Item
Has your child ever had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?
boolean
C3173930 (UMLS CUI [1])
sneeze runny nose 12 months
Item
In the past 12 months, has your child had a problem with sneezing, or a runny or blocked nose, when he/she DID NOT have a cold or the flu?
boolean
C3173932 (UMLS CUI [1])
nose itchy eyes 12 months
Item
In the past 12 months, has this nose problem been accompanied by itchy, watery eyes?
boolean
C3173934 (UMLS CUI [1])
Item
In which of the past 12 months did this nose problem occur?
integer
C3173787 (UMLS CUI [1])
months nose problem occur
Code List
In which of the past 12 months did this nose problem occur?
CL Item
January (1)
C3829466 (UMLS CUI-1)
CL Item
February (2)
C3830166 (UMLS CUI-1)
CL Item
March (3)
C3829202 (UMLS CUI-1)
CL Item
April (4)
C3715024 (UMLS CUI-1)
CL Item
May (5)
C3812381 (UMLS CUI-1)
CL Item
June (6)
C3829443 (UMLS CUI-1)
CL Item
July (7)
C3829447 (UMLS CUI-1)
CL Item
August (8)
C3831448 (UMLS CUI-1)
CL Item
September (9)
C3828193 (UMLS CUI-1)
CL Item
October (10)
C3828732 (UMLS CUI-1)
CL Item
November (11)
C3828767 (UMLS CUI-1)
CL Item
December (12)
C3830550 (UMLS CUI-1)
Item
In the past 12 months, how much did this nose problem interfere with your child's daily activities?
integer
C3173936 (UMLS CUI [1])
nose interfere activities 12 months
Code List
In the past 12 months, how much did this nose problem interfere with your child's daily activities?
CL Item
Not at all  (1)
C2984077 (UMLS CUI-1)
CL Item
A little  (2)
C2984078 (UMLS CUI-1)
CL Item
A moderate amount  (3)
C3869891 (UMLS CUI-1)
CL Item
A lot (4)
C2984081 (UMLS CUI-1)
hay fever
Item
Has your child ever had hay fever?
boolean
C0018621 (UMLS CUI [1])
itchy rash ever 6 months
Item
Has your child ever had an itchy rash that was coming and going for at least 6 months?
boolean
C3173940 (UMLS CUI [1])
itchy rash 12 months
Item
Has your child had this itchy rash at any time in the last 12 months?
boolean
C3173942 (UMLS CUI [1])
itchy rash places
Item
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears, or eyes?
boolean
C3173795 (UMLS CUI [1])
Item
At what age did this itchy rash first occur?
integer
C3173944 (UMLS CUI [1])
itchy rash first age
Code List
At what age did this itchy rash first occur?
CL Item
Under 2 years  (1)
CL Item
2 to 4 years (2)
CL Item
5 or more years (3)
itchy rash cleared completely
Item
Has this rash cleared completely at any time during the last 12 months?
boolean
C3173797 (UMLS CUI [1])
Item
In the last 12 months, how often, on average, has your child been kept awake at night by this itchy rash
integer
C3173946 (UMLS CUI [1])
itchy rash awake 12 months
Code List
In the last 12 months, how often, on average, has your child been kept awake at night by this itchy rash
CL Item
Never in the last 12 months  (1)
CL Item
Less than one night per week  (2)
CL Item
One or more nights per week (3)
eczema
Item
Has your child ever had eczema?
boolean
C0013595 (UMLS CUI [1])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial