General Health History

  1. StudyEvent: ODM
    1. General Health History
Medical and Family History
Description

Medical and Family History

Study ID
Description

Study ID

Data type

text

Alias
UMLS CUI [1]
C2826693
Study site name
Description

Study site

Data type

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Indicate how the medical/family history information was obtained
Description

Information source

Data type

integer

Alias
UMLS CUI [1]
C0683836
Information source:please specify relation to family member
Description

Information source

Data type

integer

Alias
UMLS CUI [1]
C0683836
Are you adopted?
Description

Adopted

Data type

integer

Alias
UMLS CUI [1]
C0425382
Total number of first degree relatives
Description

Relationship of Family Member to Participant/Subject Codes First-Degree Relatives 1 = Biological Mother 2 = Biological Father 3 = Sibling Male 4 = Sibling Female 5 = Non-identical or dizygotic twin Male 6 = Non-identical or dizygotic twin Female 7 = Identical twin Male 8 = Identical twin Female 9 = Full biologic child Male 10 = Full biologic child Female

Data type

integer

Alias
UMLS CUI [1]
C1517194
If total number of first degree relatives is unknown,please specify
Description

First degree relatives

Data type

text

Alias
UMLS CUI [1]
C1517194
Number of first degree relatives alive
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1517194
Number of first degree relatives alive is unknown
Description

First degree relatives

Data type

boolean

Alias
UMLS CUI [1]
C1517194
Number of first degree relatives deceased
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1517194
Number of first degree relatives deceased is unknown
Description

First degree relatives

Data type

boolean

Alias
UMLS CUI [1]
C1517194
Total number of second-degree relatives
Description

Relationship of Family Member to Participant/Subject Codes Second-Degree Relatives 11 = Half-Sibling Male 12 = Half-Sibling Female 13 = Maternal Grandmother 14 = Maternal Grandfather 15= Paternal Grandmother 16 = Paternal Grandfather 17 = Maternal Aunt 18 = Maternal Uncle 19 = Paternal Aunt 20 = Paternal Uncle 21 = Grandchild Male 22 = Grandchild Female 23 = Nephew 24 = Niece

Data type

integer

Alias
UMLS CUI [1]
C1519210
If total number of second degree relatives is unknown, please specify
Description

Second degree relatives

Data type

text

Alias
UMLS CUI [1]
C1519210
Number of second degree relatives alive
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1519210
Number of second degree relatives alive is unknown
Description

Second degree relatives

Data type

boolean

Alias
UMLS CUI [1]
C1519210
Number of second degree relatives deceased
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1519210
Number of second degree relatives deceased is unknown
Description

Second degree relatives

Data type

boolean

Alias
UMLS CUI [1]
C1519210
First degree relatives: Number unknown information
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1517194
Second degree relatives: number unknown information
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1]
C1519210
Do you have a history of cancer?
Description

Neoplasm

Data type

integer

Alias
UMLS CUI [1]
C0027651
Does a relative (1st/2nd degree only) have a history of cancer?
Description

Neoplasm

Data type

integer

Alias
UMLS CUI [1]
C0027651
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Heart disease?
Description

Heart disease

Data type

integer

Alias
UMLS CUI [1]
C0018799
Does a relative (1st/2nd degree only) have a history of heart disease?
Description

Heart disease

Data type

integer

Alias
UMLS CUI [1]
C0018799
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of high blood pressure/hypertension?
Description

Hypertension

Data type

integer

Alias
UMLS CUI [1]
C0020538
Does a relative (first and second degree only) have a history of high blood pressure/hypertension?
Description

Hypertension

Data type

integer

Alias
UMLS CUI [1]
C0020538
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of low blood pressure/hypotension?
Description

Hypotension

Data type

integer

Alias
UMLS CUI [1]
C0020649
Does a relative (first and second degree only) have a history of low blood pressure/hypotension?
Description

Hypotension

Data type

integer

Alias
UMLS CUI [1]
C0020649
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of hypercholesterolemia?
Description

Hypercholesterolemia

Data type

integer

Alias
UMLS CUI [1]
C0020443
Does a relative (first and second degree only) have a history of hypercholesterolemia?
Description

Hypercholesterolemia

Data type

integer

Alias
UMLS CUI [1]
C0020443
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of mitral valve prolapse?
Description

Mitral valve prolapse

Data type

integer

Alias
UMLS CUI [1]
C0746606
Does a relative (first or second degree only) have a history of mitral valve prolapse?
Description

Mitral valve prolapse

Data type

integer

Alias
UMLS CUI [1]
C0746606
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
Description

Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)

Data type

integer

Alias
UMLS CUI [1]
C0016522
UMLS CUI [2]
C2711956
Does a relative (first and secind degree only) have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
Description

Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)

Data type

integer

Alias
UMLS CUI [1]
C0016522
UMLS CUI [2]
C2711956
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Cerebral aneurysm?
Description

Cerebral aneurysm

Data type

integer

Alias
UMLS CUI [1]
C0917996
Does a relative (first or second degree only) have a history of Cerebral aneurysm?
Description

Cerebral aneurysm

Data type

integer

Alias
UMLS CUI [1]
C0917996
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Intracerebral hemorrhage?
Description

Intracerebral hemorrhage

Data type

integer

Alias
UMLS CUI [1]
C2937358
Does a relative (first or second degree only) have a history of Intracerebral hemorrhage?
Description

Intracerebral hemorrhage

Data type

integer

Alias
UMLS CUI [1]
C2937358
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of ischemic stroke?
Description

Ischemic stroke

Data type

integer

Alias
UMLS CUI [1]
C0948008
Does a relative (first or second degree only) have a history of ischemic stroke?
Description

Ischemic stroke

Data type

integer

Alias
UMLS CUI [1]
C0948008
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Extracranial aneurysm?
Description

Extracranial aneurysm

Data type

integer

Alias
UMLS CUI [1,1]
C0002940
UMLS CUI [1,2]
C0580586
Does a relative (first or second degree only) have a history of Extracranial aneurysm?
Description

Extracranial aneurysm

Data type

integer

Alias
UMLS CUI [1,1]
C0002940
UMLS CUI [1,2]
C0580586
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Peripheral Vascular Disease?
Description

Peripheral vascular disease

Data type

integer

Alias
UMLS CUI [1]
C0085096
Does a relative (first or second degree only) have a history of Periphereal vascular disease?
Description

Peripheral vascular disease

Data type

integer

Alias
UMLS CUI [1]
C0085096
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Raynaud Syndrome?
Description

Raynaud Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0034734
Does a relative (first or second degree only) have a history of Raynaud Syndrome?
Description

Raynaud Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0034734
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Diabetes mellitus?
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI [1]
C0011849
Does a relative (first or second degree only) have a history of Diabetes mellitus?
Description

Diabetes mellitus

Data type

integer

Alias
UMLS CUI [1]
C0011849
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of gastroparesis?
Description

Gastroparesis

Data type

integer

Alias
UMLS CUI [1]
C0152020
Does a relative (first or second degree only) have a history of Gastroparesis?
Description

Gastroparesis

Data type

integer

Alias
UMLS CUI [1]
C0152020
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Irritable Bowel Syndrome?
Description

Irritable Bowel Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0022104
Does a relative (first or second degree only) have a history of Irritable Bowel Syndrome?
Description

Irritable Bowel Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0022104
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of painful bladder?
Description

Painful bladder

Data type

integer

Alias
UMLS CUI [1]
C1720830
Does a relative (1st/2nd degree only) have a history of painful bladder?
Description

Painful bladder

Data type

integer

Alias
UMLS CUI [1]
C1720830
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of endometriosis?
Description

Endometriosis

Data type

integer

Alias
UMLS CUI [1]
C0014175
Does a relative (1st/2nd degree only) have a history of endometriosis?
Description

Endometriosis

Data type

integer

Alias
UMLS CUI [1]
C0014175
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of preeclampsia?
Description

Preeclampsia

Data type

integer

Alias
UMLS CUI [1]
C0032914
Does a relative (1st/2nd degree only) have a history of preeclampsia?
Description

Preeclampsia

Data type

integer

Alias
UMLS CUI [1]
C0032914
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of emotional/verbal abuse?
Description

Emotional/Verbal abuse

Data type

integer

Alias
UMLS CUI [1]
C0730557
UMLS CUI [2]
C0562385
Does a relative (first and second degree only) have a history of emotional/verbal abuse?
Description

Emotional/Verbal abuse

Data type

integer

Alias
UMLS CUI [1]
C0730557
UMLS CUI [2]
C0562385
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of physical abuse?
Description

Physical abuse

Data type

integer

Alias
UMLS CUI [1]
C0730554
Does a relative (first and second degree only) have a history of physical abuse?
Description

Physical abuse

Data type

integer

Alias
UMLS CUI [1]
C0730554
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of sexual abuse?
Description

Sexual abuse

Data type

integer

Alias
UMLS CUI [1]
C0730555
Does a relative (first and second degree only) have a history of sexual abuse?
Description

Sexual abuse

Data type

integer

Alias
UMLS CUI [1]
C0730555
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Allergy(ies)?
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Does a relative (first and second degree only) have a history of allergy(ies)?
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physician diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Asthma?
Description

Asthma

Data type

integer

Alias
UMLS CUI [1]
C0004096
Does a relative (first and second degree only) have a history of Asthma?
Description

Asthma

Data type

integer

Alias
UMLS CUI [1]
C0004096
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Eczema?
Description

Eczema

Data type

integer

Alias
UMLS CUI [1]
C0013595
Does a relative (first and second degree only) have a history of Eczema?
Description

Eczema

Data type

integer

Alias
UMLS CUI [1]
C0013595
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Systemic lupus erythematosus (SLE)?
Description

Systemic lupus erythematosus

Data type

integer

Alias
UMLS CUI [1]
C0024141
Does a relative (first and second degree only) have a history of Systemic lupus erythematosus (SLE)?
Description

Systemic lupus erythematosus

Data type

integer

Alias
UMLS CUI [1]
C0024141
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of other immunological disorders?
Description

Immunological Disorders

Data type

integer

Alias
UMLS CUI [1]
C0021053
Does a relative (first and second degree only) have a history of other immunological disorders?
Description

Immunological Disorders

Data type

integer

Alias
UMLS CUI [1]
C0021053
Other Immunological Disorders, please specify:
Description

Immunological Disorders

Data type

text

Alias
UMLS CUI [1]
C0021053
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Arthritis?
Description

if type of arthritis known, specify type in comments section

Data type

integer

Alias
UMLS CUI [1]
C0003864
Does a relative (first and second degree only) have a history of arthritis?
Description

Arthritis

Data type

integer

Alias
UMLS CUI [1]
C0003864
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Fibromyalgia?
Description

Fibromyalgia

Data type

integer

Alias
UMLS CUI [1]
C0016053
Does a relative (first and second degree only) have a history of Fibromyalgia?
Description

Fibromyalgia

Data type

integer

Alias
UMLS CUI [1]
C0016053
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you have a history of Muscle disease?
Description

Muscle disease

Data type

integer

Alias
UMLS CUI [1]
C0026848
Does a relative (first and second degree only) have a history of muscle disease?
Description

Muscle disease

Data type

integer

Alias
UMLS CUI [1]
C0026848
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Autism?
Description

Autism

Data type

integer

Alias
UMLS CUI [1]
C1510586
Does a relative (first and second degree only) have a history of autism?
Description

Autism

Data type

integer

Alias
UMLS CUI [1]
C1510586
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Alzheimers Disease?
Description

Alzheimers Disease

Data type

integer

Alias
UMLS CUI [1]
C0002395
Does a relative (first and second degree only) have a history of Alzheimers Disease?
Description

Alzheimers Disease

Data type

integer

Alias
UMLS CUI [1]
C0002395
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of Amyotrophic Lateral Sclerosis (ALS)?
Description

Amyotrophic Lateral Sclerosis

Data type

integer

Alias
UMLS CUI [1]
C0002736
Does a relative (first and second degree only) have a history of Amyotrophic Lateral Sclerosis (ALS)?
Description

Amyotrophic Lateral Sclerosis (ALS)

Data type

integer

Alias
UMLS CUI [1]
C0002736
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of Ataxia?
Description

Ataxia

Data type

integer

Alias
UMLS CUI [1]
C0004134
Does a relative (first and second degree only) have a history of Ataxia?
Description

Ataxia

Data type

integer

Alias
UMLS CUI [1]
C0004134
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Chronic ataxia?
Description

Chronic ataxia

Data type

integer

Alias
UMLS CUI [1,1]
C0004134
UMLS CUI [1,2]
C0008679
Does a relative (first and second degree only) have a history of Chronic ataxia?
Description

Chronic ataxia

Data type

integer

Alias
UMLS CUI [1,1]
C0004134
UMLS CUI [1,2]
C0008679
Number of first-degree relatives affected
Description

First degree relative

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of Dementia?
Description

Dementia

Data type

integer

Alias
UMLS CUI [1]
C0497327
Does a relative (first and second degree only) have a history of Dementia?
Description

Dementia

Data type

integer

Alias
UMLS CUI [1]
C0497327
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Dystonia?
Description

Dystonia

Data type

integer

Alias
UMLS CUI [1]
C0013421
Does a relative (first and second degree only) have a history of Dystonia?
Description

Dystonia

Data type

integer

Alias
UMLS CUI [1]
C0013421
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of Epilepsy?
Description

Epilepsy

Data type

integer

Alias
UMLS CUI [1]
C0014544
Does a relative (first and second degree only) have a history of Epilepsy?
Description

Epilepsy

Data type

integer

Alias
UMLS CUI [1]
C0014544
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Mild Cognitive Decline (Memory Loss)?
Description

Mild Cognitive Decline (Memory Loss)

Data type

integer

Alias
UMLS CUI [1]
C0852410
Does a relative (first and second degree only) have a history of Mild Cognitive Decline (Memory Loss)?
Description

Mild Cognitive Decline (Memory Loss)

Data type

integer

Alias
UMLS CUI [1]
C0852410
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relative

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Developmental delay?
Description

Developmental delay

Data type

integer

Alias
UMLS CUI [1]
C0424605
Does a relative (first and second degree only) have a history of Developmental delay?
Description

Developmental delay

Data type

integer

Alias
UMLS CUI [1]
C0424605
Number of first-degree relatives affected
Description

First degree relative

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relative

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Multiple Sclerosis (MS)?
Description

Multiple Sclerosis (MS)

Data type

integer

Alias
UMLS CUI [1]
C0026769
Does a relative (first and second degree only) have a history of Multiple Sclerosis (MS)?
Description

Multiple Sclerosis (MS)

Data type

integer

Alias
UMLS CUI [1]
C0026769
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Restless Leg Syndrome (RLS)?
Description

Restless Leg Syndrome (RLS)

Data type

integer

Alias
UMLS CUI [1]
C0035258
Does a relative (first and second degree only) have a history of Restless Leg Syndrome (RLS)?
Description

Restless Leg Syndrome (RLS)

Data type

integer

Alias
UMLS CUI [1]
C0035258
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of Tourette’s Syndrome?
Description

Tourettes Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0040517
Does a relative (first and second degree only) have a history of Tourette’s Syndrome?
Description

Tourette’s Syndrome

Data type

integer

Alias
UMLS CUI [1]
C0040517
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Traumatic brain injury?
Description

Traumatic brain injury

Data type

integer

Alias
UMLS CUI [1]
C0876926
Does a relative (first and second degree only) have a history of Traumatic brain injury?
Description

Traumatic brain injury

Data type

integer

Alias
UMLS CUI [1]
C0876926
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Tremor?
Description

Tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
Does a relative (first and second degree only) have a history of Tremor?
Description

Tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Vertigo?
Description

Vertigo

Data type

integer

Alias
UMLS CUI [1]
C0042571
Does a relative (first and second degree only) have a history of Vertigo?
Description

Vertigo

Data type

integer

Alias
UMLS CUI [1]
C0042571
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Please specify any other neurological disorder you or a relative have a history of
Description

Other neurological disorder

Data type

text

Alias
UMLS CUI [1]
C2015799
Do you/Does the participant have a history of prior specified neurological disorder?
Description

Other neurological disorder

Data type

integer

Alias
UMLS CUI [1]
C2015799
Does a relative (first and second degree only) have a history of prior specified neurological disorder?
Description

Other neurological disorder

Data type

integer

Alias
UMLS CUI [1]
C2015799
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Anxiety?
Description

Anxiety

Data type

integer

Alias
UMLS CUI [1]
C0003467
Does a relative (first and second degree only) have a history of Anxiety?
Description

Anxiety

Data type

integer

Alias
UMLS CUI [1]
C0003467
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of bipolar disorder?
Description

Bipolar Disorder

Data type

integer

Alias
UMLS CUI [1]
C0005586
Does a relative (first and second degree only) have a history of bipolar disorder?
Description

Bipolar disorder

Data type

integer

Alias
UMLS CUI [1]
C0005586
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of depression?
Description

If type of depression is known, please specify in the "comments section".

Data type

integer

Alias
UMLS CUI [1]
C0011581
Does a relative (first and second degree only) have a history of Depression?
Description

Depression

Data type

integer

Alias
UMLS CUI [1]
C0011581
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Obsessive-compulsive Disorder?
Description

Obsessive-compulsive Disorder

Data type

integer

Alias
UMLS CUI [1]
C0028768
Does a relative (first and second degree only) have a history of Obsessive-compulsive Disorder?
Description

Obsessive-compulsive Disorder

Data type

integer

Alias
UMLS CUI [1]
C0028768
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of PTSD?
Description

Post Traumatic Stress Disorder (PTSD)

Data type

integer

Alias
UMLS CUI [1]
C0038436
Does a relative (first and second degree only) have a history of PTSD?
Description

Post Traumatic Stress Disorder (PTSD)

Data type

integer

Alias
UMLS CUI [1]
C0038436
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relatives to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of schizophrenia?
Description

Schizophrenia

Data type

integer

Alias
UMLS CUI [1]
C0036341
Does a relative (first and second degree only) have a history of schizophrenia?
Description

Schizophrenia

Data type

integer

Alias
UMLS CUI [1]
C0036341
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of Suicide and/or suicide attempt?
Description

Suicide and suicide attempt

Data type

integer

Alias
UMLS CUI [1,1]
C0038661
UMLS CUI [1,2]
C0038663
Does a relative (first and second degree only) have a history of Suicide and/or suicide attempt?
Description

Suicide and suicide attempt

Data type

integer

Alias
UMLS CUI [1,1]
C0038661
UMLS CUI [1,2]
C0038663
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of alcohol addiction?
Description

Alcohol addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C0001948
Does a relative (first and second degree only) have a history of alcohol addiction?
Description

Alcohol addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C0001948
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/does the participant have a history of illicit drug addiction?
Description

Illicit drug addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C1510472
Does a relative (first and second degree only) have a history of illicit drug addiction?
Description

Illicit drug addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C1510472
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of prescription drug addiction?
Description

Prescription drug addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C0581388
Does a relative (first and second degree only) have a history of prescription drug addiction?
Description

Prescription drug addiction

Data type

integer

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C0581388
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of anorexia?
Description

Anorexia

Data type

integer

Alias
UMLS CUI [1]
C0003125
Does a relative (first and second degree only) have a history of anorexia?
Description

Anorexia

Data type

integer

Alias
UMLS CUI [1]
C0003125
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of bulimia?
Description

Bulimia

Data type

integer

Alias
UMLS CUI [1]
C0006370
Does a relative (first and second degree only) have a history of bulimia?
Description

Bulimia

Data type

integer

Alias
UMLS CUI [1]
C0006370
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of binge eating?
Description

Binge eating

Data type

integer

Alias
UMLS CUI [1]
C0596170
Does a relative (first and second degree only) have a history of binge eating?
Description

Binge eating

Data type

integer

Alias
UMLS CUI [1]
C0596170
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of insomnia?
Description

Insomnia

Data type

integer

Alias
UMLS CUI [1]
C0917801
Does a relative (first and second degree only) have a history of insomnia?
Description

Insomnia

Data type

integer

Alias
UMLS CUI [1]
C0917801
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of sleep apnea?
Description

Sleep apnea

Data type

integer

Alias
UMLS CUI [1]
C0037315
Does a relative (first and second degree only) have a history of sleep apnea?
Description

Sleep apnea

Data type

integer

Alias
UMLS CUI [1]
C0037315
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relatives to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of narcolepsy?
Description

Narcolepsy

Data type

integer

Alias
UMLS CUI [1]
C0027404
Does a relative (first and second degree only) have a history of narcolepsy?
Description

Narcolepsy

Data type

integer

Alias
UMLS CUI [1]
C0027404
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relatives to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Other sleep condition, please specify
Description

Other sleep disorder

Data type

text

Alias
UMLS CUI [1]
C0851578
Do you/Does the participant have a history of prior specified sleep condition?
Description

Other sleep disorder

Data type

integer

Alias
UMLS CUI [1]
C0851578
Does a relative (first and second degree only) have a history of prior specified sleep condition?
Description

Other sleep disorder

Data type

integer

Alias
UMLS CUI [1]
C0851578
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relatives to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Do you/Does the participant have a history of obesity?
Description

Obesity

Data type

integer

Alias
UMLS CUI [1]
C0028754
Does a relative (first and second degree only) have a history of obesity?
Description

Obesity

Data type

integer

Alias
UMLS CUI [1]
C0028754
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Other comorbidity, please specify
Description

Other comorbidity

Data type

text

Alias
UMLS CUI [1]
C0009488
Do you/Does the participant have a history of prior specified comorbidity?
Description

Other comorbidity

Data type

integer

Alias
UMLS CUI [1]
C0009488
Does a relative (first and second degree only) have a history of prior specified comorbidity?
Description

Other comorbidity

Data type

integer

Alias
UMLS CUI [1]
C0009488
Number of first-degree relatives affected
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0522476
Number of first-degree relatives with physicians diagnosis
Description

First degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0011900
Relationship of first-degree relative(s) to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Number of second-degree relatives affected
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0522476
Number of second-degree relatives with physicians diagnosis
Description

Second degree relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1519210
UMLS CUI [1,2]
C0011900
Relationship of second-degree relatives to participant/subject
Description

Select all that apply

Data type

integer

Alias
UMLS CUI [1]
C0015608
Additional comments
Description

i.e type of depression if applicable

Data type

text

Alias
UMLS CUI [1]
C0947611

Similar models

General Health History

  1. StudyEvent: ODM
    1. General Health History
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Medical and Family History
Study ID
Item
Study ID
text
C2826693 (UMLS CUI [1])
Study site
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Item
Indicate how the medical/family history information was obtained
integer
C0683836 (UMLS CUI [1])
Code List
Indicate how the medical/family history information was obtained
CL Item
Participant/Subject (1)
CL Item
Family, specify relation: (2)
CL Item
Unknown (3)
Item
Information source:please specify relation to family member
integer
C0683836 (UMLS CUI [1])
Code List
Information source:please specify relation to family member
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
CL Item
Half-Sibling Male (11 )
CL Item
Half-Sibling Female  (12 )
CL Item
Maternal Grandmother (13 )
CL Item
Maternal Grandfather (14 )
CL Item
Paternal Grandmother (15)
CL Item
Paternal Grandfather (16 )
CL Item
Maternal Aunt (17 )
CL Item
Maternal Uncle (18 )
CL Item
Paternal Aunt (19 )
CL Item
Paternal Uncle (20 )
CL Item
Grandchild Male (21 )
CL Item
Grandchild Female (22 )
CL Item
Nephew (23 )
CL Item
Niece (24 )
Item
Are you adopted?
integer
C0425382 (UMLS CUI [1])
Code List
Are you adopted?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Total number of first degree relatives
integer
C1517194 (UMLS CUI [1])
First degree relatives
Item
If total number of first degree relatives is unknown,please specify
text
C1517194 (UMLS CUI [1])
First degree relatives
Item
Number of first degree relatives alive
integer
C1517194 (UMLS CUI [1])
First degree relatives
Item
Number of first degree relatives alive is unknown
boolean
C1517194 (UMLS CUI [1])
First degree relatives
Item
Number of first degree relatives deceased
integer
C1517194 (UMLS CUI [1])
First degree relatives
Item
Number of first degree relatives deceased is unknown
boolean
C1517194 (UMLS CUI [1])
Second degree relatives
Item
Total number of second-degree relatives
integer
C1519210 (UMLS CUI [1])
Second degree relatives
Item
If total number of second degree relatives is unknown, please specify
text
C1519210 (UMLS CUI [1])
Second degree relatives
Item
Number of second degree relatives alive
integer
C1519210 (UMLS CUI [1])
Second degree relatives
Item
Number of second degree relatives alive is unknown
boolean
C1519210 (UMLS CUI [1])
Second degree relatives
Item
Number of second degree relatives deceased
integer
C1519210 (UMLS CUI [1])
Second degree relatives
Item
Number of second degree relatives deceased is unknown
boolean
C1519210 (UMLS CUI [1])
First degree relatives
Item
First degree relatives: Number unknown information
integer
C1517194 (UMLS CUI [1])
Second degree relatives
Item
Second degree relatives: number unknown information
integer
C1519210 (UMLS CUI [1])
Item
Do you have a history of cancer?
integer
C0027651 (UMLS CUI [1])
Code List
Do you have a history of cancer?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (1st/2nd degree only) have a history of cancer?
integer
C0027651 (UMLS CUI [1])
Code List
Does a relative (1st/2nd degree only) have a history of cancer?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Heart disease?
integer
C0018799 (UMLS CUI [1])
Code List
Do you have a history of Heart disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (1st/2nd degree only) have a history of heart disease?
integer
C0018799 (UMLS CUI [1])
Code List
Does a relative (1st/2nd degree only) have a history of heart disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of high blood pressure/hypertension?
integer
C0020538 (UMLS CUI [1])
Code List
Do you have a history of high blood pressure/hypertension?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of high blood pressure/hypertension?
integer
C0020538 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of high blood pressure/hypertension?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of low blood pressure/hypotension?
integer
C0020649 (UMLS CUI [1])
Code List
Do you have a history of low blood pressure/hypotension?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of low blood pressure/hypotension?
integer
C0020649 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of low blood pressure/hypotension?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of hypercholesterolemia?
integer
C0020443 (UMLS CUI [1])
Code List
Do you have a history of hypercholesterolemia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of hypercholesterolemia?
integer
C0020443 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of hypercholesterolemia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of mitral valve prolapse?
integer
C0746606 (UMLS CUI [1])
Code List
Do you have a history of mitral valve prolapse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of mitral valve prolapse?
integer
C0746606 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of mitral valve prolapse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
integer
C0016522 (UMLS CUI [1])
C2711956 (UMLS CUI [2])
Code List
Do you have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and secind degree only) have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
integer
C0016522 (UMLS CUI [1])
C2711956 (UMLS CUI [2])
Code List
Does a relative (first and secind degree only) have a history of Patent Foramen Ovale (PFO)/ Right-left shunt (RLS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Cerebral aneurysm?
integer
C0917996 (UMLS CUI [1])
Code List
Do you have a history of Cerebral aneurysm?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Cerebral aneurysm?
integer
C0917996 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Cerebral aneurysm?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Intracerebral hemorrhage?
integer
C2937358 (UMLS CUI [1])
Code List
Do you have a history of Intracerebral hemorrhage?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Intracerebral hemorrhage?
integer
C2937358 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Intracerebral hemorrhage?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of ischemic stroke?
integer
C0948008 (UMLS CUI [1])
Code List
Do you have a history of ischemic stroke?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of ischemic stroke?
integer
C0948008 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of ischemic stroke?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Extracranial aneurysm?
integer
C0002940 (UMLS CUI [1,1])
C0580586 (UMLS CUI [1,2])
Code List
Do you have a history of Extracranial aneurysm?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Extracranial aneurysm?
integer
C0002940 (UMLS CUI [1,1])
C0580586 (UMLS CUI [1,2])
Code List
Does a relative (first or second degree only) have a history of Extracranial aneurysm?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Peripheral Vascular Disease?
integer
C0085096 (UMLS CUI [1])
Code List
Do you have a history of Peripheral Vascular Disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Periphereal vascular disease?
integer
C0085096 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Periphereal vascular disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Raynaud Syndrome?
integer
C0034734 (UMLS CUI [1])
Code List
Do you have a history of Raynaud Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Raynaud Syndrome?
integer
C0034734 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Raynaud Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Diabetes mellitus?
integer
C0011849 (UMLS CUI [1])
Code List
Do you have a history of Diabetes mellitus?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Diabetes mellitus?
integer
C0011849 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Diabetes mellitus?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of gastroparesis?
integer
C0152020 (UMLS CUI [1])
Code List
Do you have a history of gastroparesis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Gastroparesis?
integer
C0152020 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Gastroparesis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Irritable Bowel Syndrome?
integer
C0022104 (UMLS CUI [1])
Code List
Do you have a history of Irritable Bowel Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first or second degree only) have a history of Irritable Bowel Syndrome?
integer
C0022104 (UMLS CUI [1])
Code List
Does a relative (first or second degree only) have a history of Irritable Bowel Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of painful bladder?
integer
C1720830 (UMLS CUI [1])
Code List
Do you have a history of painful bladder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (1st/2nd degree only) have a history of painful bladder?
integer
C1720830 (UMLS CUI [1])
Code List
Does a relative (1st/2nd degree only) have a history of painful bladder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of endometriosis?
integer
C0014175 (UMLS CUI [1])
Code List
Do you have a history of endometriosis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (1st/2nd degree only) have a history of endometriosis?
integer
C0014175 (UMLS CUI [1])
Code List
Does a relative (1st/2nd degree only) have a history of endometriosis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of preeclampsia?
integer
C0032914 (UMLS CUI [1])
Code List
Do you have a history of preeclampsia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (1st/2nd degree only) have a history of preeclampsia?
integer
C0032914 (UMLS CUI [1])
Code List
Does a relative (1st/2nd degree only) have a history of preeclampsia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of emotional/verbal abuse?
integer
C0730557 (UMLS CUI [1])
C0562385 (UMLS CUI [2])
Code List
Do you have a history of emotional/verbal abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of emotional/verbal abuse?
integer
C0730557 (UMLS CUI [1])
C0562385 (UMLS CUI [2])
Code List
Does a relative (first and second degree only) have a history of emotional/verbal abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of physical abuse?
integer
C0730554 (UMLS CUI [1])
Code List
Do you have a history of physical abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of physical abuse?
integer
C0730554 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of physical abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of sexual abuse?
integer
C0730555 (UMLS CUI [1])
Code List
Do you have a history of sexual abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of sexual abuse?
integer
C0730555 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of sexual abuse?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Allergy(ies)?
integer
C0020517 (UMLS CUI [1])
Code List
Do you have a history of Allergy(ies)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of allergy(ies)?
integer
C0020517 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of allergy(ies)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physician diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Asthma?
integer
C0004096 (UMLS CUI [1])
Code List
Do you have a history of Asthma?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Asthma?
integer
C0004096 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Asthma?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Eczema?
integer
C0013595 (UMLS CUI [1])
Code List
Do you have a history of Eczema?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Eczema?
integer
C0013595 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Eczema?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Systemic lupus erythematosus (SLE)?
integer
C0024141 (UMLS CUI [1])
Code List
Do you have a history of Systemic lupus erythematosus (SLE)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Systemic lupus erythematosus (SLE)?
integer
C0024141 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Systemic lupus erythematosus (SLE)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of other immunological disorders?
integer
C0021053 (UMLS CUI [1])
Code List
Do you have a history of other immunological disorders?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of other immunological disorders?
integer
C0021053 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of other immunological disorders?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Immunological Disorders
Item
Other Immunological Disorders, please specify:
text
C0021053 (UMLS CUI [1])
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Arthritis?
integer
C0003864 (UMLS CUI [1])
Code List
Do you have a history of Arthritis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of arthritis?
integer
C0003864 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of arthritis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Fibromyalgia?
integer
C0016053 (UMLS CUI [1])
Code List
Do you have a history of Fibromyalgia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Fibromyalgia?
integer
C0016053 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Fibromyalgia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you have a history of Muscle disease?
integer
C0026848 (UMLS CUI [1])
Code List
Do you have a history of Muscle disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of muscle disease?
integer
C0026848 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of muscle disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Autism?
integer
C1510586 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Autism?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of autism?
integer
C1510586 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of autism?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Alzheimers Disease?
integer
C0002395 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Alzheimers Disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Alzheimers Disease?
integer
C0002395 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Alzheimers Disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of Amyotrophic Lateral Sclerosis (ALS)?
integer
C0002736 (UMLS CUI [1])
Code List
Do you/does the participant have a history of Amyotrophic Lateral Sclerosis (ALS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Amyotrophic Lateral Sclerosis (ALS)?
integer
C0002736 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Amyotrophic Lateral Sclerosis (ALS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of Ataxia?
integer
C0004134 (UMLS CUI [1])
Code List
Do you/does the participant have a history of Ataxia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Ataxia?
integer
C0004134 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Ataxia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Chronic ataxia?
integer
C0004134 (UMLS CUI [1,1])
C0008679 (UMLS CUI [1,2])
Code List
Do you/Does the participant have a history of Chronic ataxia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Chronic ataxia?
integer
C0004134 (UMLS CUI [1,1])
C0008679 (UMLS CUI [1,2])
Code List
Does a relative (first and second degree only) have a history of Chronic ataxia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relative
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of Dementia?
integer
C0497327 (UMLS CUI [1])
Code List
Do you/does the participant have a history of Dementia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Dementia?
integer
C0497327 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Dementia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Dystonia?
integer
C0013421 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Dystonia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Dystonia?
integer
C0013421 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Dystonia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of Epilepsy?
integer
C0014544 (UMLS CUI [1])
Code List
Do you/does the participant have a history of Epilepsy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Epilepsy?
integer
C0014544 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Epilepsy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Mild Cognitive Decline (Memory Loss)?
integer
C0852410 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Mild Cognitive Decline (Memory Loss)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Mild Cognitive Decline (Memory Loss)?
integer
C0852410 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Mild Cognitive Decline (Memory Loss)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relative
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Developmental delay?
integer
C0424605 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Developmental delay?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Developmental delay?
integer
C0424605 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Developmental delay?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relative
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relative
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Multiple Sclerosis (MS)?
integer
C0026769 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Multiple Sclerosis (MS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Multiple Sclerosis (MS)?
integer
C0026769 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Multiple Sclerosis (MS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Restless Leg Syndrome (RLS)?
integer
C0035258 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Restless Leg Syndrome (RLS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Restless Leg Syndrome (RLS)?
integer
C0035258 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Restless Leg Syndrome (RLS)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of Tourette’s Syndrome?
integer
C0040517 (UMLS CUI [1])
Code List
Do you/does the participant have a history of Tourette’s Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Tourette’s Syndrome?
integer
C0040517 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Tourette’s Syndrome?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Traumatic brain injury?
integer
C0876926 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Traumatic brain injury?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Traumatic brain injury?
integer
C0876926 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Traumatic brain injury?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Tremor?
integer
C0040822 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Tremor?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Tremor?
integer
C0040822 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Tremor?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Vertigo?
integer
C0042571 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Vertigo?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Vertigo?
integer
C0042571 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Vertigo?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Other neurological disorder
Item
Please specify any other neurological disorder you or a relative have a history of
text
C2015799 (UMLS CUI [1])
Item
Do you/Does the participant have a history of prior specified neurological disorder?
integer
C2015799 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of prior specified neurological disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of prior specified neurological disorder?
integer
C2015799 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of prior specified neurological disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Anxiety?
integer
C0003467 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Anxiety?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Anxiety?
integer
C0003467 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Anxiety?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of bipolar disorder?
integer
C0005586 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of bipolar disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of bipolar disorder?
integer
C0005586 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of bipolar disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of depression?
integer
C0011581 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of depression?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Depression?
integer
C0011581 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Depression?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Obsessive-compulsive Disorder?
integer
C0028768 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of Obsessive-compulsive Disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Obsessive-compulsive Disorder?
integer
C0028768 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of Obsessive-compulsive Disorder?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of PTSD?
integer
C0038436 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of PTSD?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of PTSD?
integer
C0038436 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of PTSD?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relatives to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relatives to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of schizophrenia?
integer
C0036341 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of schizophrenia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of schizophrenia?
integer
C0036341 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of schizophrenia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
CL Item
Half-Sibling Male (11 )
CL Item
Half-Sibling Female  (12 )
CL Item
Maternal Grandmother (13 )
CL Item
Maternal Grandfather (14 )
CL Item
Paternal Grandmother (15)
CL Item
Paternal Grandfather (16 )
CL Item
Maternal Aunt (17 )
CL Item
Maternal Uncle (18 )
CL Item
Paternal Aunt (19 )
CL Item
Paternal Uncle (20 )
CL Item
Grandchild Male (21 )
CL Item
Grandchild Female (22 )
CL Item
Nephew (23 )
CL Item
Niece (24 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of Suicide and/or suicide attempt?
integer
C0038661 (UMLS CUI [1,1])
C0038663 (UMLS CUI [1,2])
Code List
Do you/Does the participant have a history of Suicide and/or suicide attempt?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of Suicide and/or suicide attempt?
integer
C0038661 (UMLS CUI [1,1])
C0038663 (UMLS CUI [1,2])
Code List
Does a relative (first and second degree only) have a history of Suicide and/or suicide attempt?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of alcohol addiction?
integer
C0038586 (UMLS CUI [1,1])
C0001948 (UMLS CUI [1,2])
Code List
Do you/Does the participant have a history of alcohol addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of alcohol addiction?
integer
C0038586 (UMLS CUI [1,1])
C0001948 (UMLS CUI [1,2])
Code List
Does a relative (first and second degree only) have a history of alcohol addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/does the participant have a history of illicit drug addiction?
integer
C0038586 (UMLS CUI [1,1])
C1510472 (UMLS CUI [1,2])
Code List
Do you/does the participant have a history of illicit drug addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of illicit drug addiction?
integer
C0038586 (UMLS CUI [1,1])
C1510472 (UMLS CUI [1,2])
Code List
Does a relative (first and second degree only) have a history of illicit drug addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of prescription drug addiction?
integer
C0038586 (UMLS CUI [1,1])
C0581388 (UMLS CUI [1,2])
Code List
Do you/Does the participant have a history of prescription drug addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of prescription drug addiction?
integer
C0038586 (UMLS CUI [1,1])
C0581388 (UMLS CUI [1,2])
Code List
Does a relative (first and second degree only) have a history of prescription drug addiction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of anorexia?
integer
C0003125 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of anorexia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of anorexia?
integer
C0003125 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of anorexia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of bulimia?
integer
C0006370 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of bulimia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of bulimia?
integer
C0006370 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of bulimia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of binge eating?
integer
C0596170 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of binge eating?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of binge eating?
integer
C0596170 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of binge eating?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of insomnia?
integer
C0917801 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of insomnia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of insomnia?
integer
C0917801 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of insomnia?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of sleep apnea?
integer
C0037315 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of sleep apnea?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of sleep apnea?
integer
C0037315 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of sleep apnea?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relatives to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relatives to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of narcolepsy?
integer
C0027404 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of narcolepsy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of narcolepsy?
integer
C0027404 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of narcolepsy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relatives to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relatives to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Other sleep disorder
Item
Other sleep condition, please specify
text
C0851578 (UMLS CUI [1])
Item
Do you/Does the participant have a history of prior specified sleep condition?
integer
C0851578 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of prior specified sleep condition?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of prior specified sleep condition?
integer
C0851578 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of prior specified sleep condition?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relatives to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relatives to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Item
Do you/Does the participant have a history of obesity?
integer
C0028754 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of obesity?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of obesity?
integer
C0028754 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of obesity?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relative(s) to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Other comorbidity
Item
Other comorbidity, please specify
text
C0009488 (UMLS CUI [1])
Item
Do you/Does the participant have a history of prior specified comorbidity?
integer
C0009488 (UMLS CUI [1])
Code List
Do you/Does the participant have a history of prior specified comorbidity?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Does a relative (first and second degree only) have a history of prior specified comorbidity?
integer
C0009488 (UMLS CUI [1])
Code List
Does a relative (first and second degree only) have a history of prior specified comorbidity?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
First degree relatives
Item
Number of first-degree relatives affected
integer
C1517194 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
First degree relatives
Item
Number of first-degree relatives with physicians diagnosis
integer
C1517194 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of first-degree relative(s) to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of first-degree relative(s) to participant/subject
CL Item
Biological Mother (1 )
CL Item
Biological Father (2 )
CL Item
Sibling Male (3 )
CL Item
Sibling Female (4 )
CL Item
Non-identical or dizygotic twin Male (5 )
CL Item
Non-identical or dizygotic twin Female (6 )
CL Item
Identical twin Male (7 )
CL Item
Identical twin Female (8 )
CL Item
Full biologic child Male (9 )
CL Item
Full biologic child Female (10 )
Second degree relatives
Item
Number of second-degree relatives affected
integer
C1519210 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
Second degree relatives
Item
Number of second-degree relatives with physicians diagnosis
integer
C1519210 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Relationship of second-degree relatives to participant/subject
integer
C0015608 (UMLS CUI [1])
Code List
Relationship of second-degree relatives to participant/subject
CL Item
Half-Sibling Male (1)
CL Item
Half-Sibling Female  (2)
CL Item
Maternal Grandmother (3)
CL Item
Maternal Grandfather (4)
CL Item
Paternal Grandmother (5)
CL Item
Paternal Grandfather (6)
CL Item
Maternal Aunt (7)
CL Item
Maternal Uncle (8)
CL Item
Paternal Aunt (9)
CL Item
Paternal Uncle (10)
CL Item
Grandchild Male (11)
CL Item
Grandchild Female (12)
CL Item
Nephew (13)
CL Item
Niece (14)
Comments
Item
Additional comments
text
C0947611 (UMLS CUI [1])