ID

42964

Description

National Survey of Children with Special Health Care Needs, 2009/10 Survey Design and Sponsorship: Maternal and Child Health Bureau at the Health Resources and Services Administration in partnership with National Center for Health Statistics at the Centers for Disease Control, Child and Adolescent Health Measurement Initiative, and a National Technical Expert Panel Data Collection: National Center for Health Statistics at the Centers for Disease Control Geographic Areas: Nationwide, all 50 states and the District of Columbia Periodicity: 2001, 2005/06, 2009/10, yearly as of 2016/17 Population sampled: Non-institutionalized children with special health care needs (CSHCN) in the US ages 0-17 years Sample size range: Nationally: between 38,000 and 40,000 State: approximately 750 Representative: Weighted to be representative of the US population of non-institutionalized CSHCN ages 0-17 Topics: Assesses overall health and health status of CSHCN, including medical home, adequate health insurance, access to needed services, and adequate care coordination. Other topics include functional difficulties, transition services, and shared decision-making. http://childhealthdata.org/learn/NS-CSHCN

Link

http://childhealthdata.org/learn/NS-CSHCN

Keywords

Versions (2)
  1. 4/10/17 4/10/17 -
  2. 9/17/21 9/17/21 -
Copyright Holder

Centers for Disease Control

Uploaded on

September 17, 2021

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License

Creative Commons BY-NC 3.0
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NS-CSHCN 2009

English

SECTION 3: Child's Health and Functional Status Information

14 forms  
SECTION 3: Child's Health and Functional Status Information
Description

SECTION 3: Child's Health and Functional Status Information

During the past 12 months/Since (his/her) birth], how often have (S.C.)’s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) affected (his/her) ability to do things other children (his/her) age do? Would you say:
Description

READ IF NECESSARY: This question asks how often your child's abilities are affected by his/her health. It does not ask about the severity, intensity, or magnitude of the effect. ADDITIONAL INFO: FOR EXAMPLE, IF A CHILD'S ASTHMA WAS SEVERE BUT THE ATTACKS WERE RARE, THIS QUESTION WOULD BE ANSWERED WITH "SOMETIMES." IF THE CONDITION IS EPISODIC, RESPONDENTS SHOULD THINK ABOUT HOW OFTEN THE CONDITION HAS AFFECTED THE CHILD'S ABILITIES DURING THE PAST ENTIRE 12 MONTHS.

Data type

integer

Alias
UMLS CUI [1,1]
C4019131
UMLS CUI [1,2]
C0439801
UMLS CUI [1,3]
C0441655
Do (S.C.)’s (medical, behavioral, or other health conditions/emotional, developmental, or behavioral problems) affect (his/her) ability to do things a great deal, some, or very little?
Description

C3Q03

Data type

integer

Alias
UMLS CUI [1,1]
C4040478
UMLS CUI [1,2]
C0439792
Which of the following statements best describes (S.C.)’s health care needs? (S.C.)’s health care needs change all the time, (S.C.)’s health care needs change only once in a while, or (S.C.)’s health care needs are usually stable?
Description

C3Q11

Data type

integer

Alias
UMLS CUI [1]
C1282982
Would you say [he/she] experiences any difficulty with any of the following:
Description

Would you say [he/she] experiences any difficulty with any of the following:

Would you say (he/she) experiences a lot, a little, or no difficulty with breathing or other respiratory problems, such as wheezing or shortness of breath?
Description

READ IF NECESSARY: We are interested in both on-going and intermittent breathing problems. If the problem comes and goes, please think about the child's breathing throughout the year. HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0424805
Would you say (he/she) experiences a lot,a little, or no difficulty swallowing, digesting food, or metabolism?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1,1]
C0011168 C3898930
UMLS CUI [1,2]
C0025517
Would you say (he/she) experiences a lot, a little, or no difficulty with blood circulation?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C4020760
Repeated or chronic physical pain, including headaches?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0150055
Seeing even when wearing glasses or contact lenses?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C3665386
Hearing even when using a hearing aid or other device?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1,1]
C0260662
UMLS CUI [1,2]
C0018768
Compared to other children [his/her] age, would you say he/she experiences a little difficulty, a lot of difficulty or no difficulty with each of the following:
Description

Compared to other children [his/her] age, would you say he/she experiences a little difficulty, a lot of difficulty or no difficulty with each of the following:

Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty taking care of (himself/herself), for example, doing things like eating, dressing and bathing?
Description

[IF S.C. IS YOUNGER THAN 36 MONTHS, SKIP TO C3Q28] HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0015745
UMLS CUI [2]
C0518459
UMLS CUI [3]
C0518460
IF (S.C.) 0 - 9 MONTHS OLD, SAY: crawling or moving arms or legs? IF S.C 10 - 23 MONTHS OLD, SAY: walking or crawling? IF S.C 24+ MONTHS OLD, SAY: walking or running?
Description

HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0561977
UMLS CUI [2]
C1635178
UMLS CUI [3]
C0080331
UMLS CUI [4]
C0035953
Using [his/her] hands
Description

IF S.C. IS EQUAL TO OR OLDER THAN 24 MONTHS, THEN: "Compared other [S.C. AGE)-age-old children would you say [he/she] experiences a lot, a little, or no difficulty using (his or her) hands such as...? C3Q29 Compared to other [S.C. AGE)-age-old children would you say [he/she] experiences a lot, a little, or no difficulty using (his or her) hands, such as…? IF (S.C.) 0-7 MONTHS, SAY: grabbing small objects? IF S.C. 8-23 MONTHS, SAY: holding a cup or eating finger foods? IF S.C. 24+ MONTHS, SAY: using scissors, a pencil, or a fork? HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0565699
Learning, understanding, or paying attention?
Description

[IF S.C. IS YOUNGER THAN 12 MONTHS, SKIP TO CPC3Q35] (READ IF NECESSARY: Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty...) HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0233831
UMLS CUI [2]
C0162340
Speaking, communicating, or being understood?
Description

[IF S.C. IS YOUNGER THAN 12 MONTHS, SKIP TO CPC3Q35] (READ IF NECESSARY: Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty...) HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C1527347
With feeling anxious or depressed?
Description

[IF S.C. IS YOUNGER THAN 18 MONTHS, SKIP TO CPC3Q35] (READ IF NECESSARY: Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty…) HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0003467
UMLS CUI [2]
C0011581
With behavior problems, such as acting-out, fighting, bullying, or arguing?
Description

[IF S.C. IS YOUNGER THAN 18 MONTHS, SKIP TO CPC3Q35 (READ IF NECESSARY: Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty…) HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C0233514
Making and keeping friends?
Description

[IF S.C. IS YOUNGER THAN 36 MONTHS, SKIP TO CPC3Q35] (READ IF NECESSARY: Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty) HELP SCREEN: IF RESPONDENT SAYS THAT CHILD HAS MORE THAN A LITTLE DIFFICULTY BUT NOT A LOT OF DIFFICULTY, PLEASE CODE THE ANSWER AS "A LITTLE DIFFICULTY"

Data type

integer

Alias
UMLS CUI [1]
C3175223
asked only for children with no difficulties reported in questions C3Q21 through C3Q34
Description

asked only for children with no difficulties reported in questions C3Q21 through C3Q34

You reported that (S.C.) does not experience any difficulty in any of the areas just mentioned. In your opinion, would you say this is because (S.C.)’s health problems are being treated and are under control?
Description

[IF ALL C3Q21 THROUGH C3Q34 = missing, 3, 77, 99, ASK C3Q35. ELSE, SKIP TO K2Q31]

Data type

integer

Alias
UMLS CUI [1]
C2911690
Why is it that [CHILD’S NAME]’s health problems do not currently cause [him/her] difficulty?
Description

[IF ALL C3Q21 THROUGH C3Q34 = missing, 3, 77, 99, ASK C3Q35. ELSE, SKIP TO K2Q31]

Data type

text

Alias
UMLS CUI [1,1]
C2911690
UMLS CUI [1,2]
C0566251
For the following list of conditions, has a doctor or other health care provider ever told you that [CHILD'S NAME] had the condition, even if [he/she] does not have the condition now? If yes, does [CHILD'S NAME] currently have the condition? Is that condition mild, moderate, or severe?
Description

For the following list of conditions, has a doctor or other health care provider ever told you that [CHILD'S NAME] had the condition, even if [he/she] does not have the condition now? If yes, does [CHILD'S NAME] currently have the condition? Is that condition mild, moderate, or severe?

Attention Deficit Disorder or Attention Deficit Hyperactive Disorder, that is, ADD or ADHD?
Description

HELP SCREEN: A child with Attention Deficit Disorder or Attention Deficit Hyperactive Disorder has problems paying attention or sitting still. It may cause the child to be easily distracted. HELP SCREEN: IF THE RESPONDENT HAS NEVER HEARD OF THE MEDICAL CONDITION OR DOES NOT KNOW WHAT THE CONDITION IS, THEN A DOCTOR OR OTHER HEALTH CARE PROVIDER PROBABLY HAS NOT TOLD THE RESPONDENT THAT THE S.C. HAS THE CONDITION. IF A DOCTOR OR OTHER HEALTH CARE PROVIDER HAS NOT TOLD THE RESPONDENT THAT THE S.C. HAS THE CONDITION, BUT THE RESPONDENT INSISTS THAT THE S.C. HAS THE CONDITION, WE STILL NEED TO CODE THE ANSWER AS "NO".

Data type

integer

Alias
UMLS CUI [1,1]
C0041671
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C1263846
UMLS CUI [2,2]
C0262926
Does [S.C.] currently have ADD or ADHD?
Description

CATI INSTRUCTION: IF K2Q31A IS NOT "1," THEN SKIP TO K2Q32B.

Data type

integer

Alias
UMLS CUI [1,1]
C0041671
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C1263846
UMLS CUI [2,2]
C0521116
Would you describe [his/her] ADD or ADHD as mild, moderate, or severe?
Description

K2Q31C

Data type

integer

Alias
UMLS CUI [1,1]
C0041671
UMLS CUI [1,2]
C0392364
UMLS CUI [2,1]
C1263846
UMLS CUI [2,2]
C0392364
Depression ever?
Description

K2Q32A

Data type

integer

Alias
UMLS CUI [1,1]
C0011581
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have Depression?
Description

K2Q32B

Data type

integer

Alias
UMLS CUI [1,1]
C0011581
UMLS CUI [1,2]
C0521116
Would you describe [his/her] Depression as mild, moderate, or severe?
Description

K2Q32C

Data type

integer

Alias
UMLS CUI [1,1]
C0011581
UMLS CUI [1,2]
C0392364
Anxiety problems?
Description

(IF AGE < 24 MONTHS SKIP TO K2Q40A) (READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0003467
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have anxiety problems?
Description

CATI INSTRUCTION: IF K2Q33A IS NOT "1," THEN SKIP TO K2Q34B.

Data type

integer

Alias
UMLS CUI [1,1]
C0003467
UMLS CUI [1,2]
C0521116
Would you describe [his/her] anxiety problems as mild, moderate, or severe?
Description

K2Q33C

Data type

integer

Alias
UMLS CUI [1,1]
C0003467
UMLS CUI [1,2]
C0392364
Behavioral or conduct problems, such as oppositional defiant disorder or conduct disorder?
Description

(IF AGE < 24 MONTHS SKIP TO K2Q40A) (READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0474413
UMLS CUI [1,2]
C0262926
Does [S.C] currently have behavioral or conduct problems?
Description

CATI INSTRUCTION: IF K2Q34A IS NOT "1," THEN SKIP TO K2Q35B.

Data type

integer

Alias
UMLS CUI [1,1]
C0474413
UMLS CUI [1,2]
C0521116
Would you describe [his/her] behavioral or conduct problems as mild, moderate, or severe?
Description

K2Q34C

Data type

integer

Alias
UMLS CUI [1,1]
C0474413
UMLS CUI [1,2]
C0392364
Ever had Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
Description

K2Q35A

Data type

integer

Alias
UMLS CUI [1,1]
C0004352
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C0236792
UMLS CUI [2,2]
C0262926
UMLS CUI [3,1]
C0524528
UMLS CUI [3,2]
C0262926
Does [S.C] currently have Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
Description

K2Q35B

Data type

integer

Alias
UMLS CUI [1,1]
C0004352
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C0236792
UMLS CUI [2,2]
C0521116
UMLS CUI [3,1]
C0524528
UMLS CUI [3,2]
C0521116
Would you describe [his/her] Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder as mild, moderate, or severe?
Description

K2Q35C

Data type

integer

Alias
UMLS CUI [1,1]
C0004352
UMLS CUI [1,2]
C0392364
UMLS CUI [2,1]
C0236792
UMLS CUI [2,2]
C0392364
UMLS CUI [3,1]
C0524528
UMLS CUI [3,2]
C0392364
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
Description

NOTE: Only asked if YES to K2Q35A and K2Q35B (child currently has autism or ASD). HELP SCREEN: ENTER AGE IN MONTHS FOR 0 TO 23 MONTHS. IF 2 YEARS OR OLDER, ENTER AGE IN YEARS.

Data type

integer

Measurement units
  • VALUE (MUST BE LESS THAN OR EQUAL TO AGE OF CHILD)
Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0001779
VALUE (MUST BE LESS THAN OR EQUAL TO AGE OF CHILD)
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
Description

NOTE: Only asked if YES to K2Q35A and K2Q35B (child currently has autism or ASD). HELP SCREEN: ENTER AGE IN MONTHS FOR 0 TO 23 MONTHS. IF 2 YEARS OR OLDER, ENTER AGE IN YEARS.

Data type

integer

Measurement units
  • VALUE (MUST BE LESS THAN OR EQUAL TO AGE OF CHILD)
Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0001779
VALUE (MUST BE LESS THAN OR EQUAL TO AGE OF CHILD)
Any developmental delay that affects (his/her) ability to learn?
Description

(IF AGE < 24 MONTHS SKIP TO K2Q40A) (READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0424605
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have developmental delay?
Description

CATI INSTRUCTION: IF K2Q36A IS NOT "1," THEN SKIP TO K2Q37B.

Data type

integer

Alias
UMLS CUI [1,1]
C0424605
UMLS CUI [1,2]
C0521116
Would you describe [his/her] developmental delay as mild, moderate, or severe?
Description

K2Q36C

Data type

integer

Alias
UMLS CUI [1,1]
C0424605
UMLS CUI [1,2]
C0392364
Intellectual disability or mental retardation?
Description

(IF AGE < 24 MONTHS SKIP TO K2Q40A) (READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...) HELP SCREEN: Children with intellectual disabilities or mental retardation learn and develop more slowly than a typical child. HELP SCREEN: IF THE RESPONDENT HAS NEVER HEARD OF THE MEDICAL CONDITION OR DOES NOT KNOW WHAT THE CONDITION IS, THEN A DOCTOR OR OTHER HEALTH CARE PROVIDER PROBABLY HAS NOT TOLD THE RESPONDENT THAT THE S.C. HAS THE CONDITION. IF A DOCTOR OR OTHER HEALTH CARE PROVIDER HAS NOT TOLD THE RESPONDENT THAT THE S.C. HAS THE CONDITION, BUT THE RESPONDENT INSISTS THAT THE S.C. HAS THE CONDITION, WE STILL NEED TO CODE THE ANSWER AS "NO".

Data type

integer

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C0025362
UMLS CUI [2,2]
C0262926
Does [S.C.] currently have intellectual disability or mental retardation?
Description

CATI INSTRUCTION: IF K2Q37A IS NOT "1," THEN SKIP TO K2Q40B.

Data type

integer

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C0025362
UMLS CUI [2,2]
C0521116
Would you describe [his/her] intellectual disability or mental retardation as mild, moderate, or severe?
Description

K2Q37C

Data type

integer

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0392364
UMLS CUI [2,1]
C0025362
UMLS CUI [2,2]
C0392364
*The following list is applicable for ages 0-17 years only
Description

*The following list is applicable for ages 0-17 years only

Asthma?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0004096
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have asthma?
Description

CATI INSTRUCTION: IF K2Q40A IS NOT "1," THEN SKIP TO K2Q41B.

Data type

integer

Alias
UMLS CUI [1,1]
C0004096
UMLS CUI [1,2]
C0521116
Diabetes?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had…)

Data type

integer

Alias
UMLS CUI [1,1]
C0011847
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have diabetes?
Description

CATI INSTRUCTION: IF K2Q41A IS NOT "1," THEN SKIP TO K2Q42B.

Data type

integer

Alias
UMLS CUI [1,1]
C0011847
UMLS CUI [1,2]
C0521116
Epilepsy or seizure disorder?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have epilepsy or seizure disorder?
Description

CATI INSTRUCTION: IF K2Q42A IS NOT "1," THEN SKIP TO K2Q43B.

Data type

integer

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0521116
Would you describe [his/her] epilepsy or seizure disorder as mild, moderate, or severe?
Description

K2Q42C

Data type

integer

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0392364
Migraines or frequent headaches?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0149931
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C0948396
UMLS CUI [2,2]
C0262926
Does [S.C] currently have migraines or frequent headaches?
Description

CATI INSTRUCTION: IF K2Q43A IS NOT "1," THEN SKIP TO K2Q44B.

Data type

integer

Alias
UMLS CUI [1,1]
C0149931
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C0948396
UMLS CUI [2,2]
C0521116
A head injury, concussion, or traumatic brain injury or concussion?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had…)

Data type

integer

Alias
UMLS CUI [1,1]
C0018674
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C0006107
UMLS CUI [2,2]
C0262926
UMLS CUI [3,1]
C0270611
UMLS CUI [3,2]
C0262926
Does [S.C.] currently have a head injury, concussion, or traumatic brain injury?
Description

CATI INSTRUCTION: IF K2Q44A IS NOT "1," THEN SKIP TO K2Q45B.

Data type

integer

Alias
UMLS CUI [1,1]
C0018674
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C0006107
UMLS CUI [2,2]
C0521116
UMLS CUI [3,1]
C0270611
UMLS CUI [3,2]
C0521116
Would you describe [his/her] injury as mild, moderate, or severe?
Description

K2Q44C

Data type

integer

Alias
UMLS CUI [1,1]
C0018674
UMLS CUI [1,2]
C0392364
UMLS CUI [2,1]
C0006107
UMLS CUI [2,2]
C0392364
UMLS CUI [3,1]
C0270611
UMLS CUI [3,2]
C0392364
Heart problem, including congenital heart disease?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have a heart problem?
Description

CATI INSTRUCTION: IF K2Q45A IS NOT "1," THEN SKIP TO K2Q46B.

Data type

integer

Alias
UMLS CUI [1,1]
C0018799
UMLS CUI [1,2]
C0521116
Blood problems such as anemia or sickle cell disease? Please do not include Sickle Cell Trait.
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have a blood problem?
Description

CATI INSTRUCTION: IF K2Q46A IS NOT "1," THEN SKIP TO K2Q47B.

Data type

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0521116
Are (his/her) blood problems related to anemia, sickle cell disease, hemophilia, or something else?
Description

NOTE: Only asked if YES to K2Q46A and K2Q46B (child currently has a blood problem).

Data type

integer

Alias
UMLS CUI [1]
C0018939
Cystic Fibrosis?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0010674
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have Cystic Fibrosis?
Description

CATI INSTRUCTION: IF K2Q47A IS NOT "1," THEN SKIP TO K2Q48B.

Data type

integer

Alias
UMLS CUI [1,1]
C0010674
UMLS CUI [1,2]
C0521116
Cerebral Palsy?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0007789
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have Cerebral Palsy?
Description

CATI INSTRUCTION: IF K2Q48A IS NOT "1," THEN SKIP TO K2Q49B.

Data type

integer

Alias
UMLS CUI [1,1]
C0007789
UMLS CUI [1,2]
C0521116
Muscular Dystrophy?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0026850
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have Muscular Dystrophy?
Description

CATI INSTRUCTION: IF K2Q49A IS NOT "1," THEN SKIP TO K2Q50B.

Data type

integer

Alias
UMLS CUI [1,1]
C0026850
UMLS CUI [1,2]
C0521116
Down Syndrome?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had…)

Data type

integer

Alias
UMLS CUI [1,1]
C0013080
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have Down Syndrome?
Description

CATI INSTRUCTION: IF K2Q50A IS NOT "1," THEN SKIP TO K2Q51B.

Data type

integer

Alias
UMLS CUI [1,1]
C0013080
UMLS CUI [1,2]
C0521116
Arthritis or other joint problems?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had...)

Data type

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0262926
UMLS CUI [2,1]
C0575044
UMLS CUI [2,2]
C0262926
Does [S.C.] currently have arthritis or other joint problems?
Description

CATI INSTRUCTION: IF K2Q51A IS NOT "1," THEN SKIP TO K2Q52B.

Data type

integer

Alias
UMLS CUI [1,1]
C0003864
UMLS CUI [1,2]
C0521116
UMLS CUI [2,1]
C0575044
UMLS CUI [2,2]
C0521116
Allergies?
Description

(READ IF NECESSARY: Has a doctor or other health care provider ever told you that (S.C.) had)

Data type

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0262926
Does [S.C.] currently have allergies?
Description

CATI INSTRUCTION: IF K2Q52A IS NOT "1," THEN SKIP TO C3Q14.

Data type

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0521116
Are any of these food allergies?
Description

NOTE: Only asked if YES to K2Q52A and K2Q52B (child currently has allergies).

Data type

integer

Alias
UMLS CUI [1,1]
C0016470
social life
Description

social life

During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
Description

[IF AGE < 60 MONTHS (5 YEARS), SKIP TO C3Q42] [NOTE: A SCHOOL YEAR IS 240 DAYS] (CATI: 3 NUMERIC-CHARACTER-FIELD, RANGE 000-240, 555, 666, 777, 999) (Date Format for FILL: MONTH NAME/YEAR. Example if this were executed today: "..., that is since February 2004, about how many days")

Data type

integer

Measurement units
  • NUMBER OF DAYS
Alias
UMLS CUI [1,1]
C0242807
UMLS CUI [1,2]
C0036375
UMLS CUI [1,3]
C3843288
NUMBER OF DAYS
During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
Description

[IF AGE < 60 MONTHS (5 YEARS), SKIP TO C3Q42] [NOTE: A SCHOOL YEAR IS 240 DAYS] (CATI: 3 NUMERIC-CHARACTER-FIELD, RANGE 000-240, 555, 666, 777, 999) (Date Format for FILL: MONTH NAME/YEAR. Example if this were executed today: "..., that is since February 2004, about how many days")

Data type

integer

Alias
UMLS CUI [1,1]
C0242807
UMLS CUI [1,2]
C0036375
UMLS CUI [1,3]
C3843288
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to attend school on a regular basis?
Description

[IF AGE < 60 MONTHS (5 YEARS), SKIP TO C3Q42]

Data type

integer

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C2372109
Do (S.C.)'s medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to participate in sports, clubs, or other organized activities?
Description

[IF AGE < 60 MONTHS (5 YEARS), SKIP TO C3Q42]

Data type

integer

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C1821909
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with [his/her] ability to participate in play with other children?
Description

[IF S.C. IS YOUNGER THAN 12 MONTHS, SKIP TO C3Q43]

Data type

integer

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0037420
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to go on outings, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
Description

C3Q43

Data type

integer

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0521102
UMLS CUI [1,3]
C0023292
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Similar models

SECTION 3: Child's Health and Functional Status Information

14 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
SECTION 3: Child's Health and Functional Status Information
C3Q02
Item
During the past 12 months/Since (his/her) birth], how often have (S.C.)’s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) affected (his/her) ability to do things other children (his/her) age do? Would you say:
integer
C4019131 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
C0441655 (UMLS CUI [1,3])
C3Q03
Item
Do (S.C.)’s (medical, behavioral, or other health conditions/emotional, developmental, or behavioral problems) affect (his/her) ability to do things a great deal, some, or very little?
integer
C4040478 (UMLS CUI [1,1])
C0439792 (UMLS CUI [1,2])
C3Q11
Item
Which of the following statements best describes (S.C.)’s health care needs? (S.C.)’s health care needs change all the time, (S.C.)’s health care needs change only once in a while, or (S.C.)’s health care needs are usually stable?
integer
C1282982 (UMLS CUI [1])
Item Group
Would you say [he/she] experiences any difficulty with any of the following:
C3Q23
Item
Would you say (he/she) experiences a lot, a little, or no difficulty with breathing or other respiratory problems, such as wheezing or shortness of breath?
integer
C0424805 (UMLS CUI [1])
C3Q24
Item
Would you say (he/she) experiences a lot,a little, or no difficulty swallowing, digesting food, or metabolism?
integer
C0011168 C3898930 (UMLS CUI [1,1])
C0025517 (UMLS CUI [1,2])
C3Q25
Item
Would you say (he/she) experiences a lot, a little, or no difficulty with blood circulation?
integer
C4020760 (UMLS CUI [1])
C3Q26
Item
Repeated or chronic physical pain, including headaches?
integer
C0150055 (UMLS CUI [1])
C3Q21
Item
Seeing even when wearing glasses or contact lenses?
integer
C3665386 (UMLS CUI [1])
C3Q22
Item
Hearing even when using a hearing aid or other device?
integer
C0260662 (UMLS CUI [1,1])
C0018768 (UMLS CUI [1,2])
Item Group
Compared to other children [his/her] age, would you say he/she experiences a little difficulty, a lot of difficulty or no difficulty with each of the following:
C3Q27
Item
Compared to other (S.C. AGE)-year-old children, would you say (he/she) experiences a lot, a little, or no difficulty taking care of (himself/herself), for example, doing things like eating, dressing and bathing?
integer
C0015745 (UMLS CUI [1])
C0518459 (UMLS CUI [2])
C0518460 (UMLS CUI [3])
C3Q28
Item
IF (S.C.) 0 - 9 MONTHS OLD, SAY: crawling or moving arms or legs? IF S.C 10 - 23 MONTHS OLD, SAY: walking or crawling? IF S.C 24+ MONTHS OLD, SAY: walking or running?
integer
C0561977 (UMLS CUI [1])
C1635178 (UMLS CUI [2])
C0080331 (UMLS CUI [3])
C0035953 (UMLS CUI [4])
C3Q29
Item
Using [his/her] hands
integer
C0565699 (UMLS CUI [1])
C3Q30
Item
Learning, understanding, or paying attention?
integer
C0233831 (UMLS CUI [1])
C0162340 (UMLS CUI [2])
C3Q31
Item
Speaking, communicating, or being understood?
integer
C1527347 (UMLS CUI [1])
C3Q32
Item
With feeling anxious or depressed?
integer
C0003467 (UMLS CUI [1])
C0011581 (UMLS CUI [2])
C3Q33
Item
With behavior problems, such as acting-out, fighting, bullying, or arguing?
integer
C0233514 (UMLS CUI [1])
C3Q34
Item
Making and keeping friends?
integer
C3175223 (UMLS CUI [1])
Item Group
asked only for children with no difficulties reported in questions C3Q21 through C3Q34
Item
You reported that (S.C.) does not experience any difficulty in any of the areas just mentioned. In your opinion, would you say this is because (S.C.)’s health problems are being treated and are under control?
integer
C2911690 (UMLS CUI [1])
C10Q02A
Code List
You reported that (S.C.) does not experience any difficulty in any of the areas just mentioned. In your opinion, would you say this is because (S.C.)’s health problems are being treated and are under control?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
C3Q35A
Item
Why is it that [CHILD’S NAME]’s health problems do not currently cause [him/her] difficulty?
text
C2911690 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Item Group
For the following list of conditions, has a doctor or other health care provider ever told you that [CHILD'S NAME] had the condition, even if [he/she] does not have the condition now? If yes, does [CHILD'S NAME] currently have the condition? Is that condition mild, moderate, or severe?
Item
Attention Deficit Disorder or Attention Deficit Hyperactive Disorder, that is, ADD or ADHD?
integer
C0041671 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C10Q02A
Code List
Attention Deficit Disorder or Attention Deficit Hyperactive Disorder, that is, ADD or ADHD?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have ADD or ADHD?
integer
C0041671 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C10Q02A
Code List
Does [S.C.] currently have ADD or ADHD?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q31C
Item
Would you describe [his/her] ADD or ADHD as mild, moderate, or severe?
integer
C0041671 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C1263846 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
Item
Depression ever?
integer
C0011581 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Depression ever?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q32B
Item
Does [S.C.] currently have Depression?
integer
C0011581 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q32C
Item
Would you describe [his/her] Depression as mild, moderate, or severe?
integer
C0011581 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Anxiety problems?
integer
C0003467 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Anxiety problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q33B
Item
Does [S.C.] currently have anxiety problems?
integer
C0003467 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q33C
Item
Would you describe [his/her] anxiety problems as mild, moderate, or severe?
integer
C0003467 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Behavioral or conduct problems, such as oppositional defiant disorder or conduct disorder?
integer
C0474413 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Behavioral or conduct problems, such as oppositional defiant disorder or conduct disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q34B
Item
Does [S.C] currently have behavioral or conduct problems?
integer
C0474413 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q34C
Item
Would you describe [his/her] behavioral or conduct problems as mild, moderate, or severe?
integer
C0474413 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Ever had Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
integer
C0004352 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0262926 (UMLS CUI [3,2])
C10Q02A
Code List
Ever had Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C] currently have Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
integer
C0004352 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C10Q02A
Code List
Does [S.C] currently have Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q35C
Item
Would you describe [his/her] Autism, Asperger’s Disorder, pervasive developmental disorder, or other autism spectrum disorder as mild, moderate, or severe?
integer
C0004352 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0236792 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
C0524528 (UMLS CUI [3,1])
C0392364 (UMLS CUI [3,2])
K2Q35D
Item
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
integer
C0011900 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
to K2Q35D
Item
How old was (S.C.) when a doctor or other health care provider first told you that (he/she) had autism or ASD?
integer
C0011900 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
Item
Any developmental delay that affects (his/her) ability to learn?
integer
C0424605 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Any developmental delay that affects (his/her) ability to learn?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q36B
Item
Does [S.C.] currently have developmental delay?
integer
C0424605 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q36C
Item
Would you describe [his/her] developmental delay as mild, moderate, or severe?
integer
C0424605 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Intellectual disability or mental retardation?
integer
C3714756 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C10Q02A
Code List
Intellectual disability or mental retardation?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have intellectual disability or mental retardation?
integer
C3714756 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C10Q02A
Code List
Does [S.C.] currently have intellectual disability or mental retardation?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q37C
Item
Would you describe [his/her] intellectual disability or mental retardation as mild, moderate, or severe?
integer
C3714756 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0025362 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
Item Group
*The following list is applicable for ages 0-17 years only
Item
Asthma?
integer
C0004096 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Asthma?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q40B
Item
Does [S.C.] currently have asthma?
integer
C0004096 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Diabetes?
integer
C0011847 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Diabetes?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have diabetes?
integer
C0011847 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C10Q02A
Code List
Does [S.C.] currently have diabetes?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Epilepsy or seizure disorder?
integer
C0014544 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Epilepsy or seizure disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have epilepsy or seizure disorder?
integer
C0014544 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C10Q02A
Code List
Does [S.C.] currently have epilepsy or seizure disorder?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q42C
Item
Would you describe [his/her] epilepsy or seizure disorder as mild, moderate, or severe?
integer
C0014544 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
Item
Migraines or frequent headaches?
integer
C0149931 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0948396 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C10Q02A
Code List
Migraines or frequent headaches?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C] currently have migraines or frequent headaches?
integer
C0149931 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0948396 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C10Q02A
Code List
Does [S.C] currently have migraines or frequent headaches?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
A head injury, concussion, or traumatic brain injury or concussion?
integer
C0018674 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0262926 (UMLS CUI [3,2])
C10Q02A
Code List
A head injury, concussion, or traumatic brain injury or concussion?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have a head injury, concussion, or traumatic brain injury?
integer
C0018674 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C10Q02A
Code List
Does [S.C.] currently have a head injury, concussion, or traumatic brain injury?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q44C
Item
Would you describe [his/her] injury as mild, moderate, or severe?
integer
C0018674 (UMLS CUI [1,1])
C0392364 (UMLS CUI [1,2])
C0006107 (UMLS CUI [2,1])
C0392364 (UMLS CUI [2,2])
C0270611 (UMLS CUI [3,1])
C0392364 (UMLS CUI [3,2])
Item
Heart problem, including congenital heart disease?
integer
C0018799 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Heart problem, including congenital heart disease?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q45B
Item
Does [S.C.] currently have a heart problem?
integer
C0018799 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Blood problems such as anemia or sickle cell disease? Please do not include Sickle Cell Trait.
integer
C0018939 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Blood problems such as anemia or sickle cell disease? Please do not include Sickle Cell Trait.
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q46B
Item
Does [S.C.] currently have a blood problem?
integer
C0018939 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
K2Q46C
Item
Are (his/her) blood problems related to anemia, sickle cell disease, hemophilia, or something else?
integer
C0018939 (UMLS CUI [1])
Item
Cystic Fibrosis?
integer
C0010674 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Cystic Fibrosis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have Cystic Fibrosis?
integer
C0010674 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C10Q02A
Code List
Does [S.C.] currently have Cystic Fibrosis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q48A
Item
Cerebral Palsy?
integer
C0007789 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
K2Q48B
Item
Does [S.C.] currently have Cerebral Palsy?
integer
C0007789 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Muscular Dystrophy?
integer
C0026850 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Muscular Dystrophy?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q49B
Item
Does [S.C.] currently have Muscular Dystrophy?
integer
C0026850 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Down Syndrome?
integer
C0013080 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Down Syndrome?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
K2Q50B
Item
Does [S.C.] currently have Down Syndrome?
integer
C0013080 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Item
Arthritis or other joint problems?
integer
C0003864 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0575044 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C10Q02A
Code List
Arthritis or other joint problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have arthritis or other joint problems?
integer
C0003864 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C0575044 (UMLS CUI [2,1])
C0521116 (UMLS CUI [2,2])
C10Q02A
Code List
Does [S.C.] currently have arthritis or other joint problems?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Allergies?
integer
C0020517 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C10Q02A
Code List
Allergies?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Does [S.C.] currently have allergies?
integer
C0020517 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
C10Q02A
Code List
Does [S.C.] currently have allergies?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Are any of these food allergies?
integer
C0016470 (UMLS CUI [1,1])
C10Q02A
Code List
Are any of these food allergies?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item Group
social life
C3Q14
Item
During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
integer
C0242807 (UMLS CUI [1,1])
C0036375 (UMLS CUI [1,2])
C3843288 (UMLS CUI [1,3])
to C3Q14
Item
During the past 12 months, that is since (ONE_YEAR_AGO), about how many days did (S.C.) miss school because of illness or injury?
integer
C0242807 (UMLS CUI [1,1])
C0036375 (UMLS CUI [1,2])
C3843288 (UMLS CUI [1,3])
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to attend school on a regular basis?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C2372109 (UMLS CUI [1,3])
C10Q02A
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to attend school on a regular basis?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to participate in sports, clubs, or other organized activities?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C1821909 (UMLS CUI [1,3])
C10Q02A
Code List
Do (S.C.)'s medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to participate in sports, clubs, or other organized activities?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with [his/her] ability to participate in play with other children?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0037420 (UMLS CUI [1,3])
C10Q02A
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with [his/her] ability to participate in play with other children?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
Item
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to go on outings, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
integer
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C0023292 (UMLS CUI [1,3])
C10Q02A
Code List
Do (S.C.)'s (medical, behavioral, or other health conditions / emotional, developmental, or behavioral problems) interfere with (his/her) ability to go on outings, such as to the park, library, zoo, shopping, church, restaurants, or family gatherings?
CL Item
BIOLOGICAL MOTHER (01)
CL Item
STEP MOTHER (02)
CL Item
FOSTER MOTHER (03)
CL Item
ADOPTIVE MOTHER (04)
CL Item
MOTHER, but TYPE REFUSED (05)
CL Item
BIOLOGICAL FATHER (06)
CL Item
STEP FATHER (07)
CL Item
FOSTER FATHER (08)
CL Item
ADOPTIVE FATHER (09)
CL Item
FATHER, but TYPE REFUSED (10)
CL Item
GRANDMOTHER (11)
CL Item
GRANDFATHER (12)
CL Item
AUNT (13)
CL Item
UNCLE (14)
CL Item
FEMALE GUARDIAN (15)
CL Item
MALE GUARDIAN (16)
CL Item
SISTER (BIOLOGICAL) (17)
CL Item
SISTER ( STEP) (18)
CL Item
SISTER ( FOSTER) (19)
CL Item
SISTER (HALF) (20)
CL Item
SISTER (ADOPTIVE) (21)
CL Item
BROTHER (BIOLOGICAL) (22)
CL Item
BROTHER (STEP) (23)
CL Item
BROTHER (FOSTER) (24)
CL Item
BROTHER ( HALF) (25)
CL Item
DON'T KNOW (77)
CL Item
REFUSED (99)
CL Item
BROTHER (ADOPTIVE) (26)
CL Item
COUSIN (27)
CL Item
IN-LAW OF ANY TYPE (28)
CL Item
OTHER RELATIVE/FAMILY MEMBER (29)
CL Item
PARENT'S BOYFRIEND/MALE PARTNER (30)
CL Item
PARENT'S GIRLFRIEND/FEMALE PARTNER (31)
CL Item
PARENT'S PARTNER, but SEX REFUSED (32)
CL Item
OTHER NON-RELATIVE OR FRIEND (33)
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