ID

43734

Description

The Pediatric Sleep Questionnaire (PSQ) protocol is a parent questionnaire for children from 2 through 18 years, and rated on a simple three-point scale ("yes," "no," or "don’t know") for all items except the inattention/hyperactivity items that are rated on a four-point Likert scale. This protocol provides an overall total score and five sleep scales: (1) Sleep-Related Breathing Disorders (SRBD), (2) Snoring, (3) Sleepiness, (4) Behavior, and (5) Periodic Limb Movement Disorder (PLMD). ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.

Link

https://cde.nlm.nih.gov

Keywords

Versions (2)
  1. 4/27/16 4/27/16 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Sleep Apnea - Child Protocol PhenX Toolkit

English

Sleep Apnea - Child Protocol PhenX Toolkit

1 forms  
PhenX - respiratory - sleep apnea - child protocol
Description

PhenX - respiratory - sleep apnea - child protocol

Alias
UMLS CUI-1
C3169358
Date of observation
Description

date of observation

Data type

date

Alias
UMLS CUI [1]
C3176356
Where are you completing this questionnaire?
Description

interview location

Data type

text

Alias
UMLS CUI [1]
C3174090
Birth date
Description

birth date

Data type

date

Alias
UMLS CUI [1]
C0421451
Sex
Description

sex

Data type

integer

Alias
UMLS CUI [1]
C0079399
Body height --standing
Description

body height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body weight
Description

body weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Grade in school, if applicable
Description

school grade

Data type

text

Alias
UMLS CUI [1]
C3244287
Racial or ethnic background of your child
Description

race

Data type

text

Alias
UMLS CUI [1]
C0034510
While sleeping, does your child ever snore?
Description

child ever snore

Data type

text

Alias
UMLS CUI [1]
C0037384
While sleeping, does your child ever snore more than half the time?
Description

child ever snore more than half the time

Data type

text

Alias
UMLS CUI [1,1]
C0037384
UMLS CUI [1,2]
C3843271
While sleeping, does your child always snore?
Description

always snoring

Data type

text

Alias
UMLS CUI [1,1]
C0037384
UMLS CUI [1,2]
C2003902
While sleeping, does your child snore loudly?
Description

snoring loudly

Data type

text

Alias
UMLS CUI [1]
C2219850
While sleeping, does your child have heavy or loud breathing?
Description

loud breathing

Data type

text

Alias
UMLS CUI [1]
C3174098
While sleeping, does your child have trouble breathing, or struggle to breathe?
Description

child struggle breathing

Data type

text

Alias
UMLS CUI [1,1]
C0037313
UMLS CUI [1,2]
C3641913
Have you ever seen your child stop breathing during the night?
Description

stop breathing during the night

Data type

text

Alias
UMLS CUI [1,1]
C0037313
UMLS CUI [1,2]
C0003578
Have you ever been concerned about your childs breathing during sleep?
Description

concern child breathing ever

Data type

text

Alias
UMLS CUI [1,1]
C0037313
UMLS CUI [1,2]
C0004048
Have you ever had to shake your sleeping child to get him or her to breathe, or wake up and breathe?
Description

shake wake sleeping child

Data type

text

Alias
UMLS CUI [1]
C3174104
Have you ever seen your child wake up with a snorting sound?
Description

child wake snorting

Data type

text

Alias
UMLS CUI [1]
C3174106
Does your child have restless sleep?
Description

restless sleep

Data type

text

Alias
UMLS CUI [1]
C0235160
Does your child describe restlessness of the legs when in bed?
Description

restlessness of the legs when in bed

Data type

text

Alias
UMLS CUI [1,1]
C3887611
UMLS CUI [1,2]
C0004916
Does your child have growing pains (unexplained leg pains)?
Description

growing pains

Data type

text

Alias
UMLS CUI [1]
C0423693
Does your child have growing pains that are worst in bed?
Description

growing pains worst in bed

Data type

text

Alias
UMLS CUI [1,1]
C0423693
UMLS CUI [1,2]
C0004916
While your child sleeps, have you seen brief kicks of one leg or both legs?
Description

kicks of one leg or both legs

Data type

text

Alias
UMLS CUI [1,1]
C2371406
UMLS CUI [1,2]
C0004916
While your child sleeps, have you seen repeated kicks or jerks of the legs at regular intervals (i.e., about every 20 to 40 seconds)?
Description

legs repeated kicks

Data type

text

Alias
UMLS CUI [1]
C3174117
At night, does your child usually become sweaty, or do the pajamas usually become wet with perspiration?
Description

night sweats

Data type

text

Alias
UMLS CUI [1]
C0028081
At night, does your child usually get out of bed for any reason?
Description

child night out of bed

Data type

text

Alias
UMLS CUI [1]
C3174121
At night, does your child usually get out of bed to urinate?
Description

get out of bed to urinate

Data type

text

Alias
UMLS CUI [1]
C3174122
If your child usually gets out of bed to urinate, how many times each night, on average?
Description

night urinate times

Data type

integer

Alias
UMLS CUI [1]
C3173258
Does your child usually sleep with the mouth open?
Description

sleep with the mouth open

Data type

text

Alias
UMLS CUI [1]
C3173260
Is your child's nose usually congested or stuffed at night?
Description

nose usually congested or stuffed at night

Data type

text

Alias
UMLS CUI [1,1]
C0027424
UMLS CUI [1,2]
C0240526
Do any allergies affect your childs ability to breathe through the nose?
Description

allergies ability to breathe through the nose

Data type

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0566501
Does your child tend to breathe through the mouth during the day?
Description

breathe through the mouth during the day

Data type

text

Alias
UMLS CUI [1]
C3173266
Does your child have a dry mouth on waking up in the morning?
Description

dry mouth on waking up in the morning

Data type

text

Alias
UMLS CUI [1,1]
C0478155
UMLS CUI [1,2]
C0332170
Does your child complain of an upset stomach at night?
Description

upset stomach at night

Data type

text

Alias
UMLS CUI [1,1]
C0235309
UMLS CUI [1,2]
C0240526
Does your child get a burning feeling in the throat at night?
Description

burning feeling in the throat at night

Data type

text

Alias
UMLS CUI [1]
C3173272
Does your child grind his or her teeth at night?
Description

child grind teeth night

Data type

text

Alias
UMLS CUI [1]
C0006325
Does your child occasionally wet the bed?
Description

wet the bed

Data type

text

Alias
UMLS CUI [1]
C0270327
Has your child ever walked during sleep (sleep walking)?
Description

sleep walking

Data type

text

Alias
UMLS CUI [1]
C0037672
Have you ever heard your child talk during sleep (sleep talking)?
Description

sleep talking

Data type

text

Alias
UMLS CUI [1]
C0542313
Does your child have nightmares once a week or more on average?
Description

have nightmares

Data type

text

Alias
UMLS CUI [1]
C3843955
Has your child ever woken up screaming during the night?
Description

woken up screaming during the night

Data type

text

Alias
UMLS CUI [1]
C3172976
Has your child ever been moving or behaving, at night, in a way that made you think your child was neither completely awake nor asleep?
Description

neither awake asleep

Data type

text

Alias
UMLS CUI [1]
C3172978
Does your child have difficulty falling asleep at night?
Description

difficulty falling asleep at night

Data type

text

Alias
UMLS CUI [1]
C0393760
How long does it take your child to fall asleep at night?
Description

child time fall asleep

Data type

float

Alias
UMLS CUI [1]
C3172982
At bedtime does your child usually have difficult routines or rituals, argue a lot, or otherwise behave badly?
Description

difficult bed routines

Data type

text

Alias
UMLS CUI [1]
C3172984
Does your child bang his or her head or rock his or her body when going to sleep?
Description

bang head rock body

Data type

boolean

Alias
UMLS CUI [1]
C3172986
Does your child wake up more than twice a night on average?
Description

wake up multiple times

Data type

text

Alias
UMLS CUI [1]
C3172989
Does your child have trouble falling back asleep if he or she wakes up at night?
Description

trouble falling back asleep

Data type

text

Alias
UMLS CUI [1]
C3172990
Does your child wake up early in the morning and have difficulty going back to sleep?
Description

wake up early in the morning

Data type

text

Alias
UMLS CUI [1]
C3172992
Does the time at which your child goes to bed change a lot from day to day?
Description

bedtime change a lot

Data type

boolean

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0392747
Does the time at which your child gets up from bed change a lot from day to day?
Description

time to get up change a lot

Data type

boolean

Alias
UMLS CUI [1]
C3172996
What time does your child usually go to bed during the week?
Description

time child bed week

Data type

time

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0439230
What time does your child usually go to bed on the weekend or vacation?
Description

bedtime at weekend

Data type

time

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0680190
What time does your child usually get out of bed on weekday mornings?
Description

time child up weekday

Data type

time

Alias
UMLS CUI [1]
C3173000
What time does your child usually get out of bed on weekend or vacation mornings?
Description

time child up weekend

Data type

time

Alias
UMLS CUI [1]
C3173001
Does your child wake up feeling unrefreshed in the morning?
Description

wake up feeling unrefreshed in the morning

Data type

text

Alias
UMLS CUI [1]
C3173002
Does your child have a problem with sleepiness during the day?
Description

problem with sleepiness during the day

Data type

text

Alias
UMLS CUI [1]
C0013144
Does your child complain that he or she feels sleepy during the day?
Description

feels sleepy during the day complain

Data type

text

Alias
UMLS CUI [1]
C0013144
Has a teacher or other supervisor commented that your child appears sleepy during the day?
Description

appears sleepy during the day

Data type

text

Alias
UMLS CUI [1]
C3174130
Does your child usually take a nap during the day?
Description

take a nap during the day

Data type

text

Alias
UMLS CUI [1]
C3174132
Is it hard to wake your child up in the morning?
Description

hard to wake up

Data type

text

Alias
UMLS CUI [1]
C3174134
Does your child wake up with headaches in the morning?
Description

wake up with headaches

Data type

text

Alias
UMLS CUI [1]
C3174136
Does your child get a headache at least once a month, on average?
Description

headache at least once a month

Data type

text

Alias
UMLS CUI [1]
C3174138
Did your child stop growing at a normal rate at any time since birth?
Description

stop growing at a normal rate

Data type

text

Alias
UMLS CUI [1,1]
C3687568
UMLS CUI [1,2]
C0205161
What happened if child stopped growing at a normal rate at any time since birth?
Description

specify if child stopped growing at a normal rate

Data type

text

Alias
UMLS CUI [1,1]
C3687568
UMLS CUI [1,2]
C0205161
Does your child still have tonsils?
Description

tonsils

Data type

text

Alias
UMLS CUI [1]
C0836921
When were they removed?
Description

tonsils removed date

Data type

date

Alias
UMLS CUI [1,1]
C0040423
UMLS CUI [1,2]
C0011008
Why were they removed?
Description

reason tonsils removed

Data type

text

Alias
UMLS CUI [1,1]
C0040423
UMLS CUI [1,2]
C0392360
Has your child ever had a condition causing difficulty with breathing?
Description

difficulty breathing ever

Data type

text

Alias
UMLS CUI [1]
C3172926
Condition causing difficulty with breathing
Description

condition causing difficulty with breathing

Data type

text

Alias
UMLS CUI [1]
C3176397
Has your child ever had surgery?
Description

ever had surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Did any difficulties with breathing occur before, during, or after surgery?
Description

difficulty breathing surgery

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0013404
Has your child ever become suddenly weak in the legs, or anywhere else, after laughing or being surprised by something?
Description

sudden weak legs

Data type

text

Alias
UMLS CUI [1]
C3172932
Has your child ever felt unable to move for a short period, in bed, though awake and able to look around?
Description

unable move able ever

Data type

text

Alias
UMLS CUI [1]
C0558185
Has your child felt an irresistible urge to take a nap at times, forcing him or her to stop what he or she is doing in order to sleep?
Description

irresistible urge nap

Data type

text

Alias
UMLS CUI [1]
C3172936
Has your child ever sensed that he or she was dreaming, seeing images or hearing sounds, while still awake?
Description

sense dreaming awake ever

Data type

text

Alias
UMLS CUI [1]
C3172938
Does your child drink caffeinated beverages on a typical day (cola, tea, coffee)?
Description

caffeinated beverage

Data type

text

Alias
UMLS CUI [1]
C0678438
How many cups or cans per day?
Description

caffeinated beverage number

Data type

integer

Alias
UMLS CUI [1]
C0678438
Does your child use any recreational drugs?
Description

recreational drug

Data type

text

Alias
UMLS CUI [1]
C0242508
Which recreational drugs does your child use?
Description

recreational drug list

Data type

text

Alias
UMLS CUI [1]
C0242508
How often does your child use recreational drugs?
Description

recreational drugs frequency

Data type

integer

Alias
UMLS CUI [1]
C0242508
Does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products?
Description

use cigarette tobacco

Data type

text

Alias
UMLS CUI [1]
C0037369
Which tobacco products does your child use?
Description

which tobacco products

Data type

text

Alias
UMLS CUI [1]
C0040329
How often does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products?
Description

smoking frequency

Data type

integer

Alias
UMLS CUI [1,1]
C0037369
UMLS CUI [1,2]
C0439603
Is your child overweight?
Description

overweight

Data type

text

Alias
UMLS CUI [1]
C0497406
At what age did this first develop?
Description

at what age overweight

Data type

integer

Alias
UMLS CUI [1,1]
C0497406
UMLS CUI [1,2]
C0001779
Has a doctor ever told you that your child has a high-arched palate, roof of the mouth?
Description

high-arched palate

Data type

text

Alias
UMLS CUI [1]
C0240635
Has your child ever taken Ritalin, methylphenidate, for behavioral problems?
Description

ritalin ever

Data type

text

Alias
UMLS CUI [1]
C0025810
Has a health professional ever said that your child has attention-deficit disorder (ADD), or attention-deficit-hyperactivity disorder (ADHD)?
Description

ADD or ADHD

Data type

text

Alias
UMLS CUI [1]
C0041671
UMLS CUI [2]
C1263846
If you are currently at a clinic with your child to see a physician, what is the problem that brought you?
Description

medical problem

Data type

text

Alias
UMLS CUI [1]
C3174258
Service comment
Description

service comment

Data type

text

Alias
UMLS CUI [1]
C0485795
This child often does not seem to listen when spoken to directly.
Description

does not seem to listen

Data type

text

Alias
UMLS CUI [1]
C3176179
Long - term medical problem
Description

Long - term medical problem

If your child has long-term medical problems, please list the three you think are most significant?
Description

long term medical problem

Data type

text

Alias
UMLS CUI [1]
C3174260
Medication list
Description

Medication list

Current medication, Name
Description

current medication

Data type

text

Alias
UMLS CUI [1]
C1553892
Please list any medications your child currently takes: Size (mg) or amount per dose.
Description

current medication dose

Data type

text

Alias
UMLS CUI [1]
C3174092
Please list any medications your child currently takes: Taken how often?
Description

medication frequency

Data type

integer

Alias
UMLS CUI [1]
C3476109
Please list any medications your child currently takes: Dates Taken.
Description

current medication date

Data type

date

Alias
UMLS CUI [1,1]
C1553892
UMLS CUI [1,2]
C0011008
Please list any medications your child currently takes: Effect.
Description

current medication effect

Data type

text

Alias
UMLS CUI [1]
C3174267
Psychological, psychiatric, emotional, or behavioral problem
Description

Psychological, psychiatric, emotional, or behavioral problem

List any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child.
Description

behavioral problems diagnosed

Data type

text

Alias
UMLS CUI [1]
C0004936
UMLS CUI [2]
C0677660
UMLS CUI [3]
C0233514
The date the psychological, psychiatric, emotional, or behavioral problem started?
Description

date behavioral problem

Data type

date

Alias
UMLS CUI [1]
C3174275
Is the psychological, psychiatric, emotional, or behavioral problem still present?
Description

behavioral problem still present

Data type

boolean

Alias
UMLS CUI [1]
C3176357
Sleep disorders
Description

Sleep disorders

List any sleep disorders diagnosed or suspected by a physician in your child?
Description

sleep disorders diagnosed

Data type

text

Alias
UMLS CUI [1]
C0851578
The date the sleep disorder started.
Description

sleep disorder date

Data type

date

Alias
UMLS CUI [1,1]
C0851578
UMLS CUI [1,2]
C0011008
Is the sleep disorder still present?
Description

sleep disorder still present

Data type

boolean

Alias
UMLS CUI [1,1]
C0851578
UMLS CUI [1,2]
C0150312
Sleep or behavior disorders relatives
Description

Sleep or behavior disorders relatives

Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Condition.
Description

behavior disorders conditions family

Data type

text

Alias
UMLS CUI [1]
C3176360
Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Relative.
Description

behavior disorders relatives

Data type

text

Alias
UMLS CUI [1]
C3176359
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Similar models

Sleep Apnea - Child Protocol PhenX Toolkit

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PhenX - respiratory - sleep apnea - child protocol
C3169358 (UMLS CUI-1)
date of observation
Item
Date of observation
date
C3176356 (UMLS CUI [1])
interview location
Item
Where are you completing this questionnaire?
text
C3174090 (UMLS CUI [1])
birth date
Item
Birth date
date
C0421451 (UMLS CUI [1])
Item
Sex
integer
C0079399 (UMLS CUI [1])
sex
Code List
Sex
CL Item
Male (1)
C1706180 (UMLS CUI-1)
CL Item
Female (2)
C0086287 (UMLS CUI-1)
body height
Item
Body height --standing
float
C0005890 (UMLS CUI [1])
body weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
school grade
Item
Grade in school, if applicable
text
C3244287 (UMLS CUI [1])
Item
Racial or ethnic background of your child
text
C0034510 (UMLS CUI [1])
race
Code List
Racial or ethnic background of your child
CL Item
American Indian  (American Indian )
C0002460 (UMLS CUI-1)
CL Item
Asian-American  (Asian-American )
C0003988 (UMLS CUI-1)
CL Item
African-American  (African-American )
C0085756 (UMLS CUI-1)
CL Item
Hispanic  (Hispanic )
C0086409 (UMLS CUI-1)
CL Item
White/Not Hispanic  (White/Not Hispanic )
C3843227 (UMLS CUI-1)
CL Item
Other or unknown (Other or unknown)
C3843226 (UMLS CUI-1)
Item
While sleeping, does your child ever snore?
text
C0037384 (UMLS CUI [1])
child ever snore
Code List
While sleeping, does your child ever snore?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While sleeping, does your child ever snore more than half the time?
text
C0037384 (UMLS CUI [1,1])
C3843271 (UMLS CUI [1,2])
child ever snore
Code List
While sleeping, does your child ever snore more than half the time?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While sleeping, does your child always snore?
text
C0037384 (UMLS CUI [1,1])
C2003902 (UMLS CUI [1,2])
child ever snore
Code List
While sleeping, does your child always snore?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While sleeping, does your child snore loudly?
text
C2219850 (UMLS CUI [1])
child ever snore
Code List
While sleeping, does your child snore loudly?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While sleeping, does your child have heavy or loud breathing?
text
C3174098 (UMLS CUI [1])
child ever snore
Code List
While sleeping, does your child have heavy or loud breathing?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While sleeping, does your child have trouble breathing, or struggle to breathe?
text
C0037313 (UMLS CUI [1,1])
C3641913 (UMLS CUI [1,2])
child ever snore
Code List
While sleeping, does your child have trouble breathing, or struggle to breathe?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Have you ever seen your child stop breathing during the night?
text
C0037313 (UMLS CUI [1,1])
C0003578 (UMLS CUI [1,2])
child ever snore
Code List
Have you ever seen your child stop breathing during the night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Have you ever been concerned about your childs breathing during sleep?
text
C0037313 (UMLS CUI [1,1])
C0004048 (UMLS CUI [1,2])
child ever snore
Code List
Have you ever been concerned about your childs breathing during sleep?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Have you ever had to shake your sleeping child to get him or her to breathe, or wake up and breathe?
text
C3174104 (UMLS CUI [1])
child ever snore
Code List
Have you ever had to shake your sleeping child to get him or her to breathe, or wake up and breathe?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Have you ever seen your child wake up with a snorting sound?
text
C3174106 (UMLS CUI [1])
child ever snore
Code List
Have you ever seen your child wake up with a snorting sound?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have restless sleep?
text
C0235160 (UMLS CUI [1])
child ever snore
Code List
Does your child have restless sleep?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child describe restlessness of the legs when in bed?
text
C3887611 (UMLS CUI [1,1])
C0004916 (UMLS CUI [1,2])
child ever snore
Code List
Does your child describe restlessness of the legs when in bed?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have growing pains (unexplained leg pains)?
text
C0423693 (UMLS CUI [1])
child ever snore
Code List
Does your child have growing pains (unexplained leg pains)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have growing pains that are worst in bed?
text
C0423693 (UMLS CUI [1,1])
C0004916 (UMLS CUI [1,2])
child ever snore
Code List
Does your child have growing pains that are worst in bed?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While your child sleeps, have you seen brief kicks of one leg or both legs?
text
C2371406 (UMLS CUI [1,1])
C0004916 (UMLS CUI [1,2])
child ever snore
Code List
While your child sleeps, have you seen brief kicks of one leg or both legs?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
While your child sleeps, have you seen repeated kicks or jerks of the legs at regular intervals (i.e., about every 20 to 40 seconds)?
text
C3174117 (UMLS CUI [1])
child ever snore
Code List
While your child sleeps, have you seen repeated kicks or jerks of the legs at regular intervals (i.e., about every 20 to 40 seconds)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
At night, does your child usually become sweaty, or do the pajamas usually become wet with perspiration?
text
C0028081 (UMLS CUI [1])
child ever snore
Code List
At night, does your child usually become sweaty, or do the pajamas usually become wet with perspiration?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
At night, does your child usually get out of bed for any reason?
text
C3174121 (UMLS CUI [1])
child ever snore
Code List
At night, does your child usually get out of bed for any reason?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
At night, does your child usually get out of bed to urinate?
text
C3174122 (UMLS CUI [1])
child ever snore
Code List
At night, does your child usually get out of bed to urinate?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
night urinate times
Item
If your child usually gets out of bed to urinate, how many times each night, on average?
integer
C3173258 (UMLS CUI [1])
Item
Does your child usually sleep with the mouth open?
text
C3173260 (UMLS CUI [1])
child ever snore
Code List
Does your child usually sleep with the mouth open?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Is your child's nose usually congested or stuffed at night?
text
C0027424 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
child ever snore
Code List
Is your child's nose usually congested or stuffed at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Do any allergies affect your childs ability to breathe through the nose?
text
C0020517 (UMLS CUI [1,1])
C0566501 (UMLS CUI [1,2])
child ever snore
Code List
Do any allergies affect your childs ability to breathe through the nose?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child tend to breathe through the mouth during the day?
text
C3173266 (UMLS CUI [1])
child ever snore
Code List
Does your child tend to breathe through the mouth during the day?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have a dry mouth on waking up in the morning?
text
C0478155 (UMLS CUI [1,1])
C0332170 (UMLS CUI [1,2])
child ever snore
Code List
Does your child have a dry mouth on waking up in the morning?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child complain of an upset stomach at night?
text
C0235309 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
child ever snore
Code List
Does your child complain of an upset stomach at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child get a burning feeling in the throat at night?
text
C3173272 (UMLS CUI [1])
child ever snore
Code List
Does your child get a burning feeling in the throat at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child grind his or her teeth at night?
text
C0006325 (UMLS CUI [1])
child ever snore
Code List
Does your child grind his or her teeth at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child occasionally wet the bed?
text
C0270327 (UMLS CUI [1])
child ever snore
Code List
Does your child occasionally wet the bed?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever walked during sleep (sleep walking)?
text
C0037672 (UMLS CUI [1])
child ever snore
Code List
Has your child ever walked during sleep (sleep walking)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Have you ever heard your child talk during sleep (sleep talking)?
text
C0542313 (UMLS CUI [1])
child ever snore
Code List
Have you ever heard your child talk during sleep (sleep talking)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have nightmares once a week or more on average?
text
C3843955 (UMLS CUI [1])
child ever snore
Code List
Does your child have nightmares once a week or more on average?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever woken up screaming during the night?
text
C3172976 (UMLS CUI [1])
child ever snore
Code List
Has your child ever woken up screaming during the night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever been moving or behaving, at night, in a way that made you think your child was neither completely awake nor asleep?
text
C3172978 (UMLS CUI [1])
child ever snore
Code List
Has your child ever been moving or behaving, at night, in a way that made you think your child was neither completely awake nor asleep?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have difficulty falling asleep at night?
text
C0393760 (UMLS CUI [1])
child ever snore
Code List
Does your child have difficulty falling asleep at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
child time fall asleep
Item
How long does it take your child to fall asleep at night?
float
C3172982 (UMLS CUI [1])
Item
At bedtime does your child usually have difficult routines or rituals, argue a lot, or otherwise behave badly?
text
C3172984 (UMLS CUI [1])
child ever snore
Code List
At bedtime does your child usually have difficult routines or rituals, argue a lot, or otherwise behave badly?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
bang head rock body
Item
Does your child bang his or her head or rock his or her body when going to sleep?
boolean
C3172986 (UMLS CUI [1])
Item
Does your child wake up more than twice a night on average?
text
C3172989 (UMLS CUI [1])
child ever snore
Code List
Does your child wake up more than twice a night on average?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have trouble falling back asleep if he or she wakes up at night?
text
C3172990 (UMLS CUI [1])
child ever snore
Code List
Does your child have trouble falling back asleep if he or she wakes up at night?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child wake up early in the morning and have difficulty going back to sleep?
text
C3172992 (UMLS CUI [1])
child ever snore
Code List
Does your child wake up early in the morning and have difficulty going back to sleep?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
bedtime change a lot
Item
Does the time at which your child goes to bed change a lot from day to day?
boolean
C0521112 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
time to get up change a lot
Item
Does the time at which your child gets up from bed change a lot from day to day?
boolean
C3172996 (UMLS CUI [1])
time child bed week
Item
What time does your child usually go to bed during the week?
time
C0521112 (UMLS CUI [1,1])
C0439230 (UMLS CUI [1,2])
bedtime at weekend
Item
What time does your child usually go to bed on the weekend or vacation?
time
C0521112 (UMLS CUI [1,1])
C0680190 (UMLS CUI [1,2])
time child up weekday
Item
What time does your child usually get out of bed on weekday mornings?
time
C3173000 (UMLS CUI [1])
time child up weekend
Item
What time does your child usually get out of bed on weekend or vacation mornings?
time
C3173001 (UMLS CUI [1])
Item
Does your child wake up feeling unrefreshed in the morning?
text
C3173002 (UMLS CUI [1])
child ever snore
Code List
Does your child wake up feeling unrefreshed in the morning?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child have a problem with sleepiness during the day?
text
C0013144 (UMLS CUI [1])
child ever snore
Code List
Does your child have a problem with sleepiness during the day?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child complain that he or she feels sleepy during the day?
text
C0013144 (UMLS CUI [1])
child ever snore
Code List
Does your child complain that he or she feels sleepy during the day?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has a teacher or other supervisor commented that your child appears sleepy during the day?
text
C3174130 (UMLS CUI [1])
child ever snore
Code List
Has a teacher or other supervisor commented that your child appears sleepy during the day?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child usually take a nap during the day?
text
C3174132 (UMLS CUI [1])
child ever snore
Code List
Does your child usually take a nap during the day?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Is it hard to wake your child up in the morning?
text
C3174134 (UMLS CUI [1])
child ever snore
Code List
Is it hard to wake your child up in the morning?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child wake up with headaches in the morning?
text
C3174136 (UMLS CUI [1])
child ever snore
Code List
Does your child wake up with headaches in the morning?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child get a headache at least once a month, on average?
text
C3174138 (UMLS CUI [1])
child ever snore
Code List
Does your child get a headache at least once a month, on average?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Did your child stop growing at a normal rate at any time since birth?
text
C3687568 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
child ever snore
Code List
Did your child stop growing at a normal rate at any time since birth?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
specify if child stopped growing at a normal rate
Item
What happened if child stopped growing at a normal rate at any time since birth?
text
C3687568 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
Item
Does your child still have tonsils?
text
C0836921 (UMLS CUI [1])
child ever snore
Code List
Does your child still have tonsils?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
tonsils removed date
Item
When were they removed?
date
C0040423 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
reason tonsils removed
Item
Why were they removed?
text
C0040423 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Item
Has your child ever had a condition causing difficulty with breathing?
text
C3172926 (UMLS CUI [1])
child ever snore
Code List
Has your child ever had a condition causing difficulty with breathing?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
condition causing difficulty with breathing
Item
Condition causing difficulty with breathing
text
C3176397 (UMLS CUI [1])
Item
Has your child ever had surgery?
text
C0543467 (UMLS CUI [1])
child ever snore
Code List
Has your child ever had surgery?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Did any difficulties with breathing occur before, during, or after surgery?
text
C0543467 (UMLS CUI [1,1])
C0013404 (UMLS CUI [1,2])
child ever snore
Code List
Did any difficulties with breathing occur before, during, or after surgery?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever become suddenly weak in the legs, or anywhere else, after laughing or being surprised by something?
text
C3172932 (UMLS CUI [1])
child ever snore
Code List
Has your child ever become suddenly weak in the legs, or anywhere else, after laughing or being surprised by something?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever felt unable to move for a short period, in bed, though awake and able to look around?
text
C0558185 (UMLS CUI [1])
child ever snore
Code List
Has your child ever felt unable to move for a short period, in bed, though awake and able to look around?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child felt an irresistible urge to take a nap at times, forcing him or her to stop what he or she is doing in order to sleep?
text
C3172936 (UMLS CUI [1])
child ever snore
Code List
Has your child felt an irresistible urge to take a nap at times, forcing him or her to stop what he or she is doing in order to sleep?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever sensed that he or she was dreaming, seeing images or hearing sounds, while still awake?
text
C3172938 (UMLS CUI [1])
child ever snore
Code List
Has your child ever sensed that he or she was dreaming, seeing images or hearing sounds, while still awake?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Does your child drink caffeinated beverages on a typical day (cola, tea, coffee)?
text
C0678438 (UMLS CUI [1])
child ever snore
Code List
Does your child drink caffeinated beverages on a typical day (cola, tea, coffee)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
caffeinated beverage number
Item
How many cups or cans per day?
integer
C0678438 (UMLS CUI [1])
Item
Does your child use any recreational drugs?
text
C0242508 (UMLS CUI [1])
child ever snore
Code List
Does your child use any recreational drugs?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
recreational drug list
Item
Which recreational drugs does your child use?
text
C0242508 (UMLS CUI [1])
recreational drugs frequency
Item
How often does your child use recreational drugs?
integer
C0242508 (UMLS CUI [1])
Item
Does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products?
text
C0037369 (UMLS CUI [1])
child ever snore
Code List
Does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
which tobacco products
Item
Which tobacco products does your child use?
text
C0040329 (UMLS CUI [1])
smoking frequency
Item
How often does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products?
integer
C0037369 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Item
Is your child overweight?
text
C0497406 (UMLS CUI [1])
child ever snore
Code List
Is your child overweight?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
at what age overweight
Item
At what age did this first develop?
integer
C0497406 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
Item
Has a doctor ever told you that your child has a high-arched palate, roof of the mouth?
text
C0240635 (UMLS CUI [1])
child ever snore
Code List
Has a doctor ever told you that your child has a high-arched palate, roof of the mouth?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has your child ever taken Ritalin, methylphenidate, for behavioral problems?
text
C0025810 (UMLS CUI [1])
child ever snore
Code List
Has your child ever taken Ritalin, methylphenidate, for behavioral problems?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
Item
Has a health professional ever said that your child has attention-deficit disorder (ADD), or attention-deficit-hyperactivity disorder (ADHD)?
text
C0041671 (UMLS CUI [1])
C1263846 (UMLS CUI [2])
child ever snore
Code List
Has a health professional ever said that your child has attention-deficit disorder (ADD), or attention-deficit-hyperactivity disorder (ADHD)?
CL Item
Yes (Yes)
C1705108 (UMLS CUI-1)
CL Item
No (No)
C1298908 (UMLS CUI-1)
CL Item
Don't know (Don't know)
C3843613 (UMLS CUI-1)
medical problem
Item
If you are currently at a clinic with your child to see a physician, what is the problem that brought you?
text
C3174258 (UMLS CUI [1])
service comment
Item
Service comment
text
C0485795 (UMLS CUI [1])
Item
This child often does not seem to listen when spoken to directly.
text
C3176179 (UMLS CUI [1])
does not seem to listen
Code List
This child often does not seem to listen when spoken to directly.
CL Item
Does not apply  (Does not apply )
C3843507 (UMLS CUI-1)
CL Item
Applies just a little  (Applies just a little )
C3842952 (UMLS CUI-1)
CL Item
Applies quite a bit  (Applies quite a bit )
C3842951 (UMLS CUI-1)
CL Item
Definitely applies most of the time (Definitely applies most of the time)
C3842950 (UMLS CUI-1)
Item Group
Long - term medical problem
long term medical problem
Item
If your child has long-term medical problems, please list the three you think are most significant?
text
C3174260 (UMLS CUI [1])
Item Group
Medication list
current medication
Item
Current medication, Name
text
C1553892 (UMLS CUI [1])
current medication dose
Item
Please list any medications your child currently takes: Size (mg) or amount per dose.
text
C3174092 (UMLS CUI [1])
medication frequency
Item
Please list any medications your child currently takes: Taken how often?
integer
C3476109 (UMLS CUI [1])
current medication date
Item
Please list any medications your child currently takes: Dates Taken.
date
C1553892 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
current medication effect
Item
Please list any medications your child currently takes: Effect.
text
C3174267 (UMLS CUI [1])
Item Group
Psychological, psychiatric, emotional, or behavioral problem
behavioral problems diagnosed
Item
List any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child.
text
C0004936 (UMLS CUI [1])
C0677660 (UMLS CUI [2])
C0233514 (UMLS CUI [3])
date behavioral problem
Item
The date the psychological, psychiatric, emotional, or behavioral problem started?
date
C3174275 (UMLS CUI [1])
behavioral problem still present
Item
Is the psychological, psychiatric, emotional, or behavioral problem still present?
boolean
C3176357 (UMLS CUI [1])
Item Group
Sleep disorders
sleep disorders diagnosed
Item
List any sleep disorders diagnosed or suspected by a physician in your child?
text
C0851578 (UMLS CUI [1])
sleep disorder date
Item
The date the sleep disorder started.
date
C0851578 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
sleep disorder still present
Item
Is the sleep disorder still present?
boolean
C0851578 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Item Group
Sleep or behavior disorders relatives
behavior disorders conditions family
Item
Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Condition.
text
C3176360 (UMLS CUI [1])
behavior disorders relatives
Item
Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Relative.
text
C3176359 (UMLS CUI [1])
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