F2762-C58126
C58126
Imaging amplifier name
Name (model/make/other) of the imaging amplifier used
Supplemental-Highly Recommended
Quantitative Electroencephalography (qEEG)
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2762-C58125
C58125
Imaging amplifier calibration last 6 month indicator
Indicator of whether the amplifier used in the imaging assessment was calibrated in the last 6 months
Supplemental-Highly Recommended
Quantitative Electroencephalography (qEEG)
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58101
C58101
Family health problems psychological history type
Type of psychological health problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58109
C58109
Cardiovascular arrhythmia disease type text
Text of cardiovascular arrhythmia disease type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58118
C58118
Other condition kidney problem type text
Text of other conditions kidney problems type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58093
C58093
Family health problems endocrine metabolic history type
Any type of endocrine/metabolic health problem that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58102
C58102
Obsessive compulsive attention deficit disorder type text
Text of obsessive compulsive or attention deficit disorder type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58110
C58110
Endocrine metabolic diabetes type text
Text of endocrine/metabolic diabetes type of that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58119
C58119
Other condition cancer type text
Text of other conditions cancer type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58094
C58094
Endocrine metabolic thyroid disease type text
Text of endocrine/metabolic thyroid disease type of that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58103
C58103
Family health problem other condition history type
Type of other conditions health problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58111
C58111
Endocrine metabolic endocrine disorder type text
Text of endocrine/metabolic endocrine disorder type of that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58121
C58121
Other condition fatigue syndrome type text
Text of other conditions fatigue syndromes type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58087
C58087
Family health problems blood disorders history type
Any type of blood disorder(s) health problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58095
C58095
Family health problems gastrointestinal history type
Any type of gastrointestinal health problem that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58104
C58104
Other condition allergy type text
Text of other conditions allergies type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58113
C58113
Gastrointestinal intestine problems type text
Text of type of gastrointestinal intestine problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58122
C58122
Other condition other gynecological condition type text
Text of other conditions other gynecological condition type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58088
C58088
Blood disorders anemia type text
Text of anemia type blood disorder that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58096
C58096
Gastrointestinal stomach problems type text
Text of type of gastrointestinal stomach problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58105
C58105
Blood disorders bleeding disorder type text
Text of bleedintg disorder type blood disorder that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58114
C58114
Neurological Alzheimer disease type text
Text of type of neurological Alzheimer disease that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58123
C58123
Other condition other birth defect type text
Text of other conditions birth defect type that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58089
C58089
Family health problems cardiovascular history type
Any type of cardiovascular health problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2760-C58097
C58097
Family health problems neurological history type
Any type of neurological health problems that the subject's/participant's family relative has ever been diagnosed with
Supplemental-Highly Recommended
Family Health History
False
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome