CDE Detailed Report
Disease: Sport Related Concussion
Subdomain Name: Family and Environment
CRF: Family History Research Diagnostic Criteria (FH-RDC)
Displaying 1 - 50 of 79
Subdomain Name: Family and Environment
CRF: Family History Research Diagnostic Criteria (FH-RDC)
Displaying 1 - 50 of 79
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C52678 | Family History Research Diagnostic Criteria (FH-RDC) - Relative death accidental indicator | FHRDCRelativeDeathAccidntlInd | Indicator of whether the death of the subject/participant's deceased relative being described was accidental, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the death of the subject/participant's deceased relative being described was accidental, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Accidental death | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52848 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history antisocial personality occurrence order number | FHRDCRelPsyIlHxAntslPsnOcOrNum | Number of the position occupied by antisocial personality disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by antisocial personality disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Antisocial Personality | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52798 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history manic schizo-affective occurrence order number | FHRDCRelPsyIlHxMcSchzAfOcOrNum | Number of the position occupied by manic schizo-affective disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by manic schizo-affective disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Schizo-affective, manic | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52859 | Family History Research Diagnostic Criteria (FH-RDC) - Diagnosis information complete code | FHRDCDiagnosInfoCompleteCode | Code for the completenes of information available for psychiatric diagnoses of the relative of the subject/participant who is being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code for the completenes of information available for psychiatric diagnoses of the relative of the subject/participant who is being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Completeness of information | 2;3;4;5;1 | Good;Fair;Poor;Essentially no information;Very good | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52634 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type interview count | FHRDCRltnshpTypIntvwCt | Count of interviewees having the selected type of relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Count of interviewees having the selected type of relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number and type of relatives evaluated (to help keep track of data sheets) | sibs;chil;mate(s);Others | sibs;chil;mate(s);Others | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52838 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history senile organic brain syndrom onset age value | FHRDCPsyIlHxSenlOBSOnstAgeVal | Age at which the subject/participant's relative being described first experienced onset of senile organic brain syndrome (Senile OBS), as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at which the subject/participant's relative being described first experienced onset of senile organic brain syndrome (Senile OBS), as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Senile OBS | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
50 | 140 | years | |||||||
| C52661 | Family History Research Diagnostic Criteria (FH-RDC) - Mate shared children code | FHRDCMateShardChildrnCode | Code denoting whether the selected mate of the subject/participant is co-parent to any of the subject/participant's children, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code denoting whether the selected mate of the subject/participant is co-parent to any of the subject/participant's children, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | If co-parent how many shared children? | 1;2 | All;Some | Numeric Values |
Collect when FHRDCMateRelatnshpGrade = 3 |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52680 | Family History Research Diagnostic Criteria (FH-RDC) - Relative death suicide indicator | FHRDCRelativeDeathSuicidInd | Indicator of whether the death of the subject/participant's deceased relative being described was suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the death of the subject/participant's deceased relative being described was suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Completed suicide | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52849 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history antisocial personality onset age value | FHRDCPsyIlHxAntslPsnOnstAgeVal | Age of first onset of antisocial personality in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age of first onset of antisocial personality in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Antisocial Personality | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 65 | years | |||||||
| C52802 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history manic schizo-affective onset age value | FHRDCPsyIlHxMcSchzAfOnstAgeVal | Age at which the subject/participant's relative being described first experienced manic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at which the subject/participant's relative being described first experienced manic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Schizo-affective, Manic | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 140 | years | |||||||
| C52860 | Family History Research Diagnostic Criteria (FH-RDC) - Diagnosis most likely text | FHRDCDiagnosMostLikelyTxt | The free-text field for recording the most likely clinical diagnosis of an unspecified functional psychosis or other psychiatric disorder in the relative of the subject/participant being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The free-text field for the most likely clinical diagnosis of unspecified functional psychosis or other psychiatric disorder in the relative of the subject/participant being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | If Unspecified Functional Psychosis or Other Psychiatric Disorder, not most likely clinical diagnosis | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52637 | Relative name | RelativeName | Name of the subject/participant's relative of the selected type | Name of the subject/participant's relative of the selected type | Mother's/Father's/Mate's/Sibling's/Child's Name | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 10:23:15.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52839 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history senile organic brain syndrome occurrence order number | FHRDCRelPsyIlHxSenlOBSOcOrNum | Number of the position occupied by senile organic brain syndrom (Senile OBS) in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by Senile OBS in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Senile OBS | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52662 | Family History Research Diagnostic Criteria (FH-RDC) - Shared child birth order number | FHRDCSharedChildBirthOrdrNum | The number denoting the birth-order position of a child the participant/subject shares with his or her mate, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The number denoting the birth-order position of a child the participant/subject shares with his or her mate, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | If some, note sex and birth order code of shared children | Numeric Values |
Collect when FHRDCMateShardChildrnCode = 2 (i.e., subject/participant's mate being described is co-parent of some but not all of subject/participant's children). |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
1 | 100 | ||||||||
| C52681 | Family History Research Diagnostic Criteria (FH-RDC) - Relative suicide attempt indicator | FHRDCRelativeSuicidAttmptInd | Indicator of whether the subject/participant's relative being described ever attempted suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the subject/participant's relative being described ever attempted suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Suicide attempt(s) | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52850 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history other disorder occurrence order number | FHRDCRelPsyIlHxOthrDsrdOcOrNum | Number of the position occupied by an unspecified disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by an unspecified disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Other Psychiatric Disorder | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | ID Number of Subject whose relatives are being evaluated | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2014-06-05 13:10:49.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52805 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history manic schizo-affective type | FHRDCRelPsyIlHxMcSchzAfTyp | Type of manic schizo-affective disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Type of manic schizo-affective disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Circle one | 1;2 | Remitting;Chronic | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52878 | Family History Research Diagnostic Criteria (FH-RDC) - Relative color blindness status | FHRDCRelColrBlndnessStatus | The status of color blindness in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The status of color blindness in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Color blind | 1;2;3 | No;Likely;Known | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52640 | Relative identification code | RelativeIdntificatnCode | Code identifying the subject/participant's relative | Code identifying the subject/participant's relative | Mother's/Father's/Mate's/Sibling's/Child's ID No. | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 10:32:57.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52840 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified functional psychosis occurrence order number | FHRDCRelPsyIlHxUnspFnPsOcOrNum | Number of the position occupied by an unspecified functional psychosis in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of position occupied by an unspecified functional psychosis in order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Unspecified Functional Psychosis | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52663 | Family History Research Diagnostic Criteria (FH-RDC) - Shared child gender type | FHRDCSharedChildGenderTyp | The sex of a child the participant/subject shares with his or her mate, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The sex of a child the participant/subject shares with his or her mate, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | If some, note sex and birth order code of shared children | Male;Female | Male;Female | Alphanumeric |
Collect when FHRDCMateShardChildrnCode = 2 (i.e., subject/participant's mate being described is co-parent of some but not all of subject/participant's children). |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52683 | Family History Research Diagnostic Criteria (FH-RDC) - Relative social incapacity psychiatric reason indicator | FHRDCRltvSoclIncpctyPsychRsn | Indicator of whether the subject/participant's relative being described ever experienced a period of social incapacity for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the subject/participant's relative being described ever experienced a period of social incapacity for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Period of social incap. for psych. reason | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52851 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history other disorder onset age value | FHRDCPsyIlHxOthrDsrdOnstAgeVal | Age of first onset of an unspecified psychiatric disorder in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age of first onset of an unspecified psychiatric disorder in the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Other Psychiatric Disorder | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 140 | years | |||||||
| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | Name of Subject whose relatives are being evaluated | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2015-06-12 15:16:39.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52830 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history depressed schizo-affective occurrence order number | FHRDCRelPsyIlHxDpSchzAfOcOrNum | Number of the position occupied by depressed schizo-affective disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of position occupied by depressed schizo-affective disorder in order of occurrence of psychiatric illnesses experienced by subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Schizo-affective, depressed | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52881 | Family History Research Diagnostic Criteria (FH-RDC) - Relative inherited non-mental illness indication code | FHRDCRelInhrNoMntlIllnsIndCode | The code used to indicate whether the subject/participant's relative being described had an inherited non-mental illness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The code used to indicate whether the subject/participant's relative being described had an inherited non-mental illness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Apparently had a non-mental medical illness that is inherited (see list) | 1;2 | No;Yes | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52644 | Family History Research Diagnostic Criteria (FH-RDC) - Informant participant relationship type | FHRDCInfmntPtcpntRelatshpTyp | The relationship of the informant to participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The relationship of the informant to participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC | Relationship of Informant to Subject | 1;2;3;4;5;6;7 | Self;Spouse;Mother;Father;Sibling;Child;Other (consensus) | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 3.00 | 2013-08-30 17:06:52.8 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52665 | Family History Research Diagnostic Criteria (FH-RDC) - Half sibling shared parent identification code | FHRDCHalfSibSharedParntIdCode | Code from RelativeIdntificatnCode identifying the parent shared by the subject/participant and his or her half sibling, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code from RelativeIdntificatnCode identifying the parent shared by the subject/participant and his or her half sibling, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | If half sibling, ID No. of linking parent | Alphanumeric |
Collect when FHRDCSibRelatnshpGrade = 2 |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52841 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified functional psychosis onset age value | FHRDCPsyIlHxUnspFnPsyOnstAgVal | Age at which the subject/participant's relative being described first experienced onset of an unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at which the subject/participant's relative being described first experienced onset of an unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Unspecified Functional Psychosis | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 140 | years | |||||||
| C52684 | Family History Research Diagnostic Criteria (FH-RDC) - Relative hospitalization psychiatric reason indicator | FHRDCRltvHospitlztnPsychRsn | Indicator of whether the subject/participant's relative being described was ever hospitalized for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the subject/participant's relative being described was ever hospitalized for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Hospitalized for psych. reason | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52852 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified disorder course type | FHRDCRelPsyIlHxUnspDsrdCrsTyp | Type of course followed by the unspecified psychiatric disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Type of course followed by the unspecified psychiatric disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Course | 1;2 | Remitting;Chronic | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52626 | Data sheet reference code | DataSheetRefCode | Reference code for the data sheet being recorded | Reference code for the data sheet being recorded | Card No. | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:27:54.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52831 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history depressed schizo-affective type | FHRDCRelPsyIlHxDpSchzAfTyp | Type of depressed schizo-affective disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Type of depressed schizo-affective disorder experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Circle one | 1;2 | Remitting;Chronic | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52884 | Family History Research Diagnostic Criteria (FH-RDC) - Relative specific clinical diagnosis text | FHRDCRelSpcfcClinDiagnosTxt | The free-text field for recording clinical diagnoses of the subject/participant's relative being described in greater specificity than allowed by existing data elements, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The free-text field for recording clinical diagnoses of the subject/participant's relative being described in greater specificity than allowed by existing data elements, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Clinical Diagnostic Impression (using DSM-III terms if possible) | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52649 | Family History Research Diagnostic Criteria (FH-RDC) - Data sheet type | FHRDCDataSheetTyp | Type of data sheet being completed, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Type of data sheet being completed, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Data Sheet - | Parent;Sibling;Child;Mate | Parent;Sibling;Child;Mate (Current or Past) | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52667 | Family History Research Diagnostic Criteria (FH-RDC) - Relative birth order number | FHRDCRelatvBirthOrderNum | Number in the birth-order sequence of the selected relative type occupied by the specified relative of the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number in the birth-order sequence of the selected relative type occupied by the specified relative of the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Birth order | Numeric Values |
Collect when FHRDCRelatvDescripRelatCode = 3 or 4 |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
1 | 100 | ||||||||
| C52842 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified functional psychosis course type | FHRDCRelPsyIlHxUnspFnPsCrsTyp | Type of course followed by the unspecified functional psychosis experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Type of course followed by the unspecified functional psychosis experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Course | 1;2 | Remitting;Chronic | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52685 | Family History Research Diagnostic Criteria (FH-RDC) - Relative hospitalization psychiatric reason count | FHRDCRltvHospitlztnPsychCt | Count of times that the subject/participant's relative being described was hospitalized for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Count of times that the subject/participant's relative being described was hospitalized for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | No. of psych. hosp. (best estimate) | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 50 | |||||||||
| C52853 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified disorder dysphoric mood indication code | FHRDCRePsIlHxUnDsrdDyMdInCode | Code indicating whether the the subject/participant's relative being described exhibited dysphoric mood in association with an unspecified psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code indicating whether the the subject/participant's relative being described exhibited dysphoric mood in association with an unspecified psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Dysphoric Mood | 1;2 | No;Yes | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52627 | Study identification code | StudyIdentificationCode | Code used to identify the study for which data are being collected | Code used to identify the study for which data are being collected | Study No. | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:32:38.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52832 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history depressed schizo-affective onset age value | FHRDCPsyIlHxDpSchzAfOnstAgeVal | Age at which the subject/participant's relative being described first experienced depressed schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at which the subject/participant's relative being described first experienced depressed schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Age at onset Schizo-affective, Depressed | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in the order of occurrence and indicate age of onset at each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229-1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 140 | years | |||||||
| C52886 | Family History Research Diagnostic Criteria (FH-RDC) - Comment narrative text | FHRDCCommentNarratvTxt | The free-text field for recording comments and narrative for the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The free-text field for recording comments and narrative for the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Comments and narrative begin here and continue on back. | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C52651 | Family History Research Diagnostic Criteria (FH-RDC) - Parent relationship grade | FHRDCParentRelatnshpGrade | Grade denoting the biological relationship of the parent to the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Grade denoting the biological relationship of the parent to the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Relationship | 2;1 | Adopted/Foster/Step;Biological | Numeric Values |
Collect when FHRDCRelatvDescripRelatCode = 1 or 2 (i.e., the relative being described is the subject/participant's mother or father). |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52668 | Family History Research Diagnostic Criteria (FH-RDC) - Relative birth date | FHRDCRelatvBirthDate | Date of birth of the specified relative of the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Date of birth of the specified relative of the participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Date of Birth (month/year, best estimate) | Date or Date & Time |
Collect when FHRDCRelatvDescripRelatCode = 3 or 4 |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52843 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history unspecified functional psychosis dysphoric mood indication code | FHRDCRePsIlHxUnFnPsDyMdInCode | Code indicating whether the the subject/participant's relative being described exhibited dysphoric mood in association with an unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code indicating whether the the subject/participant's relative being described exhibited dysphoric mood in association with an unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Dysphoric Mood | 1;2 | No;Yes | Numeric Values | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52686 | Family History Research Diagnostic Criteria (FH-RDC) - Relative somatic medication psychiatric reason indicator | FHRDCRltvSomatcMedPsychRsnInd | Indicator of whether the subject/participant's relative being described was ever prescribed a somatic (non-psychiatric) medication for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Indicator of whether the subject/participant's relative being described was ever prescribed a somatic (non-psychiatric) medication for a psychiatric reason, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Somatic Rx. for psych. reason | No;Yes | No;Yes | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52854 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history bipolar occurrence order number | FHRDCRelPsyIlHxBipolrOcOrNum | Number of the position occupied by bipolar disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by bipolar disorder in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Bipolar | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 | ||||||||
| C52629 | Interviewer identification code | IntrviewrIdentificatnCode | Code identifying the interviewer who collected the data being recorded | Code identifying the interviewer who collected the data being recorded | Rater No. | Alphanumeric | Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 09:38:30.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52833 | Family History Research Diagnostic Criteria (FH-RDC) - Relative psychiatric illness history depression occurrence order number | FHRDCRelPsyIlHxDpressOcOrNum | Number of the position occupied by depression in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Number of the position occupied by depression in the order of occurrence of psychiatric illnesses experienced by the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Depression | Numeric Values |
Diagnosis: Indicate all that apply by numbering them in order of occurrence and indicate age at onset of each disorder. |
Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977;34(10):1229–1235. | Adult;Pediatric | Exploratory | 1.00 | 2017-01-31 09:17:24.0 | Family History Research Diagnostic Criteria (FH-RDC) | Family and Environment | Outcomes and End Points |
Free-Form Entry |
0 | 13 |
