CDE Detailed Report

Disease: content
Subdomain Name: Family and Environment
CRF: welcome

Displaying 1 - 50 of 50
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
C52914 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type senile organic brain syndrome diagnosis count FHRDCRltnTypSenilOBSDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with Senile Organic Brain Syndrome (Senile OBS), as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to subject/participant who were diagnosed with Senile Organic Brain Syndrome (OBS), as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Senile OBS Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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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 Adult;Pediatric Supplemental 3.00 2013-08-30 17:06:52.8 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52925 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type recurrent unipolar diagnosis count FHRDCRltnTypRcrUnplrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with recurrent unipolar disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with recurrent unipolar disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Recurrent Unipolar Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52903 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychological treatment psychiatric reason ever count FHRDCRltnTypPycoTxPyciRsnEvrCt Count of relatives of the selected type of relationship to the subject/participant who ever underwent psychological treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who ever had psychological treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number of psycho. treatment for psychiatric reasons Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52915 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting unspecified functional psychosis diagnosis count FHRDCRltnTypRmUnspFnPsDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a remitting unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who were diagnosed with remitting unspecified functional psychosis, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Remitting Unspecified Functional Psychosis Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52888 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type natural death count FHRDCRltnshpTypNatrlDethCt Count of deceased relatives of the selected type of relationship to the subject/participant who died of natural causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of deceased relatives of the selected type of relationship to the subject/participant who died of natural causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number natural death Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52926 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type no known mental disorder count FHRDCRltnTypNoKnwMntlDsdrCt Count of relatives of the selected type of relationship to the subject/participant with no known mental disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant with no known mental disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number No Known Mental Disorder Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52904 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary 1st psychiatric illness age range FHRDCRltnTypSm1stPsciIlnsAgRng The range of age(s) at first psychiatric illness for individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives The range of age(s) at 1st psychiatric illness for individuals of the type of relationship to subject/participant that is being summarized, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Age (range) of first psychiatric illness Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 10

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C52916 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic unspecified functional psychosis diagnosis count FHRDCRltnTypChrUnspFnPsDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a chronic unspecified functional psychosis, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who were diagnosed with chronic unspecified functional psychosis, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Unspecified Functional Psychosis Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52892 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type FHRDCRelatnshpTyp The type of relationship the subject/participant's relative(s) being described has/have with the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet The type of relationship the subject/participant's relative(s) being described has/have with the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet Mother Father Siblings Children Mother;Father;Sibling;Children Mother;Father;Sibling;Children Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52927 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type color blind count FHRDCRltnTypColorBlindCt Count of relatives of the selected type of relationship to the subject/participant with color blindness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant with color blindness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Color Blind Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52906 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizophrenia diagnosis count FHRDCRltnTypChrnSchizDiagnosCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with chronic schizophrenia, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with chronic schizophrenia, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Schizophrenia Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52917 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type dysphoria unspecified functional psychosis diagnosis count FHRDCRltnTypDysUnspFnPsDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with an unspecified functional psychosis with dysphoria, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected relationship to subject/participant who were diagnosed with unspecified functional psychosis with dysphoria, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Unspecified Functional Psychosis with Dysphoria Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52895 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary age living range FHRDCRltnshpTypSumAgeLvngRng The range of age(s) of living individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives The range of age(s) of living individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Age (range) if living Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 10

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C52928 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suitable psychiatric interview count FHRDCRltnTypStblPsychiIntrvwCt Count of relatives of the selected type of relationship to the subject/participant who are suitable to participate in a psychiatric interview, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheets Count of relatives of selected type of relationship to the subject/participant who are suitable to participate in a psychiatric interview, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheets Number Potentially Interviewable Numeric Values

Age 15 or older and not too organic to be able to participate in a structured interview.

Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52907 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting schizo-affective manic diagnosis count FHRDCRltnTypRmSchzAffMcDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the manic type of remitting schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to sbj/ptcpnt who were diagnosed with manic type of remitting schizo-affective disorder, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Remitting Schizo-affective, Manic Type Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C19247 Subject ID SubIDNam Subject identification ID Subject identification ID ID Number of Subject whose relatives are being evaluated Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 13:10:49.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 255

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C52918 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type alcoholism diagnosis count FHRDCRltnTypAlcoholismDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with alcoholism, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with alcoholism, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Alcoholism Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52896 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary age death range FHRDCRltnshpTypSumAgeDethRng The range of age(s) at death for deceased individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives The range of age(s) at death for deceased individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Age (range) at death Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 10

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C52929 Family History Research Diagnostic Criteria (FH-RDC) - Subject family adopt foster in indicator code FHRDCSbjFmlyAdptFsterInIndCode Code indicating whether a first-degree relative of the subject/participant was adopted or fostered into the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Code indicating whether a first-degree relative of the subject/participant was adopted or fostered into the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family has Adopted/Fostered In (relative to the Index Subject) 1;2 No;Yes Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52908 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizo-affective manic diagnosis count FHRDCRltnTypChrSchzAffMcDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the manic type of chronic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to sbj/ptcpnt who were diagnosed with manic type of chronic schizo-affective disorder, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Schizo-affective, Manic Type Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C21117 Subject name SubjectName Name of subject/participant Name of subject/participan Name of Subject whose relatives are being evaluated Alphanumeric Adult;Pediatric Supplemental 1.00 2015-06-12 15:16:39.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 255

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C52919 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type drug use disorder diagnosis count FHRDCRltnTypDrgUseDsrdrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a drug use disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a drug use disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Drug Use Disorder Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52897 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type accidental death count FHRDCRltnshpTypAccdtlDethCt Count of deceased relatives of the selected type of relationship to the subject/participant who died of accidental causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of deceased relatives of the selected type of relationship to the subject/participant who died of accidental causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number accidental death Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52930 Family History Research Diagnostic Criteria (FH-RDC) - Subject family adopt foster in relationship type FHRDCSbjFmlyAdptFsterInRltnTyp Type(s) of relationship(s) to the participant/subject of any first-degree relatives adopted or fostered into the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Type(s) of relationship(s) to participant/subject of any first-degree relatives adopted or fostered into the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives If Yes, check all that apply Parent;Sibling;Children Parent;Sibling;Children Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Multiple Pre-Defined Values Selected

C52909 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting schizo-affective depressed diagnosis count FHRDCRltnTypRmSchzAffDepDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the depressed type of remitting schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to sbj/ptcpnt who were diagnosed with depressed type of remitting schizo-affective disorder, as part of Family History -Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Remitting Schizo-affective, Depressed Type Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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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 Adult;Pediatric Supplemental 1.00 2017-01-27 09:27:54.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 50

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C52920 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type antisocial personality diagnosis count FHRDCRltnTypAntsclPsnltyDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with antisocial personality, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with antisocial personality, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Antisocial Personality Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52898 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suicide count FHRDCRltnshpTypSuicdCt Count of deceased relatives of the selected type of relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of deceased relatives of the selected type of relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number completed suicide Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52931 Family History Research Diagnostic Criteria (FH-RDC) - Subject family adopt foster out indicator code FHRDCSbjFmlyAdptFstrOutIndCode Code indicating whether a first-degree relative of the subject/participant was adopted or fostered out of the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Code indicating whether a first-degree relative of the subject/participant was adopted or fostered out of the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family has Adopted/Fostered Out (relative to the Index Subject) 1;2 No;Yes Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52910 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizo-affective depressed diagnosis count FHRDCRltnTypChrSchzAffDpDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the depressed type of chronic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to sbj/ptcpnt who were diagnosed with depressed type of chronic schizo-affective disorder, as part of Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Schizo-affective, Depressed Type Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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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 Adult;Pediatric Supplemental 1.00 2017-01-27 09:32:38.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 50

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C52921 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting other psychiatric disorder diagnosis count FHRDCRltnTypRmOthPscDsrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with another remitting psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who were diagnosed with another remitting psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Remitting Other Psychiatric Disorder Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52899 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type attempt suicide ever count FHRDCRltnshpTypAtmptSuicdEvrCt Count of relatives of the selected type of relationship to the subject/participant who ever attempted suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who ever attempted suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number who made suicide attempt(s) Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52932 Family History Research Diagnostic Criteria (FH-RDC) - Subject family adopt foster out relationship type FHRDCSbjFmlyAdptFstrOutRltnTyp Type(s) of relationship(s) to the participant/subject of any first-degree relatives adopted or fostered out of the subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Type(s) of relationship(s) to participant/subject of any first-degree relatives adopted or fostered out of subject/participant's family, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives If Yes, check all that apply Sibling;Children Sibling;Children Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Multiple Pre-Defined Values Selected

C52911 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting depression diagnosis count FHRDCRltnTypRmttngDepDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with remitting depression, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with remitting depression, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Remitting Depression Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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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 Adult;Pediatric Supplemental 1.00 2017-01-27 09:38:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 50

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C52922 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic other psychiatric disorder diagnosis count FHRDCRltnTypChrOthPscDsrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with another chronic psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who were diagnosed with another chronic psychiatric disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Other Psychiatric Disorder Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52900 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type social incapacitation ever count FHRDCRltnshpTypSoclIncapEverCt Count of relatives of the selected type of relationship to the subject/participant who ever experienced a period of social incapacitation, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who ever experienced a period of social incapacitation, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number with period of social incapacitation Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52933 Family History Research Diagnostic Criteria (FH-RDC) - Linkage Study family selection indicator code FHRDCLnkgStudyFmlySlctnIndCode Code indicating whether the subject/participant's family has been selected for Linkage Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Code indicating whether the subject/participant's family has been selected for Linkage Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family selected for Linkage Study 1;2 No;Yes Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52912 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic depression diagnosis count FHRDCRltnTypChronicDepDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with chronic depression, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with chronic depression, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Chronic Depression Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52630 Interviewee name IntervieweeName Name of the person interviewed for data collection Name of the person interviewed for data collection Name of Informant Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-27 09:40:39.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points 255

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C52923 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type dysphoria other psychiatric disorder diagnosis count FHRDCRltnTypDysOthPscDsrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with another psychiatric disorder with dysphoria, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected relationship to subject/participant who were diagnosed with another psychiatric disorder with dysphoria, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Other Psychiatric Disorder with Dysphoria Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52901 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type hospitalization psychiatric reason ever count FHRDCRltshpTypHospPsycRsnEvrCt Count of relatives of the selected type of relationship to the subject/participant who were ever hospitalized for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were ever hospitalized for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number hospitalized for psychiatric reasons Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52934 Family History Research Diagnostic Criteria (FH-RDC) - Assortative mating study family selection indicator code FHRDCAsvMatStyFmlySlctnIndCode Code indicating whether the subject/participant's family has been selected for Assortative Mating Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Code indicating whether the subject/participant's family has been selected for Assortative Mating Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family selected for Assortative Mating Study 1;2 No;Yes Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52913 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type manic diagnosis count FHRDCRltnTypManicDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a manic disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with a manic disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Manic Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52631 Family History Research Diagnostic Criteria (FH-RDC) - Relative description relationship code FHRDCRelatvDescripRelatCode Code for the relationship of the relative being described to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Code for the relationship of the relative being described to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Relationship code of relative being described 6 All First Degree Relatives Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

C52924 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type bipolar diagnosis count FHRDCRltnTypBipolrDiagCt Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with bipolar disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with bipolar disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number Bipolar Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52902 Family History Research Diagnostic Criteria (FH-RDC) - Relationship type somatic treatment psychiatric reason ever count FHRDCRltnTypSomTxPyciRsnEvrCt Count of relatives of the selected type of relationship to the subject/participant who ever underwent somatic treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Count of relatives of selected type of relationship to subject/participant who ever underwent somatic treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Number of somatic treatment for psychiatric reasons Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

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C52935 Family History Research Diagnostic Criteria (FH-RDC) - Family study selection indicator code FHRDCFamilyStudySlctnIndCode Code indicating whether the subject/participant's family has been selected for a Family Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Code indicating whether the subject/participant's family has been selected for a Family Study, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family selected for Family Study 1;2 No;Yes Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-27 09:22:30.0 Family History Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives Family and Environment Outcomes and End Points

Single Pre-Defined Value Selected

CSV