| Question | Response |
|---|---|
| Medical History Verbatim |
MH.MHTERM |
| Approximate start date of condition |
MH.MHSTDTC |
| Outcome of the condition |
MH.MHOUT Recovered/Resolved Not Recovered/Not Resolved |
| Approximate date of recovery from the condition |
MH.MHENDTC |
| Severity of the condition |
MH.MHSEV Mild Moderate Severe |