CDE Detailed Report
Subdomain Name: General Health History
CRF: Reproductive and Hormonal History
Displaying 1 - 33 of 33
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59708 | Hormone therapy replace indicator | HormoneTherapyReplaceInd | Indicator of whether the participant has taken hormonal replacement therapy | Indicator of whether the participant has taken hormonal replacement therapy | Has the participant taken hormonal replacement therapy? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
Choose one for participants that have ever had a menstrual period. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 12:30:04.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59712 | Post-menopausal cause type other text | PostMnpslCauseOTH | The free-text field related to "Post-menopausal cause type", specifying other text. Type of cause or reason for the post-menopausal period in the participant | The free-text field related to "Post-menopausal cause type", specifying other text. Type of cause or reason for the post-menopausal period in the participant | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 13:13:27.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C59714 | Sex steroid deficiency diagnosis indicator | SexStrdDefDiagnosInd | Indicator of whether the participant has been diagnosed with sex steroid deficiency | Indicator of whether the participant has been diagnosed with sex steroid deficiency | Has the participant ever been diagnosed with sex steroid (estrogen/progesterone or testosterone) deficiency? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 13:36:27.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59715 | Sex steroid receive indicator | SexStrdRecInd | Indicator of whether the participant received sex steroids | Indicator of whether the participant received sex steroids | If YES, did the participant receive sex steroids (either estrogen/progesterone or testosterone/HCG)? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
Only answered if "YES" is answered for "Has the participant ever been diagnosed with sex steroid (estrogen/progesterone or testosterone) deficiency?" |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 13:42:41.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59700 | Pregnancy self or contribute sperm status | PregSelfOrContributeSpermStat | Status related to whether the participant has ever been pregnant or contributed sperm to a pregnancy | Status related to whether the participant has ever been pregnant or contributed sperm to a pregnancy | Has the participant ever been pregnant or contributed sperm to a pregnancy? | Unknown;No;Yes, contributed sperm to a pregnancy;Yes, been pregnant | Unknown;No;Yes, contributed sperm to a pregnancy;Yes, been pregnant | Alphanumeric |
Choose one. Include current pregnancy and any past pregnancies that resulted in early pregnancy loss. If YES, answer questions on pregnancy data. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-01 12:06:29.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59701 | Pregnancy other outcome comment text | PregOthrOutcomeCommentTxt | The free-text field describing the other comments and outcomes of a pregnancy | The free-text field describing the other comments and outcomes of a pregnancy | Other comments and outcomes (such as twins, use of fertility drugs or in vitro fertilization, etc.) | Alphanumeric |
Record other comments and outcomes for each pregnancy |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-01 16:51:27.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C59702 | Polycystic ovarian syndrome diagnosis indicator | PolycOvrnSyndDiagnosInd | Indicator of whether the participant has ever been diagnosed with polycystic ovarian syndrome | Indicator of whether the participant has ever been diagnosed with polycystic ovarian syndrome | Has the participant ever been diagnosed with polycystic ovarian syndrome? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 08:28:20.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59703 | Sex steroid deficiency cause type | SexStrdDefCsTyp | Type of cause of the participant's sex steroid deficiency | Type of cause of the participant's sex steroid deficiency | If YES, indicate cause | Primary (premature ovarian or testicular insufficiency);Secondary/tertiary (central) | Primary (premature ovarian or testicular insufficiency);Secondary/tertiary (central) | Alphanumeric |
Only answered if "YES" is answered for "Has the participant ever been diagnosed with sex steroid (estrogen/progesterone or testosterone) deficiency?" |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-02 09:19:06.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16193 | Pregnancy outcome date/time | PregOutcomeDateTime | The date and time (if applicable and known) of the outcome (i.e., delivery of live birth, miscarriage, etc.) of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | The date and time (if applicable and known) of the outcome (i.e., delivery of live birth, miscarriage, etc.) of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Date | Date or Date & Time |
At a minimum record the month and year for each pregnancy. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-01 16:22:32.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16170 | Menstrual period occurrence indicator | MenstrualPrdOcurInd | Indicates whether participant has ever had a menstrual period | Indicates whether participant has ever had a menstrual period | Has the participant ever had a menstrual period? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If NO, please go to Short Stature/Growth Hormone Deficiency/Sex Steroid Deficiency section |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 08:23:32.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20013 | Short stature diagnosis indicator | ShorStatureDiagInd | The indicator related to being diagnosed for short stature or height | The indicator related to being diagnosed for short stature or heigh | Has the participant ever been diagnosed with short stature? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-12 00:17:10.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16171 | Menstrual period first occurrence age value | MenstrualPrd1stOcurAgeVal | Youngest age the participant had a menstrual period, otherwise known as the age of menarche | Youngest age the participant had a menstrual period, otherwise known as the age of menarche | If YES, what age was the participant's first period? | Numeric Values |
If YES is answered for having had a menstrual period, record the age first occurred in years |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 08:26:11.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 100 | year | |||||||
| C20014 | Growth hormone deficiency diagnosis indicator | GrowthHorDefDiagInd | The indicator related to being diagnosed for deficiency in growth hormone | The indicator related to being diagnosed for deficiency in growth hormon | Has the participant ever been diagnosed with growth hormone deficiency? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-12 00:17:10.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16172 | Pregnant current indicator | PregCurntInd | Indicator of whether the participant is currently pregnant | Indicator of whether the participant is currently pregnant | Is the participant currently pregnant? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one for participants that have ever had a menstrual period. |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 11:45:08.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20015 | Growth hormone treatment indicator | GrowthHorTreatInd | The indicator related to receiving growth hormone | The indicator related to receiving growth hormon | If YES, did the participant receive growth hormone? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-12 00:17:10.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10980 | Childbearing potential indicator | ChldbrngPtntlInd | Indicator of whether the participant is of childbearing potential | Indicator of whether the participant is of childbearing potential | Is the participant able to become pregnant? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16173 | Pregnancy estimate delivery date and time | PregEstDeliveryDateTime | The date and time (if applicable) the participant is estimated to deliver the pregnancy | The date and time (if applicable) the participant is estimated to deliver the pregnancy | If YES, indicate the participant's due date | Date or Date & Time |
Only answered if "YES" is answered for "Is the participant currently pregnant?" |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 11:48:32.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C20016 | Hormone-related syndrome type | HormoneRltdSyndmTyp | The type related to known hormone-related/endocrine syndromes or disorders | The type related to known hormone-related/endocrine syndromes or disorders | If YES, indicate all that apply | Hyperthyroidism;Hypothyroidism;Diabetes;Cushing's syndrome;Hypoparathyroidism;Adrenal insufficiency;Dyslipidemia;Exocrine pancreatic insufficiency;Other, specify | Hyperthyroidism;Hypothyroidism;Diabetes;Cushing's syndrome;Hypoparathyroidism;Adrenal insufficiency;Dyslipidemia;Exocrine pancreatic insufficiency;Other, specify | Alphanumeric |
Only answered if "YES" is answered for "Any other known hormone-related/endocrine syndromes or disorders?" |
No references available | Adult;Pediatric | Supplemental | 2.00 | 2024-02-02 13:59:17.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C10981 | Birth control method type | BirthCntrlMethdTyp | The participant's method of birth control | The participant's method of birth control | If YES, indicate all forms of contraception used | Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Vaginal ring;Abstinence;None of these;Oral contraceptives - estrogen/progestin pill;Implantable hormonal device;Hormonal IUD;Non-hormonal IUD | Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Vaginal ring;Abstinence;None of these;Oral contraceptives - estrogen/progestin pill;Implantable hormonal device;Hormonal IUD;Non-hormonal IUD | Alphanumeric |
Only answered if "Does the participant use any forms of contraception to prevent becoming pregnant?" is answered Yes. Choose all that apply. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-03-18 15:21:17.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C16174 | Menopause indicator | MenopauseInd | Indicates whether participant is currently menopausal | Indicates whether participant/subject is currently menopausa | Does the participant believe they are currently experiencing menopause? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one for participants that have ever had a menstrual period. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-11 00:00:00.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C20017 | Hormone-related syndrome other text | HormoneRltdSyndmOTH | The free-text field related to "Hormone-related syndrome type", specifying other text. The type related to known hormone-related/endocrine syndromes or disorders | The free-text field related to "Hormone-related syndrome type", specifying other text. The type related to known hormone-related/endocrine syndromes or disorders | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.10 | 2024-02-02 14:03:33.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C16008 | Birth control indicator | BirthControlInd | Indicates if participant uses birth control | Indicates if participant uses birth control | Does the participant use any forms of contraception to prevent becoming pregnant? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16175 | Menstrual period last date | MenstrualPeriodLastDate | Date of the participant's last menstrual period | Date of the participant's last menstrual period | If YES, indicate the approximate date of the participant's last menstrual period | Date or Date & Time |
Only answered if "YES" is answered for "Does the participant believe they are currently experiencing menopause?" |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 12:18:50.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C20018 | Hormone-related syndrome diagnosis age value | HormoneRltdSyndmDiagAgVal | The age value of participant related to known hormone-related/endocrine syndromes or disorders | The age value of participant related to known hormone-related/endocrine syndromes or disorders | Age at diagnosis | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.10 | 2024-02-02 14:01:10.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 120 | year | |||||||
| C16163 | Hormone therapy name | HormoneTherapyNme | The name of the hormone therapy taken by the participant | The name of the hormone therapy taken by the participant/subjec | If YES, specify name of hormonal therapy taken | Alphanumeric |
Only answered if "YES" is answered for "Has the participant taken hormonal replacement therapy?" |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-11 00:00:00.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16177 | Post-menopausal indicator | PostMnpslInd | Indicates whether participant is post-menopausal | Indicates whether participant/subject is post-menopausal | Is the participant post-menopausal? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one for participants that have ever had a menstrual period. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-11 00:00:00.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16164 | Hormonal therapy start date/time | HormonalTherapyStartDateTime | The date and time (if applicable and known) the participant started hormonal therapy | Date (and time, if applicable and known) the participant started hormonal therapy | Date Started | Date or Date & Time |
Only answered if "YES" is answered for "Has the participant taken hormonal replacement therapy?" |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-02 12:57:37.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16178 | Post-menopausal cause type | PostMnpslCauseTyp | Type of cause or reason for the post-menopausal period in the participant | Tpye of cause or reason for the post-menopausal period in the participant | If YES, indicate cause | Surgical (complete hysterectomy- ovaries and uterus removed);Surgical (partial hysterectomy-only uterus removed);Medications or chemotherapy;Advancing age;Other, specify | Surgical (complete hysterectomy- ovaries and uterus removed);Surgical (partial hysterectomy-only uterus removed);Medications or chemotherapy;Advancing age;Other, specify | Alphanumeric |
Only answered if "YES" is answered for "Is the participant post-menopausal?". Choose all that apply. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-03-18 15:21:17.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C16165 | Hormonal therapy stop date/time | HormonalTherapyStopDateTIme | The date and time (if applicable and known) the participant stopped hormonal therapy | Date (and time, if applicable and known) the participant stopped hormonal therapy | Date Stopped | Date or Date & Time |
Only answered if "YES" is answered for "Has the participant taken hormonal replacement therapy?" |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-02 13:04:55.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16179 | Post-menopausal surgery date/time | PostMnpslSurgDateTime | The date and time (if applicable and known) of the surgery that induced the post-menopausal period | Date (and time if applicable and known) of the surgery that induced the post-menopausal period | Date | Date or Date & Time |
Only answered if "Surgical (complete hysterectomy - ovaries and uterus removed)" or "Surgical (partial hysterectomy - only uterus removed) are answered for "If YES, indicate cause" |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-02 13:21:13.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16168 | Pregnancy self or contribute sperm number | PregSelfOrContributeSpermNum | Number of each pregnancy for the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Number of each pregnancy for the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | # | Numeric Values |
Numbers should be assigned in ascending numerical order, #1 being the most recent pregnancy. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-01 15:39:08.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16180 | Hormone-related syndrome indicator | HormoneRltdSyndmInd | Indicator of whether the participant has known hormone-related/endocrine syndromes or disorders | Indicator of whether the participant has known hormone-related/endocrine syndromes or disorders | Any other known hormone-related/endocrine syndromes or disorders? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-02 13:55:35.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16169 | Pregnancy outcome type | PregOutcmeTyp | Type of outcome of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Type of outcome of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Pregnancy Outcome | Currently pregnant;Live birth;Miscarriage;Still birth;Other termination | Currently pregnant;Live birth;Spontaneous abortion (<20 weeks);Fetal death/stillbirth (>20 weeks);Other termination | Alphanumeric |
Choose one. Please describe the outcome of each pregnancy for the participant or the pregnant individual (if the participant contributed sperm to the pregnancy), starting with the most recent. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-03-18 15:21:17.0 | Reproductive and Hormonal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
