CDE Detailed Report

Disease: Mitochondrial Disease
Subdomain Name: General Health History
CRF: Bone Health History

Displaying 1 - 28 of 28
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
C59733 Consume dairy or substitute indicator CnsmDrySubInd Indicator of whether the participant consumes dairy or dairy substitute products Indicator of whether the participant consumes dairy or dairy substitute products Does the participant eat/drink dairy or dairy substitute products? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:04.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59723 Medication other progesterone current indicator MedctnOthPrgstrnCurrInd Indicator of whether the participant is currently taking other progesterone forms (pill, implant, intra-uterine device, other) Indicator of whether the participant is currently taking other progesterone forms (pill, implant, intra-uterine device, other) Is the participant taking other progesterone forms (pill, implant, intra-uterine device, other) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:56.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59734 Lactose intolerant indicator LctsIntlrntInd Indicator of whether that the participant is lactose intolerant Indicator of whether that the participant is lactose intolerant Is the participant lactose intolerant? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:05.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59724 Medication testosterone HCG current indicator MedctnTststrnHCGCurrInd Indicator of whether the participant is currently taking any testosterone (injection, patch, gel, other) or HCG (injection) Indicator of whether the participant is currently taking any testosterone (injection, patch, gel, other) or HCG (injection) Is the participant taking any testosterone (injection, patch, gel, other) or HCG (injection) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:56.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59735 Calcium supplement indicator ClcmSpplmntInd Indicator of whether the participant is taking a calcium supplement Indicator of whether the participant is taking a calcium supplement Is the participant taking a calcium supplement? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:06.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59725 Medication stop puberty current indicator MedctnStpPbrtyCurrInd Indicator of whether the participant is currently taking any medications to stop puberty Indicator of whether the participant is currently taking any medications to stop puberty Is the participant taking any medications to stop puberty currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:57.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59736 Vitamin D supplement indicator VitDSpplmntInd Indicator of whether the participant is taking a vitamin D supplement Indicator of whether the participant is taking a vitamin D supplement Is the participant taking a vitamin D supplement? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:06.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C20006 Bone fracture indicator BoneFractInd The indicator related to having a bone fracture The indicator related to having a bone fracture Has the participant ever had a fracture? No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2015-02-11 23:48:46.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59726 Medication bisphosphonate current indicator MedctnBisphosCurrInd Indicator of whether the participant is currently taking any bisphosphonates (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) Indicator of whether the participant is currently taking any bisphosphonates (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) Is the participant taking any bisphosphonates (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:58.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59737 Bone fracture count BoneFractCt Count of fractures experienced by the participant Count of fractures experienced by the subject How many fractures? Numeric Values

Answer if 'yes' was recorded for "Have you ever had a fracture?"

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:08.0 Bone Health History General Health History Participant History and Family History

Free-Form Entry

1 999
C59716 Medication steroid mouth current indicator MedctnStrdMthCurrInd Indicator of whether the participant is taking any oral steroids by mouth Indicator of whether the participant is taking any oral steroids by mouth Is the participant taking any steroids by mouth currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:50.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59727 Medication bisphosphonate past indicator MedctnBisphosPstInd Indicator of whether the participant has ever taken a bisphosphonate (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) in the past Indicator of whether the participant has ever taken a bisphosphonate (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) in the past Has the participant ever taken a bisphosphonate (e.g., alendronate, ibandronate, pamidronate, zoledronate, neridronate) in the past? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:59.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59738 Bone fracture anatomic site BoneFractAnatSite The anatomic location of fractures experienced by the participant The anatomic location of fractures experienced by the subject Body Site of Fracture Collarbone;Face/skull;Femur;Foot/Toes;Hand/Fingers;Hip;Lower arm/wrist;Lower leg;Other, specify;Pelvis;Rib/sternum;Unknown;Upper arm/elbow;Vertebra/backbone Collarbone;Face/skull;Femur;Foot/Toes;Hand/Fingers;Hip;Lower arm/wrist;Lower leg;Other, specify;Pelvis;Rib/sternum;Unknown;Upper arm/elbow;Vertebra/backbone Alphanumeric

Answer if 'YES' was recorded for "Have you ever had a fracture?"
Fractures of different body sites from the same instance should be recorded separately. Multiple fractures at the same body site should be recorded as 1 entry (if more than 5 fractures, enter data for the 5 most recent fractures).

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:09.0 Bone Health History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C59717 Medication steroid inhaler current indicator MedctnStrdInhlrCurrInd Indicator of whether the participant is taking any steroids by inhaler Indicator of whether the participant is taking any steroids by inhaler Is the participant taking any steroids by inhaler currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:51.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59728 Medication teriparatide indicator MedctnTeriparatideInd Indicator of whether the participant is or has ever taken teriparatide (Forteo) Indicator of whether the participant is or has ever taken teriparatide (Forteo) Is the participant taking or has ever taken teriparatide (Forteo)? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:00.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59739 Bone fracture anatomic site other text BoneFractOthrTxt Free-text field to specify other anatomic site of bone fractures Free-text field to specify other anatomic site of bone fractures Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:09.0 Bone Health History General Health History Participant History and Family History 4000

Free-Form Entry

C59718 Medication steroid IV current indicator MedctnStrdIVCurrInd Indicator of whether the participant is taking any steroids by IV Indicator of whether the participant is taking any steroids by IV Is the participant taking any steroids by IV currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:51.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59729 Medication denosumab indicator MedctnDenosumabInd Indicator of whether the participant is or has ever taken denosumab (Prolia) Indicator of whether the participant is or has ever taken denosumab (Prolia) Is the participant taking or has ever taken denosumab (Prolia)? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:01.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59740 Bone fracture mechanism type BoneFractMechTyp The type of mechanism that caused the participant's fracture(s) The type of mechanism that caused the participant's fracture(s) Mechanism Fall from greater than standing;Fall from standing;No known injury;Traumatic injury (car accident, fight, etc.);Unknown Fall from greater than standing;Fall from standing;No known injury;Traumatic injury (car accident, fight, etc.);Unknown Alphanumeric

Answer if 'yes' was recorded for "Have you ever had a fracture?"

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:10.0 Bone Health History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C59719 Medication seizure current indicator MedctnSzrCurrInd Indicator of whether the participant is taking any seizure medications Indicator of whether the participant is taking any seizure medications Is the participant taking any seizure medications currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:52.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59730 Medication romusuzumab indicator MedctnRomusuzumabInd Indicator of whether the participant is or has ever taken romusuzumab (Evenity) Indicator of whether the participant is or has ever taken romusuzumab (Evenity) Is the participant taking or has ever taken romusuzumab (Evenity)? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:02.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59741 Bone fracture age value BoneFractAgeVal Value for participant's age at the time of fracture Value for participant's age at the time of fracture Age at Fracture Numeric Values

Record age in years

Answer if 'yes' was recorded for "Have you ever had a fracture?"

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:11.0 Bone Health History General Health History Participant History and Family History

Free-Form Entry

0 150
C59720 Medication oral contraceptive current indicator MedctnOrlCntrcptvCurrInd Indicator of whether the participant is currently taking oral contraceptives Indicator of whether the participant is currently taking oral contraceptives Is the participant taking any oral contraceptive pills (birth control pills) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:53.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59731 Primary nutrition intake source type PrmryNtrtnIntkSrcTyp Type of the participant's primary source of nutritional intake Type of the participant's primary source of nutritional intake What is the participant's primary source of nutritional intake? By gastric tube;By jejunal tube;By mouth;By nasogastric tube;Other, specify;Total parental nutrition (TPN);Unknown By gastric tube;By jejunal tube;By mouth;By nasogastric tube;Other, specify;Total parental nutrition (TPN);Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:02.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59742 Bone fracture confirmed medical record indicator BoneFractCnfrmMedRecInd Indicator of whether the participant had their fracture confirmed in medical record Indicator of whether the participant had their fracture confirmed in medical record Fracture Confirmed in medical record? No;Yes No;Yes Alphanumeric

Answer if 'yes' was recorded for "Have you ever had a fracture?"

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:12.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59721 Medication estrogen current indicator MedctnEstrgnCurrInd Indicator of whether the participant is currently taking any estrogen forms (pill, patch, cream, other) Indicator of whether the participant is currently taking any estrogen forms (pill, patch, cream, other) Is the participant taking any estrogen forms (pill, patch, cream, other) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:54.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C59732 Primary nutrition intake source other text PrmryNtrtnIntkOthrTxt Free-text field to specify other type of primacy source of nutritional intake Free-text field to specify other type of primacy source of nutritional intake Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:41:03.0 Bone Health History General Health History Participant History and Family History 4000

Free-Form Entry

C59722 Medication depo-provera current indicator MedctnDepoCurrInd Indicator of whether the participant is currently taking Depo-Provera (injectable medroxyprogesterone) Indicator of whether the participant is currently taking Depo-Provera (injectable medroxyprogesterone) Is the participant taking Depo-Provera (injectable medroxyprogesterone) currently? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:40:55.0 Bone Health History General Health History Participant History and Family History

Single Pre-Defined Value Selected

CSV