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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Sub-Domain: General Health History
CRF: History Data Source and Reliability
Item count: 6 (6 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C08147
Data source
DataSource
Source of the data provided on the case report form
From whom/ what were the medical history data obtained
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
Data source
 
Multiple Pre-Defined Values Selected
       
C18667
Data source other text
DataSourcOTH
The free-text field related to 'Data source' specifying other text. Source of the data provided on the case report form
Other, specify
  
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C52564
Data source family relation specify text
DataSourceFamRelST
Specify the relationship of the family member from which data on the participant/subject was obtained
Family, specify relation
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/24/2017
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
  
Free-Form Entry
       
C11133
History data not obtained reason
HistDataNotObtRsn
Reason(s) the medical/family history data were not obtained from the participant/subject and instead were obtained from alternate source(s).
If the medical history data were NOT obtained from the participant/subject, Indicate the reason(s) why
Dementia;Aphasia;Other cognitive impairment;Not fluent in examiner's language;Poor historian;Too young;Other, specify;
Dementia;Aphasia;Other cognitive impairment;Not fluent in examiner's language;Poor historian;Too young;Other, specify;
Alphanumeric
Choose all that apply. All the permissible values describe the participant/ subject.
No references available
Adult;Pediatric
Core
3.0
7/11/2013
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
History data not obtained reason
 
Multiple Pre-Defined Values Selected
       
C18824
History data not obtained other text
HistDataNotObtOTH
The free-text field related to 'History data not obtained reason' specifying other text. Reason(s) the medical/family history data were not obtained from the participant/subject and instead were obtained from alternate source(s).
Other, specify
  
Alphanumeric
Choose all that apply. All the permissible values describe the participant/ subject.
No references available
Adult;Pediatric
Supplemental
3.0
7/11/2013
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C11134
History data reliability type
MedHistInfoReliablGrade
Overall assessment of the reliability of the medical/family history data obtained
Overall assessment of the reliability of the medical history data obtained
Definitely reliable;Probably reliable;Not reliable;
Definitely reliable;Probably reliable;Not reliable;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/11/2013
Aliases for variable name not defined
History Data Source and Reliability
General Health History
Participant History and Family History
History data reliability type
 
Single Pre-Defined Value Selected
       
07-21-2019
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