CDE Detailed Report

Disease: Neuromuscular Diseases
Sub-Domain: History of Disease/Injury Event
CRF: Medical History of NMD

Displaying 1 - 6 of 6
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C10501 Diagnosis initial age value DiagnosAgeVal Age of the participant/subject when initially diagnosed with disease/disorder Age of the participant/subject when initially diagnosed with disease/disorder Age of Diagnosis Numeric Values

Answer should be recorded in years, months, weeks, days or hours (only one unit). However, prior to sharing the data the age should be converted into months. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. Answer "Date at Diagnosis" or "Age at Diagnosis", but not both.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 16:29:10.887 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

year
C12612 Initial symptom age value IntlSymptmAgeVal The age at which the participant/subject first noted a neuromuscular symptom The age at which the participant/subject first noted a neuromuscular symptom Age at symptom onset Numeric Values

Answer should be recorded in years, months, weeks, days or hours (only one unit). However, prior to sharing the data the age should be converted into months. Answer "Date at First Symptom" or "Age at First Symptom", but not both.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 16:29:10.887 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

year
C18253 Clinical trial previous participation indicator ClinTrialPrevPrtpInd Indicator of whether the participant/subject participated in any prior clinical trials Indicator of whether the participant/subject participated in any prior clinical trials Has participant participated in prior clinical trials? Yes;No Yes;No Alphanumeric

Choose one

No references available Adult;Pediatric Core 3.00 2013-07-21 12:11:21.037 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C00314 Medical history taken date and time MedclHistTakenDateTime Date (and time, if applicable and known) the participant/subject's medical history was taken Date (and time, if applicable and known) the participant/subject's medical history was taken Date medical history taken Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

2179659
C08006 Symptoms first appeared date and time SymptmFirstAppearDateTime Date (and time if applicable and known) the symptoms for the disease or disorder first appeared as confirmed by the participant's/subject's medical history obtained by a physician Date (and time if applicable and known) the symptoms for the disease or disorder first appeared as confirmed by the participant's/subject's medical history obtained by a physician Date at first symptom Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). Answer "Date at First Symptom" or "Age at First Symptom", but not both.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

C08007 Diagnosis first given date and time DiagnosFirstGivnDateTime Date (and time if applicable and known) the participant/subject was initially diagnosed with the disease or disorder Date (and time if applicable and known) the participant/subject was initially diagnosed with the disease or disorder Date at diagnosis Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). Answer "Date at Diagnosis" or "Age at Diagnosis", but not both.

No references available Adult;Pediatric Core 3.00 2013-07-24 11:38:01.2 Medical History of NMD History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

CSV