CDE Detailed Report

Disease: Stroke
Sub-Domain: General Health History
CRF: Medical History

Displaying 1 - 50 of 68
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
C17475 Cardiovascular history cardiac surgery type CardioHistCardSurgTyp Type of cardiac surgery or mechanical intervention the participant/subject underwent Type of cardiac surgery or mechanical intervention the participant/subject underwent Indicate type(s) Coronary artery bypass graft;Cardiac valve surgery, including non-open surgery;Pacemaker;Implantable cardiac defibrillator;Other, specify Coronary artery bypass graft (CABG);Cardiac valve surgery, including non-open surgery (i.e. percutaneous valvuloplasty);Pacemaker;Implantable cardiac defibrillator;Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C52701 Bleeding disorder type text BleedDisorderTypeTxt Free-text field related to the type of bleeding disorder Free-text field related to the type of bleeding disorder If YES, specify type Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C52599 Medical history hemorrhagic stroke type MedHistHemorrStrokeTyp The element related to the type of hemorrhagic stroke the participant/subject has had The element related to the type of hemorrhagic stroke the participant/subject has had If YES, indicate type(s) Intracerebral hemorrhage (ICH);Subarachnoid hemorrhage (SAH);Hemorrhage unspecified;Unknown Intracerebral hemorrhage (ICH);Subarachnoid hemorrhage (SAH);Hemorrhage unspecified;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:10:41.0 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C58931 Menopause treatment type MenopauseTreatmtTyp Type of treatment the participant/subject is receiving or has received for menopause Type of treatment the participant/subject is receiving or has received for menopause Treatment for menopause Hormone therapy;Other, specify;Unknown Hormone therapy;Other, specify;Unknown Alphanumeric

No instructions available

No references available Adult Exploratory 1.00 2020-07-14 15:24:25.0 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C52621 Medical history artificial valve type MedHistArtificialVlvTyp The element related to the type of artificial valve The element related to the type of artificial valve If YES, indicate type Biological/tissue valve;Mechanical/non-tissue valve;Valvuloplast;Unknown type of valve Biological/tissue valve;Mechanical/non-tissue valve;Valvuloplast;Unknown type of valve Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 1.00 2017-01-27 08:34:45.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C06246 Medical history condition type MedHistCondTyp Pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record. Pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record. Has a doctor or other medical professional ever told you that you have or have had the following? Other cardiac disorders, specify;Hypertension;Orthostatic hypotension;Myocardial infarction;Stroke;Other, specify:;Hemorrhagic stroke;Unruptured aneurysm;Dural sinus thrombosis/cerebral venous thrombosis;Ischemic Stroke;Transient Ischemic Attack (TIA);Arteriovenous malformation;Cavernous malformation;Transient monocular blindness;Migraines;Carotid stenosis;Carotid endarterectomy;Carotid artery stenting;Seizure episode;Meningitis;Dementia;Depressive disorder diagnosis;Current clinical anxiety;Atrial fibrillation/flutter;Coronary artery disease;Diabetes mellitus;Cancer;Bleeding disorder;Sleep apnea;Hemorrhoids;Moyamoya Syndrome;Neurofibromatosis type 1 (NF1);Inborn errors of metabolism;Mitochondrial disease;Hereditary hemorrhagic telangiectasia (HHT);Ehlers-Danlos Syndrome Type IV;Marfan Syndrome;Fibromuscular dysplasia;Central nervous system infection;Head trauma;Neck trauma;Rheumatic heart disease;Angina;Valvular heart disease;Coronary stent or PTCA;Congestive heart failure;Congenital heart disease;Cardiac catheterization;Peripheral arterial disease;Hypertriglyceridemia;Infection within two weeks;Sickle cell anemia;Hypercoagulable disorder;Lupus;Other connective tissue disease;Renal (kidney) failure;Nephrotic syndrome;Chronic liver failure;Iron deficiency/anemia;Inflammatory bowel disease;Down Syndrome;Sturge-Weber Syndrome;Coarctation of the aorta;Alpha 1-antitrypsin deficiency;Pheochromocytoma;Anxiety/panic disorder diagnosis;Aortic aneurysm;Artificial valve;Cardiac surgery;Epilepsy/Seizure disorder;Current clinical depression;High blood cholesterol/ Hypercholesterolemia;Indwelling catheter;Periodontal disease;Psychotic disorder Other cardiac disorders, specify;Hypertension;Orthostatic hypotension;Myocardial infarction;Stroke;Other, specify:;Hemorrhagic stroke;Unruptured aneurysm;Dural sinus thrombosis/cerebral venous thrombosis;Ischemic Stroke;Transient Ischemic Attack (TIA);Arteriovenous malformation (AVM);Cavernous malformation;Transient monocular blindness;Migraines;Carotid stenosis;Carotid endarterectomy (CEA);Carotid artery stenting (CAS);Seizure episode;Meningitis;Dementia;Depressive disorder diagnosis;Current clinical anxiety;Atrial fibrillation/flutter;Coronary artery disease;Diabetes mellitus;Cancer;Bleeding disorder;Sleep apnea;Hemorrhoids;Moyamoya Syndrome;Neurofibromatosis type 1 (NF1);Inborn errors of metabolism;Mitochondrial disease;Hereditary hemorrhagic telangiectasia (HHT);Ehlers-Danlos Syndrome Type IV;Marfan Syndrome;Fibromuscular dysplasia;Central nervous system infection;Head trauma;Neck trauma;Rheumatic heart disease;Angina;Valvular heart disease;Coronary stent or PTCA;Congestive heart failure;Congenital heart disease;Cardiac catheterization;Peripheral arterial disease;Hypertriglyceridemia;Infection within two weeks;Sickle cell anemia;Hypercoagulable disorder;Lupus;Other connective tissue disease;Renal (kidney) failure;Nephrotic syndrome;Chronic liver failure;Iron deficiency/anemia;Inflammatory bowel disease;Down Syndrome;Sturge-Weber Syndrome;Coarctation of the aorta;Alpha 1-antitrypsin deficiency;Pheochromocytoma;Anxiety/panic disorder diagnosis;Aortic aneurysm;Artificial valve;Cardiac surgery;Epilepsy/Seizure disorder;Current clinical depression;High blood cholesterol/ Hypercholesterolemia;Indwelling catheter;Periodontal disease;Psychotic disorder Alphanumeric

This CDE should be collected along with the "Medical history condition diagnosis indicator".

The medical history condition types are classified as follows:

Supplemental - Highly Recommended: Stroke; Ischemic stroke; Hemorrhagic stroke

Supplemental: Transient ischemic attack (TIA); Transient monocular blindness; Unruptured aneurysm; Dural sinus thrombosis/cerebral venous thrombosis; Arteriovenous malformation (AVM); Cavernous malformation; Migraine(s); Carotid stenosis; Carotid endarterectomy; Carotid artery stenting; Seizure episode; Epilepsy/Seizure disorder; Central nervous system infection; Meningitis; Dementia; Current clinical depression; Depressive disorder diagnosis; Current clinical anxiety; Anxiety/panic disorder diagnosis; Psychotic disorder; Head trauma; Neck trauma; Atrial fibrillation (AF)/flutter; Rheumatic heart disease; Coronary artery disease; Myocardial infarction; Angina; Valvular heart disease; Cardiac surgery; Artificial valve; Coronary stent or PTCA; Congestive heart failure; Congenital heart disease; Cardiac catheterization; Other cardiac disorders, specify; Peripheral arterial disease; Aortic aneurysm; Hypertension; Orthostatic hypotension; Diabetes melllitus; High blood cholesterol/ Hypercholesterolemia; Hypertriglyceridemia; Cancer; Sickle cell anemia; Hypercoagulable disorder; Bleeding disorder; Lupus; Other connective tissue disease; Sleep apnea; Renal (kidney) failure; Nephrotic syndrome; Indwelling catheter; Chronic liver failure; Iron deficiency/Anemia; Inflammatory bowel disease; Hemorrhoids; Moyamoya Syndrome; Down syndrome; Neurofibromatosis type I (NFI); Sturge-Weber syndrome; Inborn error metabolism; Mitochondrial disease; Hereditary hemorrhagic telangiectasia; Ehlers-Danlos Syndrome Type IV; Marfan syndrome; Fibromuscular dysplasia; Coarctation of the aorta; Alpha1-antitrypsin deficiency; Pheochromocytoma; Other, specify

Exploratory: Infection within two weeks; Periodontal disease

No references available Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C17480 Diabetes mellitus complications type EndocrineHistDiabMellCompliTyp Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing Complications of diabetes Nephropathy;Neuropathy;Retinopathy;Other, specify;None Nephropathy;Neuropathy;Retinopathy;Other, specify;None Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C52702 Connective tissue disease other type text ConnTissDisTypTxt The free-text field related to other type of connective tissue disease The free-text field related to other type of connective tissue disease If YES, specify type Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2016-10-19 12:03:19.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C52600 Medical history transient ischemic attack range MedHistTIARng The element related to the number of transient ischemic attacks (TIAs) the participant/subject has had The element related to the number of transient ischemic attacks (TIAs) the participant/subject has had Number of TIAs 1;2-10;> 10;Unknown 1;2-10;> 10;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:29:36.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C58932 Menopause treatment type other text MenopauseTreatmtOTH The free-text field related to 'Menopause treatment type', specifying other text. The free-text field related to 'Menopause treatment type', specifying other text. Other, specify Alphanumeric

No instructions available

No references available Adult Exploratory 1.00 2020-07-14 15:29:14.0 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C52622 Medical history cardiac catheterization recency rate MedHistCardCathRecenRt The element related to the recency of cardiac catheterization the participant/subject has had The element related to the recency of cardiac catheterization the participant/subject has had If YES, indicate recency <= 2 weeks;> 2 weeks ago;Unknown;30 days or more <= 2 weeks;> 2 weeks ago;Unknown;30 days or more Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 1.00 2017-01-26 13:49:14.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C10539 Diabetes first diagnosis age value DiabetFrstDiagnosisAgeVal Value representing the age, in years, at which the participant/subject was first diagnosed with diabetes mellitus Value representing the age, in years, at which the participant/subject was first diagnosed with diabetes mellitus Age diabetes first diagnosed Numeric Values

years

No references available Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Medical History General Health History Participant History and Family History

Free-Form Entry

year
C17488 Psychiatric history psychotic diagnosis type PsychHistPsychoticDiagnosTyp Type of psychotic disorder the participant/subject has been diagnosed with, if any Type of psychotic disorder the participant/subject has been diagnosed with, if any If YES, indicate type(s) Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;Other, specify;Psychotic disorder, not otherwise specified;Unknown Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;Other, specify;Psychotic disorder, not otherwise specified;Unknown Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C52703 Sleep apnea type text SleepApneaTypTxt The free-text field related to the type of sleep apnea The free-text field related to the type of sleep apnea If YES, specify type Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C52601 Medical history transient ischemic attack recency rate MedHistTIARecenRt The element related to the recency of transient ischemic attacks (TIAs) the participant/subject has had The element related to the recency of transient ischemic attacks (TIAs) the participant/subject has had Most recent TIA < 24 hours ago;24h - 7d ago;7d - 3 mos ago;> 3 mos ago;Unknown < 24 hours ago;24h - 7d ago;7d - 3 mos ago;> 3 mos ago;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:29:36.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C58933 Acquired heart disease indicator AcquiredHeartDiseaseInd The indicator related to whether the participant/subject has acquired heart disease The indicator related to whether the participant/subject has acquired heart disease Acquired heart disease No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Pediatric Supplemental 1.00 2020-07-14 15:32:05.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52623 Aortic thoracic aneurysm specify text AorticThorAneurSpTxt The free-text field related to the type of aortic or thoracic aneurysm The free-text field related to the type of aortic or thoracic aneurysm If YES, specify type Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 13:49:14.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C10541 Diabetes treatment type DiabetTreatTyp Type of treatment the participant/subject is receiving or has received for diabetes mellitus Type of treatment the participant/subject is receiving or has received for diabetes mellitus Treatment for diabetes Diet;Oral medication;Insulin;None;Unknown Diet;Oral medication;Insulin;None;Unknown Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C18793 Medical history condition other text MedHistCondOTH The free-text field related to 'Medical history condition type' specifying other text. Pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record. The free-text field related to 'Medical history condition type' specifying other text. Pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record. Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C52706 Mitochondrial encephalomyopathy lactic acidosis stroke like episodes indicator MELASInd The indicator related to whether the participant/subject has or had mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) The indicator related to whether the participant/subject has or had mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) If YES, do you have/have you had mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes No;Yes;Unknown No;Yes;Unknown Alphanumeric

Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes - MELAS

No references available Adult;Pediatric Exploratory 3.00 2013-07-24 11:38:01.2 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52602 Medical history migraine aura indicator MedHistMigrAuraInd The indicator related to the participant/subject having migraine(s) with aura The indicator related to the participant/subject having migraine(s) with aura If YES, migraine(s) with aura No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:49:56.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C58934 Chickenpox past twelve month indicator ChickenpoxPastTwelveMonthInd The indicator related to whether the participant/subject has had chickenpox in the past 12 months The indicator related to whether the participant/subject has had chickenpox in the past 12 months Chickenpox in past 12 months No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Pediatric Exploratory 1.00 2020-07-14 15:32:05.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52624 Hypertension first diagnosed age value HypertensFirstDiagAgeVal Free-text field related to the age hypertension was first diagnosed Free-text field related to the age hypertension was first diagnosed If YES, age hypertension first diagnosed Alphanumeric

years

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C10543 Cancer head or neck radiation treatment indicator CancerHeadNeckRadiatTreatInd Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiation Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiation. Did you receive head or neck radiation to treat the cancer? Yes;Unknown;No Yes;Unknown;No Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 3.00 2013-07-11 15:03:49.2 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C19057 Diabetes mellitus complications other text EndocrineHistDiabMellCompliOTH The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C52709 Menopause begin age value MenopauseBeginAgeVal The age at which menopause began for the participant/subject The age at which menopause began for the participant/subject At what age did you start menopause? Numeric Values

If applicable

No references available Adult Exploratory 3.00 2013-06-11 00:00:00.0 Medical History General Health History Participant History and Family History

Free-Form Entry

C52603 Medical history migraine active last year indicator MedHistMigrActivLstYrInd The indicator related to the participant/subject having had an active migraine within the last year The indicator related to the participant/subject having had an active migraine within the last year If YES, active migraine within last year? No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 1.00 2017-01-26 14:49:56.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C58935 Facial segmental hemangioma PHACE syndrome indicator FaclSgmntlHmngmPHACESyndrmInd The indicator related to whether the participant/subject has facial segmental hemangioma/PHACE syndrome The indicator related to whether the participant/subject has facial segmental hemangioma/PHACE syndrome Facial Segmental Hemangioma/PHACE syndrome No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Pediatric Exploratory 1.00 2020-07-14 15:32:05.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52693 High cholesterol treatment type HighCholesTreatTyp Type of treatment for high blood cholesterol Type of treatment for high blood cholesterol If YES, indicate treatment(s) Diet;None;Statins;Other medicines;Unknown Diet;None;Statins;Other medicines;Unknown Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C15624 Pregnancy indicator PregInd Indicates if the participant/subject is currently pregnant Indicates if the participant/subject is currently pregnant Is the participant/subject pregnant? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-16 14:01:43.01 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C19058 Psychiatric history psychotic diagnosis other text PsychHistPsychoticDiagnosOTH The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C58354 Other cancer type text OthrCancerTypTxt Text of type of other cancer(s) that the subject/participant has ever been diagnosed with. Text of type of other cancer(s) that the subject/participant has ever been diagnosed with. Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 1.00 2018-02-08 10:03:58.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C52604 Medical history carotid endarterectomy anatomic site MedHistCarotEndarcAnatSite The element related to the location of a carotid endarterectomy the participant/subject has had The element related to the location of a carotid endarterectomy the participant/subject has had If YES, indicate location Left side;Right side;Both;Unknown Left side;Right side;Both;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:49:56.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C15629 Postpartum indicator PstpartmInd Whether the participant/subject is currently in her postpartum phase, after pregnancy phase, of pregnancy. Whether the participant/subject is currently in her postpartum phase, after pregnancy phase, of pregnancy. Is the participant/subject post-partum? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Up to 12 weeks

Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-16 14:01:43.01 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52695 Cancer diagnosis type CancerDiagTyp The element related to the type of cancer diagnosis the participant/subject has or had The element related to the type of cancer diagnosis the participant/subject has or had Type(s) of cancer Brain;Breast;Colorectal;Endometrial;Esophagus;Prostate;Renal;Skin;Other specify;Lung Brain;Breast;Colorectal;Endometrial;Esophagus;Prostate;Renal;Skin;Other specify;Lung Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C19078 Cardiovascular history cardiac surgery other text CardioHistCardSurgOTH The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C58926 Medical history hemorrhagic stroke range MedHistHemStrokeRng The element related to the number of hemorrhagic strokes the participant/subject has had The element related to the number of hemorrhagic strokes the participant/subject has had Number of hemorrhagic strokes 1;>= 2;Unknown 1;>= 2;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 1.00 2017-01-26 13:49:14.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52605 Medical history carotid artery stenting anatomic site MedHistCarotArtStentAnatSite The element related to the location of carotid artery stenting the participant/subject has had The element related to the location of carotid artery stenting the participant/subject has had If YES, indicate location Left side;Right side;Both;Unknown Left side;Right side;Both;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 14:49:56.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C15630 Postpartum day week value PstpartmDayWkVal Number of days/weeks the participant/subject has been postpartum Number of days/weeks the participant/subject has been postpartum Number of weeks since delivery Numeric Values

Up to 12 weeks

Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Medical History General Health History Participant History and Family History

Free-Form Entry

C52696 Infection within two weeks type InfectionWthnTwoWksTyp The element related to the type of infection(s) within the last two weeks the participant/subject has had The element related to the type of infection(s) within the last two weeks the participant/subject has had If YES, indicate type(s) Otitis media;Respiratory infection;Urinary tract infection;Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify:;Influenza;Zoster/Shingles Otitis media;Respiratory infection;Urinary tract infection (UTI);Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify:;Influenza;Zoster/Shingles Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C19174 Other cardiac disorder type OthrCardiacDisorderTyp Type of other cardiac disorder Type of other cardiac disorder Other cardiac disorders, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2014-05-30 14:25:23.0 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C58927 Medical history hemorrhagic stroke recency rate MedHistHemStrokeRecenRt The element related to the recency of hemorrhagic strokes the participant/subject has had The element related to the recency of hemorrhagic strokes the participant/subject has had Most recent hemorrhagic stroke < 3 mos ago;>= 3 mos ago;Unknown < 3 mos ago;>= 3 mos ago;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-07-14 15:13:17.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52617 Head trauma result type HdTrmResTyp The element related to the result of head trauma The element related to the result of head trauma If YES, indicate if head trauma resulted in any of the following Loss of consciousness > 30 minutes;Post traumatic amnesia > 24 hours;Abnormal brain imaging findings;None of the above;Unknown Loss of consciousness > 30 minutes;Post traumatic amnesia > 24 hours;Abnormal brain imaging findings;None of the above;Unknown Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Medical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C16012 Medical history condition diagnosis indicator MedclHistCondDiagnsInd Indicator of whether the participant/subject has been diagnosed with the medical condition/disease Indicator of whether the participant/subject has been diagnosed with the medical condition/disease Has a doctor or other medical professional ever told you that you have or have had the following? 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 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52697 Infection within two weeks other text InfectionWthnTwoWksOTH The free-text field related to the type of infection(s) within the last two weeks the participant/subject has had The free-text field related to the type of infection(s) within the last two weeks the participant/subject has had Other infection, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C22679 Medical history first depressive episode diagnosis age value MedHistFrstDepEpDiagAgeVal Value of a participant's/subject's age when first depressive episode was diagnosed Value of a participant's/subject's age when first depressive episode was diagnosed If YES, age experienced first depressive episode/diagnosed with depression Numeric Values

years

No references available Adult;Pediatric Exploratory 1.00 2016-07-27 11:43:54.0 Medical History General Health History Participant History and Family History

Free-Form Entry

year
C58928 Medical history carotid endarterectomy recent date MedHistCarotEndarcRecentDate Date of most recent carotid endarterectomy performed on the participant/subject Date of most recent carotid endarterectomy performed on the participant/subject Date of most recent carotid endarterectomy (M M/D D/Y Y Y Y) 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, year, month and day).

No references available Adult;Pediatric Exploratory 1.00 2020-07-14 15:16:51.0 Medical History General Health History Participant History and Family History

Free-Form Entry

C52618 Medical history neck trauma recency rate MedHistNeckTraumaRecenRt The element related to the recency of neck trauma The element related to the recency of neck trauma If YES, indicate recency < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks ago;Unknown < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks ago;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-01-26 13:49:14.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C16174 Menopause indicator MenopauseInd Indicates whether participant/subject is currently menopausal. Indicates whether participant/subject is currently menopausal. Are you in menopause? Yes;No Yes;No Alphanumeric

No instructions available

No references available Adult Exploratory 3.00 2013-06-11 00:00:00.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C52699 Sickle cell anemia blood transfusion treatment indicator SickleCellAnemBloodTransfInd The indicator related to whether blood transfusions are used for treatment for sickle cell anemia The indicator related to whether blood transfusions are used for treatment for sickle cell anemia If YES, are blood transfusions used for treatment? Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

CSV