CDE Detailed Report
Subdomain Name: General Health History
CRF: system
Displaying 51 - 81 of 81
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 |
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C19768 | Medical history pulmonary difficulty ingestion relatedness indicator | MedHistPlDfltcyIngesRltdnsInd | Indicator of difficulty breathing relation to meal times | Indicator of difficulty breathing relation to meal times | If Yes, is difficulty breathing related to meal times? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
Only answered if Pulmonary question #1 is answered Yes |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19801 | Medical history endocrine menarche onset date | MedHistEndcrnMenarcheOnstDate | Date of start of onset of menarche | Date of start of onset of menarche | If Yes, date of onset | Date or Date & Time |
The date should be recorded in the format YYYY/MM and only answered if Endocrine question #3 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19812 | Medical history abdominal liver problem enzyme elevation indicator | MedHistAbdmnlLivProbEnzElInd | Indicator of elevation in liver enzyme | Indicator of elevation in liver enzyme | If Yes, was this an elevation in the liver enzyme (AST/ALT) only? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19779 | Medical history asthma pulmonary assessment indicator | MedHistAsthmaPulAssesInd | Indicator of history of asthma | Indicator of history of asthma | History of asthma? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19824 | Medical history musculoskeletal scoliosis diagnosis indicator | MedHistScolDiagnInd | Indicator of scoliosis | Indicator of scoliosis | Scoliosis: | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C05460 | Seizure indicator | SeizInd | Indicator of seizure activity | Indicator of seizure activity | Seizure | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19790 | Medical history pulmonary current intermittent positive pressure breathing use status | MedHistPlCrntIPPBUseStatus | Status of current Intermittent Positive Pressure Breathing (IPPB) use | Status of current Intermittent Positive Pressure Breathing (IPPB) use | Are you currently using IPPB?: | Daily;Only when ill;Don't use;Unknown | Daily;Only when ill;Don't use;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19835 | Pain indicator | PainInd | Indicator of pain present | Indicator of pain present | Pain? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19769 | Medical history pulmonary aspiration diagnosis indicator | MedHistPlmnryAspirDiagInd | Indicator of history of aspiration | Indicator of history of aspiration | History of aspiration? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19802 | Medical history endocrine Vitamin D deficiency indicator | MedHistEndcrnVtmnDDefInd | Indicator of history of vitamin D deficency | Indicator of history of vitamin D deficency | Any history of vitamin D deficiency? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19813 | Medical history genito-urinary urinary tract infections indicator | MedHistGenitoUTIInd | Indicator of history of urinary tract infections | Indicator of history of urinary tract infections | Frequent urinary tract infections? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19780 | Medical history asthma pulmonary medication taken indicator | MedHistAsthmaPulMedsTakenInd | Indicator of steroid pills or liquid medication taken for asthma | Indicator of steroid pills or liquid medication taken for asthma | If Yes, steroid pills or liquid medication for asthma? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19825 | Medical history musculoskeletal scoliosis diagnosis date | MedHistMusclskltlScolDiagDt | Date of first detection of scoliosis | Date of first detection of scoliosis | If Yes, date first detected | Date or Date & Time |
The date should be recorded in the format YYYY/MM, and only answered if Musculoskeletal question #3 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C14116 | Learning disability or attention deficit diagnosis indicator | LearnDisableADHDDiagnosInd | Whether the participant/subject was ever given formal diagnosis of any learning disability or diagnosed with ADD/ADHD (Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder) | Whether the participant/subject was ever given formal diagnosis of any learning disability or diagnosed with ADD/ADHD (Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder | Is there a learning disability? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19791 | Medical history pulmonary antibiotics use frequency | MedHistPlmnryAntibiotUseFreq | Frequency of antibiotic use | Frequency of antibiotic use | How many times have you required antibiotics for a cold or pneumonia in the last year? | None;Once;2 times;3 times;4 times;<5 times | None;Once;2 times;3 times;4 times;<5 times | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19836 | Pain anatomic site text | PainAntmicSiteTxt | Anatomic Site of body pain | Anatomic Site of body pain | If Yes, area of body: | Alphanumeric |
Only answered if Pain question #1 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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C19770 | Medical history pulmonary aspiration swallowing assessment indicator | MedHistPlAspirSwallAssInd | Indicator of swallowing studies completed | Indicator of swallowing studies completed | Any swallowing study done? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19803 | Dual X-ray absorptiometry scanner performed indicator | DEXAScanPerfInd | Indicator of DEXA scan performed | Indicator of DEXA scan performed | Any DEXA scan performed? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19814 | Medical history musculoskeletal broken bones indicator | MedHistMusclskltlBrknBonesInd | Indicator of broken bones | Indicator of broken bones | Broken bones? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19781 | Medical history asthma pulmonary inhalers use indicator | MedHistAsthmaPlInhalUseInd | Indicator of steroid inhalers used for asthma | Indicator of steroid inhalers used for asthma | If Yes, steroid inhalers (Qvar, Flovent)? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19826 | Seizure onset Date | SeizOnstDate | Date of onset of seizures | Date of onset of seizures | If Yes, date of onset | Date or Date & Time |
The date should be recorded in the format YYYY/MM, and only answered if Neurologic question #1 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19760 | Medical history strabismus diagnosis indicator | MedHistStrbsmsDiagInd | Indicator of medical history of strabismus | Indicator of medical history of strabismus | Strabismus | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19792 | Medical history cardiovascular heart arrhythmia indicator | MedHistCardioHeartArrhymInd | Indicator of history of heart arrhythmia | Indicator of history of heart arrhythmia | Is there a history of heart arrhythmia? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19837 | Pain position indicator | PainPostnInd | Indicator of pain within a certain position of the body | Indicator of pain within a certain position of the body | Pain with certain position? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19771 | Medical history pulmonary aspiration swallowing assessment completion date | MedHistPlAspirSwallAssCompDt | Date of swallowing study completed | Date of swallowing study completed | If Yes, date swallowing study done | Date or Date & Time |
The date should be recorded in the format YYYY/MM. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19804 | Dual X-ray absorptiometry scanner performed date | DEXAScanPerfDt | Date of DEXA scan performed | Date of DEXA scan performed | If Yes, date performed | Date or Date & Time |
The date should be recorded in the format YYYY/MM and only answered if Endocrine question #5 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19815 | Medical history musculoskeletal total broken bones count | MedHistMusclTtlBrknBonesCt | Number of toral bones broken | Number of toral bones broken | If Yes, total number of broken bones: | Numeric Values |
Only answered if Musculoskeletal question # 1 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19782 | Medical history asthma pulmonary inhalers use frequency | MedHistAsthmaPlInhalUseFreq | Frequency of use of steroid inhalers used for asthma | Frequency of use of steroid inhalers used for asthma | If Yes, how often? | Daily;Monthly;Yearly | Daily;Monthly;Yearly | Alphanumeric |
Only answered if Pulmonary question #7 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19827 | Seizure type | NeuroSeizTyp | Type of seizures had | Type of seizures had | What kind of seizure | Grand Mal;Partial Complex;Absence;Ferbile;Don't know | Grand Mal;Partial Complex;Absence;Ferbile;Don't know | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19761 | Medical history glaucoma diagnosis indicator | MedHistGlcmaDiagInd | Indicator of history of Glaucoma | Indicator of history of Glaucoma | Glaucoma | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19793 | Medical history cardiovascular heart arrhythmia diagnosis date | MedHistCardioHeArrhDiagDt | Date of first detection of heart arrhythmia | Date of first detection of heart arrhythmia | If Yes, date first detected | Date or Date & Time |
The date should be recorded in the format YYYY/MM and only answered if Cardiovascular question #1 is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Intake Medical History | General Health History | Participant History and Family History |
Free-Form Entry |