CDE Detailed Report

Disease: Cerebral Palsy
Sub-Domain: General Health History
CRF: Medical History

Displaying 51 - 100 of 117
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
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 Indicate age when diabetes was first diagnosed (years) Numeric Values 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
C18961 Genetic disorder other text GeneticDisOTH The free-text field related to 'Genetic disorder type' specifying other text. Whether the participant/subject has a known single gene disorder The free-text field related to 'Genetic disorder type' specifying other text. Whether the participant/subject has a known single gene disorder Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

C00316 Medical history condition end date and time MedclHistCondEndDateTime Date (and time, if applicable and known) for the end of an event in the participant's/subject's medical history Date (and time, if applicable and known) for the end of an event in the participant's/subject's medical history End Date Date or Date & Time

"Record the date (and time) the medical condition/disease stopped. For surgeries, start and stop dates will most likely be the same date. 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.)."

Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Medical History General Health History Participant History and Family History

Free-Form Entry

3145557
C22667 Medical history sialorrhea indicator MedHistSiaInd Indicator of whether the participant/subject has/ had sialorrhea Indicator of whether the participant/subject has/ had sialorrhea Sialorrhea Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:35:18.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C14543 Genetic disorder type GeneticDisTyp Whether the participant/subject has a known single gene disorder Whether the participant/subject has a known single gene disorder Genetic disorder type No known single gene disorder;Mendelian;Mitochondrial;Other, specify No known single gene disorder;Mendelian;Mitochondrial;Other, specify Alphanumeric 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

C17469 Cardiovascular history arrhythmia indicator CardioHistArrhythInd Indicator as to whether the participant/subject has or had a cardiac arrhythmia Indicator as to whether the participant/subject has or had a cardiac arrhythmia Arrhythmia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22478 Attention deficit hyperactivity disorder indicator AttDefHyperDisInd The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD). The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD). Attention Deficit Hyperactivity Disorder (ADHD) No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:30:55.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C06358 Diabetes mellitus type DiabetesMellitusTyp Type of diabetes mellitus Type of diabetes mellitus If Yes, Indicate type Type 1;Type 2 Type 1;Type 2 Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22678 Medical history aggressive behavior disorder indicator MedHistAggBehDisInd Indicator of whether participant/subject has aggressive behavior disorder Indicator of whether participant/subject has aggressive behavior disorder Aggressive behavior disorder Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:42:52.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value 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 Indicate the complications of diabetes (choose all that apply) Nephropathy;Neuropathy;Retinopathy;Other, specify;None Nephropathy;Neuropathy;Retinopathy;Other, specify;None Alphanumeric 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

C22657 Medical history recurrent pneumonia indicator MedHistReccPneInd Indicator of whether the participant/subject has been diagnosed with recurrent pneumonia Indicator of whether the participant/subject has been diagnosed with recurrent pneumonia Recurrent pneumonia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:29:37.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

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 Indicate the treatments taken for diabetes (Choose all that apply) Diet;Oral medication;Insulin;None Diet;Oral medication;Insulin;None Alphanumeric 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

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 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

C00317 Medical history condition start date and time MedclHistCondStrtDateTime Date (and time, if applicable and known) for the start of an event in the participant's/subject's medical history Date (and time, if applicable and known) for the start of an event in the participant's/subject's medical history Start Date 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.).

Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Medical History General Health History Participant History and Family History

Free-Form Entry

2543596
C22668 Medical history neurogenic detrusor indicator MedHistNeurDetrusInd Indicator of whether participant/subject has a neurogenic detrusor Indicator of whether participant/subject has a neurogenic detrusor Neurogenic detrusor, detrusor sphincter dyssernigia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:36:08.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17402 Site name SiteName The name of the site for the study The name of the site for the study Site Name Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-06-21 00:00:00.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C17470 Cardiovascular history arrhythmia other text CardioHistArrhythOtherTxt Text description of any cardiac arrhythmia the participant/subject has or had in a form other than atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, or bradycardia Text description of any cardiac arrhythmia the participant/subject has or had in a form other than atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, or bradycardia Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C22646 Medical history retinopathy of prematurity indicator MedHistRetinPremInd Indicator of whether the participant/subject has been affected by Retinopathy of prematurity Indicator of whether the participant/subject has been affected by Retinopathy of prematurity Retinopathy of prematurity Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:22:09.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C08177 Hemorrhage indicator HemrrhgInd Indicator of the presence of cerebral hemorrhages, regardless of size in any region of the brain Indicator of the presence of cerebral hemorrhages, regardless of size in any region of the brain Presence of cerebral hemorrhages, regardless of size in any region of the brain Yes;No;Unknown;Not assessed Yes;No;Unknown;Not assessed Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-22 09:34:41.527 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

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 Age at which participant/subject experienced first depressive episode or was first diagnosed with depression, whoever is earlier (years) Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-27 11:43:54.0 Medical History General Health History Participant History and Family History

Free-Form Entry

year
C17482 Diabetes mellitus indicator EndocrineHistDiabetesMellInd Indicator as to whether the participant/subject has diabetes mellitus (type I or type II) Indicator as to whether the participant/subject has diabetes mellitus (type I or type II) Diabetes mellitus (type I or type II) Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22658 Medical history bronchiectasis indicator MedHistBronInd Indicator of whether the participant/subject has been diagnosed with brochiectasis Indicator of whether the participant/subject has been diagnosed with brochiectasis Bronchiectasis Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:30:05.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

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. Treated with head or neck radiation Yes;No/Not documented;Unknown Yes;No/Not documented;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 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 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

C00319 Medical history condition ongoing indicator MedclHistCondOngoingInd Indicator of whether a medical condition/disease experienced by the participant/subject is ongoing Indicator of whether a medical condition/disease experienced by the participant/subject is ongoing Ongoing? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose Yes or No to indicate if the medical condition/disease is still present.

Adult;Pediatric Core 3.00 2013-07-24 11:38:01.2 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

2736881
C22669 Medical history recurrent urinary tract infect MedHistRecUrnTrctInfInd Indicator of whether participant/subject has/had recurrent urinary tract infections Indicator of whether participant/subject has/had recurrent urinary tract infections Recurrent urinary tract infections Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:36:34.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17460 Cancer history indicator CancerHistInd Indicator as to whether the participant/subject has or had cancer Indicator as to whether the participant/subject has or had cancer. Cancer Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17471 Cardiovascular history arrhythmia supraventricular tachycardia indicator CardioHistArrhythSupraTachInd Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of supraventricular tachycardia Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of supraventricular tachycardia Supraventricular tachycardia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22647 Medical history high myopia indicator MedHistHghMyopInd Indicator of whether the participant/subject has been affected by high myopia Indicator of whether the participant/subject has been affected by high myopia High myopia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:22:55.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C10506 Genetic diagnosis established indicator GeneticDiagnosEstablishedInd Whether a genetic diagnosis for the disease/disorder was established Whether a genetic diagnosis for the disease/disorder was established Genetic diagnoses established Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-14 03:55:23.71 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22680 Medical history checkup recommend interval complete indicator MedHistChckRecIntInd Indicator of whether or not checkups were completed at recommended intervals Indicator of whether or not checkups were completed at recommended intervals Checkups at recommended intervals Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:44:16.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17483 Psychiatric history clinical anxiety diagnosis indicator PsychHistClinAnxietyDiagnosInd Indicator as to whether the participant/subject has had an anxiety diagnosis Indicator as to whether the participant/subject has had an anxiety diagnosis. Anxiety disorder diagnosis Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22659 Medical history restrictive airway disease indicator MedHistRestAirDsInd Indicator of whether the participant has been diagnosed with restrictive airway disease Indicator of whether the participant has been diagnosed with restrictive airway disease Restrictive airway disease Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:30:36.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C10556 Pregnant ever indicator PregEverInd Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term Pregnant ever (female participants) Yes;No;Unknown Yes;No;Unknown Alphanumeric 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

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 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

C00321 Medical history for body system indicator MedclHistBodySysInd Indicator of whether the participant/subject has a history of medical problems/conditions for the specific body system. Indicator of whether the participant/subject has a history of medical problems/conditions for the specific body system. Does the participant/subject have a history of any medical problems/conditions in the following body systems? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one for each body system.

Adult;Pediatric Core 3.00 2013-07-22 16:57:17.79 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22670 Medical history Perinatal neurological event indicator MedHistPerNeurEvntInd Indicator of whether participant had a perinatal neurological event Indicator of whether participant had a perinatal neurological event Perinatal neurological event Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:37:58.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17461 Cancer history type text CancerHistTypTxt Text description of the type of cancer the participant/subject was or is diagnosed with Text description of the type of cancer the participant/subject was or is diagnosed with. Type of cancer diagnosed with Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C17472 Cardiovascular history arrhythmia ventricular tachycardia indicator CardioHistArrhythVentTachInd Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of ventricular tachycardia Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of ventricular tachycardia Ventricular tachycardia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22648 Medical history optic neuropathy indicator MedHistOptNeurInd Indicator of whether the participant/subject has been affected by optic neuropathy Indicator of whether the participant/subject has been affected by optic neuropathy Optic neuropathy Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:23:36.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C10507 Genetic diagnosis confirmation type GenDiagnosConfrmTyp Manner in which genetic diagnosis was confirmed Manner in which genetic diagnosis was confirmed Genetic diagnosis confirmation type Participant/subject report;Medical record;Commercial testing;Research testing Participant/subject report;Medical record;Commercial testing;Research testing Alphanumeric 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

C22681 Medical history difficulty schedule attend healthcare appointment indicator MedHistDiffSchHlthcrApptInd Indicator of whether or not there was difficulty scheduling/attending healthcare appointments Indicator of whether or not there was difficulty scheduling/attending healthcare appointments Difficulty scheduling/attending healthcare appointments Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Exploratory 1.00 2016-07-27 11:45:01.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17484 Psychiatric history clinical anxiety past year indicator PsychHistClinAnxietyPastYrInd Indicator as to whether the participant/subject had clinical anxiety within the last year Indicator as to whether the participant/subject had clinical anxiety within the last year Clinical anxiety within the past year Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C22660 Medical history tracheomalcia indicator MedHistTrachInd Indicator of whether the participant has been diagnosed with tracheomalacia Indicator of whether the participant has been diagnosed with tracheomalacia Tracheomalacia Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:31:00.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C12207 Gastrointestinal therapy take nutrition supplement indicator GITherTakeNutritionSupplInd Indicator whether the participant/subject is taking nutritional supplements Indicator whether the participant/subject is taking nutritional supplements Nutritional supplements Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2014-06-05 13:10:49.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry

C00322 Medical history condition text MedclHistCondTxt Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history Medical history condition Alphanumeric

Record one Medical History term per line. Make sure to record if the following events are in the medical history which are Core items: Any stroke; Ischemic stroke; Hemorrhagic stroke; Hemorrhagic stroke type; 4) Transient ischemic attack (TIA); Carotid stenosis; Epilepsy/ Seizure disorder; Central nervous system infection; Dementia; Head trauma; Head trauma type; Atrial fibrillation (AF)/ flutter; Rheumatic heart disease

SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html) Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Medical History General Health History Participant History and Family History 4000

Free-Form Entry

2003874
C22671 Medical history abnormal sleep EEG indicator MedHistAbnSlpEEGInd Indicator of whether a participant/subject has/had an abnormal sleep EEG Indicator of whether a participant/subject has/had an abnormal sleep EEG Abnormal sleep EEG Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:38:48.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17462 Cardiovascular history abnormal echocardiogram decreased left ventricular function indicator CardioHistAbnrmlECGDecLVFnInd Indicator as to whether the participant/subject has or had an abnormal echocardiogram (ECG) specifically exhibiting decreased left ventricular (LV) function Indicator as to whether the participant/subject has or had an abnormal echocardiogram (EKG) specifically exhibiting decreased left ventricular (LV) function Decreased LV function Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C17473 Cardiovascular history cardiac surgery date CardioHistCardSurgDate Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject Date of most recent surgery Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Medical History General Health History Participant History and Family History

Free-Form Entry

CSV