CDE Detailed Report

Disease: content
Subdomain Name: General Health History
CRF: welcome

Displaying 101 - 117 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 / 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
C10539 Diabetes first diagnosis age value DiabetFrstDiagnosisAgeVal Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus Indicate age when diabetes was first diagnosed (years) Numeric Values Adult;Pediatric Supplemental 3.10 2024-02-29 15:41:16.0 Medical History General Health History Participant History and Family History

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 year
C17479 Cardiovascular history ischemia heart disease indicator CardioHistIschHeartDiseaseInd Indicator as to whether the participant/subject has or had ischemia heart disease Indicator as to whether the participant/subject has or had ischemia heart disease Ischemia heart disease 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
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 medical history Date (and time, if applicable and known) for the end of an event in the participant'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 3.10 2024-02-29 15:42:44.0 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
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 4.00 2024-02-29 15:41:20.0 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
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
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
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
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 medical history Date (and time, if applicable and known) for the start of an event in the participant'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 3.10 2024-02-29 15:42:43.0 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

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CSV