CDE Detailed Report
Subdomain Name: General Health History
CRF: Medical History
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 |
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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 |
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C22656 | Medical history bronchopulmonary dysplasia indicator | MedHistBrncplmDyspInd | Indicator of whether the participant/subject has been diagnosed with bronchopulmonary dysplasia | Indicator of whether the participant/subject has been diagnosed with bronchopulmonary dysplasia | Bronchopulmonary dysplasia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:29:03.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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