CDE Detailed Report | NINDS Common Data Elements

Disease: system
Subdomain Name: General Health History
CRF: files

Displaying 1 - 50 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	External Id caDSR
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 diagnosi	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
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 wit	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
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 syste	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
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
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
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
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
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
C52357	Percent body fat value	PercentFatVal	Percent body fat calculated value	Percent body fat calculated value	% Body fat			Numeric Values	Percent body fat calculations: Slaughter equations based on the triceps and subscapular skinfolds can be adapted for cerebral palsy. See Table II, Original Slaugter equations and corrections for children with cerebral palsy, in Gurka MJ, Kuperminc MN, Busby MG, Bennis JA, Grossberg RI, Houlihan CM, et al. Assessment and correction of skinfold thickness equations in estimating body fat in children with cerebral palsy. Dev Med Child Neurol. 2010;52(2):e35–e41 equations and corrections.	Gurka MJ, Kuperminc MN, Busby MG, Bennis JA, Grossberg RI, Houlihan CM, et al. Assessment and correction of skinfold thickness equations in estimating body fat in children with cerebral palsy. Dev Med Child Neurol. 2010;52(2):e35–e41; Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60(5):709–723.	Adult;Pediatric	Supplemental	1.00	2017-01-12 10:42:26.0	Medical History	General Health History	Participant History and Family History		Free-Form Entry	0	100
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
C22650	Medical history conductive impairment indicator	MedHistCondImpInd	Indicator of whether the participant/subject has been affected by conductive impairment	Indicator of whether the participant/subject has been affected by conductive impairment	Conductive impairment	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:24:49.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C10514	Genetic diagnosis point mutation result	GenDiagnosPtMutReslt	The result of the genetic testing revealed a point mutation describe the position and amino acid change	The result of the genetic testing revealed a point mutation describe the position and amino acid change	Genetic diagnosis point mutation			Alphanumeric			Adult;Pediatric	Supplemental	3.00	2013-07-11 15:03:49.2	Medical History	General Health History	Participant History and Family History	255	Free-Form Entry
C17485	Psychiatric history clinical depression past year indicator	PsychHistClinDepressPastYrInd	Indicator as to whether the participant/subject has had clinical depression within the last year	Indicator as to whether the participant/subject has had clinical depression within the last year	Clinical depression 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
C22661	Medical history laryngomalacia indicator	MedHistLarInd	Indicator of whether the participant has been diagnosed with layrngomalacia	Indicator of whether the participant has been diagnosed with layrngomalacia	Laryngomalacia	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:31:34.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C12208	Gastrointestinal therapy nutrition supplement type	GITherpyNutritionSupplementTyp	Type(s) of nutritional supplement(s) being taken by the participant/subject	Type(s) of nutritional supplement(s) being taken by the participant/subject	If yes, indicate type	Beta Carotene;Calcium;Dehydroepiandrosterone (DHEA);Echinacea;Flax Seed Oil;Folic Acid;Ginkgo;Ginseng;Saw Palmetto;Soy Protein Powder;Soy Supplements;St. John's Wort;Vitamin A;Vitamin C;Vitamin E;Weight Loss Supplements;Wheat Germ;Turmeric;Fiber;Creatine;CoQ10;Other, specify	Beta Carotene;Calcium;Dehydroepiandrosterone (DHEA);Echinacea;Flax Seed Oil;Folic Acid;Ginkgo;Ginseng;Saw Palmetto;Soy Protein Powder;Soy Supplements;St. John's Wort;Vitamin A;Vitamin C;Vitamin E;Weight Loss Supplements;Wheat Germ;Turmeric;Fiber;Creatine;CoQ10;Other, specify	Alphanumeric			Adult;Pediatric	Supplemental	3.00	2013-07-24 11:38:01.2	Medical History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected			2183828
C17463	Cardiovascular history abnormal echocardiogram indicator	CardioHistAbnrmlECGInd	Indicator as to whether the participant/subject has or had an abnormal echocardiogram (ECG)	Indicator as to whether the participant/subject has or had an abnormal echocardiogram (EKG)	Abnormal echocardiogram	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
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			Adult;Pediatric	Supplemental	1.00	2015-02-05 00:00:00.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C00327	Prior traumatic injury indicator	PriorTraumInjryInd	Indicator of prior traumatic injury found either historically, previous emergency department visits, radiographic findings, or signs or symptoms at time of presentation	Indicator of prior traumatic injury found either historically, previous emergency department visits, radiographic findings, or signs or symptoms at time of presentatio	Prior traumatic event	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	3.00	2013-07-19 21:21:51.533	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C22672	Medical history behavior difficulty indicator	MedHIstBhvDiffInd	Indicator of whether participant/subject has/had behavior difficulties	Indicator of whether participant/subject has/had behavior difficulties	Behavior difficulties	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:39:26.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C52358	Epilepsy type	EpilepsyTyp	Type of epilepsy	Type of epilepsy	Epilepsy type	Medically intractable;Well controlled	Medically intractable;Well controlled	Alphanumeric	Choose one.		Adult;Pediatric	Supplemental	1.00	2017-01-12 11:32:55.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C17474	Cardiovascular history cardiac surgery indicator	CardioHistCardSurgInd	Indicator as to whether the participant/subject has had cardiac surgery or mechanical intervention	Indicator as to whether the participant/subject has had cardiac surgery or mechanical intervention	Cardiac surgery/mechanical intervention	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
C22651	Medical history sensori-neural indicator	MedHistSensNrlInd	Indicator of whether the participant/subject has been affected by sensori-neural impairment	Indicator of whether the participant/subject has been affected by sensori-neural impairment	Sensori-neural impairment	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:25:24.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C10515	Scoliosis diagnosis indicator	ScolDiagnosInd	The indicator of whether the participant/subject has been diagnosed with scoliosis	The indicator of whether the participant/subject has been diagnosed with scoliosis	Scoliosis	Yes;No;Unknown	History reported and/or confirmed in medical record;History NOT reported and NOT confirmed in medical record;History reported as unknown or could not be collected	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
C13520	Dysphagia indicator	DysphagiaInd	Did the participant/subject have dysphagia (difficulty swallowing) identified at bedside assessment? The dysphagia screening should utilize a validated tool that incorporates a swallow assessment and an assessment of level of consciousness and neurological function	Did the participant/subject have dysphagia (difficulty swallowing) identified at bedside assessment? The dysphagia screening should utilize a validated tool that incorporates a swallow assessment and an assessment of level of consciousness and neurological functio	Dysphagia indicator	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric	The dysphagia screening should utilize a validated tool that incorporates a swallow assessment and an assessment of level of consciousness and neurological function.		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
C17486	Psychiatric history clinical depressive diagnosis indicator	PsychHistClinDepressDiagnosInd	Indicator as to whether the participant/subject had a depressive disorder diagnosis	Indicator as to whether the participant/subject had a depressive disorder diagnosis	Depressive 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
C22662	Medical history recurrent lower respiratory tract infection indicator	MedHistRecLwRespTrInfInd	Indicator of whether the participant/subject has been diagnosed with recurrent lower respiratory tract infections	Indicator of whether the participant/subject has been diagnosed with recurrent lower respiratory tract infections	Recurrent lower respiratory tract infections	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:32:03.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C17464	Cardiovascular history abnormal echocardiogram left ventricular hypertrophy indicator	CardioHistAbnrmlECGLVHInd	Indicator as to whether the participant/subject has or had an abnormal echocardiogram (ECG) specifically exhibiting left ventricular hypertrophy (LVH)	Indicator as to whether the participant/subject has or had an abnormal echocardiogram (EKG) specifically exhibiting left ventricular hypertrophy (LVH)	LVH	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
C19769	Medical history pulmonary aspiration diagnosis indicator	MedHistPlmnryAspirDiagInd	Indicator of history of aspiration	Indicator of history of aspiration	Pulmonary aspiration diagnosis indicator	No;Yes;Unknown	No;Yes;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2015-02-05 00:00:00.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C00328	Prior traumatic injury type	PriorTraumInjryType	General location of traumatic injury, if evidence of prior traumatic injury	General location of traumatic injury, if evidence of prior traumatic injury	Prior traumatic injury type	Brain Injury;Spine Injury;Other Extracranial Injury	Brain Injury;Spine Injury;Other Extracranial Injury	Alphanumeric			Adult;Pediatric	Supplemental	3.00	2013-07-19 21:21:51.533	Medical History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C22673	Medical history autism indicator	MedHistAutInd	Indicator of whether participant/subject has Autism	Indicator of whether participant/subject has Autism	Autism	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:40:25.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
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	If yes, indicate type (choose all that apply)	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			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
C22652	Medical history recurrent ear infection indicator	MedHistReccEarInfInd	Indicator of whether the participant/subject has been affected by recurrent ear infections	Indicator of whether the participant/subject has been affected by recurrent ear infections	Recurrent ear infections	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:25:54.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C10516	Scoliosis maximum spine curvature measurement	ScolMaxSpnCrvtrMsrmnt	The maximum curvature of the spine in degrees for a participant/subject who has been diagnosed with scoliosis	The maximum curvature of the spine in degrees for a participant/subject who has been diagnosed with scoliosi	Scoliosis maximum spine curvature measurement			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
C14126	Seizure classification type	SeizClassTyp	The type of seizures present by classification	The type of seizures present by classificatio	Seizure classification type	Generalized;Focal;Unclassified	Generalized;Focal;Unclassified seizures are considered unidentifiable due to lack of data and do not fit in to the aforementioned categories for Generalized and Focal Seizures	Alphanumeric			Adult;Pediatric	Supplemental	3.00	2013-08-28 16:08:00.453	Medical History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
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, choose all disorders that apply	Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;Other, specify	Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;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		Multiple Pre-Defined Values Selected
C00312	Body system category	BodySysCat	Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems	Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body system	Body System	Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify:	Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify:	Alphanumeric	Record the appropriate body system for each line of medical history.	Review of Symptoms from Centers for Medicare and Medicaid Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf	Adult;Pediatric	Core	3.00	2013-07-25 08:54:08.2	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected			2002895
C22663	Medical history gastroesophageal reflux disease (GERD) indicator	MedHistGERDInd	Indicator of whether the participant/subject has/had gastroesophageal reflux disease	Indicator of whether the participant/subject has/had gastroesophageal reflux disease	Gastroesophageal reflux disease	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2016-07-27 11:33:08.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C17465	Cardiovascular history abnormal echocardiogram other text	CardioHistAbnrmlECGOtherTxt	Text description of any abnormal characteristics other than left ventricular hypertrophy (LVH), or decreased left ventricular (LV) function that the participant/subject has ever exhibited on an echocardiogram (ECG)	Text description of any abnormal characteristics other than left ventricular hypertrophy (LVH), or decreased left ventricular (LV) function that the participant/subject has ever exhibited on an echocardiogram (EKG)	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
C19835	Pain indicator	PainInd	Indicator of pain present	Indicator of pain present	Pain indicator	No;Yes;Unknown	No;Yes;Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2015-02-05 00:00:00.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C05460	Seizure indicator	SeizInd	Indicator of seizure activity	Indicator of seizure activity	Seizures/Epilepsy	Yes;No;Suspected;Unknown	Yes;No;Suspected;Unknown	Alphanumeric		McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. 2007;24(2):287–293. Signorini DF, Andrews PJ, Jones PA, et al. Adding insult to injury: the prognostic value of early secondary insults for survival after traumatic brain injury. J Neurol Neurosurg Psychiatry. 1999;66(1):26–31.	Adult;Pediatric	Supplemental	3.00	2013-07-20 10:21:25.65	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected