CDE Detailed Report

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

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
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
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
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
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
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
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
CSV