CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Subdomain Name: [php]
CRF: Medical History

Displaying 51 - 54 of 54
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
C18666 Body system category other text BodySysCatOTH The free-text field related to 'Body system category', specifying other text. 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 The free-text field related to 'Body system category', specifying other text. 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 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 Supplemental 1.10 2023-11-07 08:40:35.0 Medical History [php] [php_1] 4000

Free-Form Entry

2002895
C52603 Medical history migraine active last year indicator MedHistMigrActivLstYrInd The indicator related to the participant/subject having had an active migraine within the last year The indicator related to the participant/subject having had an active migraine within the last year Active migraine within last year? No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-26 14:49:56.0 Medical History [php] [php_1]

Single Pre-Defined Value Selected

C52628 Blood pressure mean measurement BloodPressMeanMeasr Mean measurement of the participant's/subject's blood pressure Mean measurement of the participant's/subject's blood pressure Average blood pressure: < 120/70;120 - 140/70 - 90;< 140/> 90;> 140/< 90;> 140/90 < 120/70;120 - 140/70 - 90;< 140/> 90;> 140/< 90;> 140/90 Numeric Values

(if checked before)

Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Medical History [php] [php_1]

Single Pre-Defined Value Selected

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.

No references available Adult;Pediatric Exploratory 3.00 2013-07-22 16:57:17.79 Medical History [php] [php_1]

Single Pre-Defined Value Selected

CSV