CDE Detailed Report
Disease: system
Subdomain Name: General Health History
CRF: files
Displaying 101 - 113 of 113
Subdomain Name: General Health History
CRF: files
Displaying 101 - 113 of 113
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C57882 | Immune disorder treatment received indicator | ImmDisordrTreatmtRecInd | Indicator related to whether treatments were received for any immune disorders | Indicator related to whether treatments were received for any immune disorders | Treatments received for any immune disorders? | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 13:10:35.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57364 | ROME II criteria indicator | ROMEIICritInd | The indicator relating to whether the ROME II criteria for Irritable Bowel Syndrome has been met | The indicator relating to whether the ROME II criteria for Irritable Bowel Syndrome has been me | Rome II criteria: | No;Yes | No;Yes | Alphanumeric | Adult | Supplemental-Highly Recommended | 1.00 | 2018-01-05 12:53:38.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57414 | Eye condition inactive resolved type | EyeCondInactResolvTyp | Element related to eye conditions that are considered no longer active or resolved | Element related to eye conditions that are considered no longer active or resolved | Condition no longer active/resolved | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:14:39.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57766 | Skin condition inactive resolved type | SkinCondInactResolvTyp | Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cured | Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cure | Condition no longer active/resolved | Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives | Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:36:57.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57281 | Infection condition diagnosis year value | InfectCondDiagYrVal | The year of diagnosis of infections | The year of diagnosis of infections | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:20:57.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57494 | Lung condition active indicator | LungCondActInd | The indicator relating to lung condition(s) that are active | The indicator relating to lung condition(s) that are active | Condition(s) active | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 13:54:58.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C00314 | Medical history taken date and time | MedclHistTakenDateTime | Date (and time, if applicable and known) the participant's medical history was taken | Date (and time, if applicable and known) the participant 's medical history was taken | Date history taken: | Date or Date & Time | Adult | Exploratory | 3.20 | 2024-02-29 15:42:39.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
2179659 | |||||||||||
| C57806 | Infection diagnosis type | InfecDiagnosTyp | Any type of the infections listed that the subject has ever been diagnosed with | Any type of the infections listed that the subject has ever been diagnosed wit | Condition diagnosed | Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify | Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:32:59.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57325 | Atopic allergic disorder condition medication name | AtopicAllergDsrdrCondMedName | The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition | The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition | Medication(s) name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:57:24.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57605 | Gut condition medication current indicator | GutCondMedCurrentInd | The indicator relating to whether the subject currently takes medication for gut conditions | The indicator relating to whether the subject currently takes medication for gut conditions | Currently take medications | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:28:54.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57268 | Medical history immune symptom onset text | MedHistImmSymptmOnsetTxt | Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history | Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history | Symptoms at onset | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:05:04.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57957 | Immune symptom onset current type | ImmSymptmOnsetCurrTyp | Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experienced | Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experience | If yes, are any of those symptoms current? | Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) | Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) | Alphanumeric |
Check all that apply |
Adult | Core | 1.00 | 2018-01-05 09:23:33.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57365 | ROME III criteria type | ROMEIIICritTyp | The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be met | The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be me | Recurrent abdominal pain for discomfort at least three days per month and two or more of the following symptoms: | Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool | Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool | Alphanumeric | Adult | Supplemental-Highly Recommended | 1.00 | 2018-01-05 12:55:19.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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