CDE Detailed Report
Disease: Myalgic Encephalomyelitis%2FChronic Fatigue Syndrome
Subdomain Name: General Health History
CRF: Medical History - Immune Module
Displaying 101 - 113 of 113
Subdomain Name: General Health History
CRF: Medical History - Immune Module
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C57606 | Gut condition medication name | GutCondMedName | The name of the medication(s) the subject is taking for gut condition(s) | The name of the medication(s) the subject is taking for gut condition(s) | Medication name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:31:17.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57269 | Lunc condition diagnosis year value | LungCondDiagnosYrVal | The year that the subject was diagnosed with a lung condition(s) | The year that the subject was diagnosed with a lung condition(s) | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:06:10.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57285 | Skin condition diagnosis year value | SkinCondDiagYrVal | The year skin condition(s) was diagnosed | The year skin condition(s) was diagnosed | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:24:44.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57417 | Ear nose throat condition diagnosed type | EarNoseThroatCondDiagnosTyp | Any ear, nose, and/or throat condition that the subject has ever been diagnosed with | Any ear, nose, and/or throat condition that the subject has ever been diagnosed wit | Condition Diagnosed | Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils | Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:20:35.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57768 | Blood immune system condition diagnosis type | BldImmCondDiagnosTyp | Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed with | Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed wit | Condition diagnosed | Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify | Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:54:37.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57808 | Infection diagnosis other text | InfecDiagnosOthrTxt | Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed with | Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed wit | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:39:29.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57344 | Vaccine unusual history indicator | VaccUnusualHistInd | The indicator relating to whether the participant/subject has a history of unusual vaccines | The indicator relating to whether the participant/subject has a history of unusual vaccine | History of unusual vaccines | No;Yes | No;Yes | Alphanumeric |
(e.g., related to international travel) |
Adult | Exploratory | 1.00 | 2018-01-05 11:19:35.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57497 | Lung condition medication currently indicator | LungCondMedCurrentInd | The indicator relating to whether the subject currently takes medication for lung condiiton(s) | The indicator relating to whether the subject currently takes medication for lung condiiton(s) | Currently take medication(s) | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 13:59:10.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID: | Alphanumeric | Adult | Exploratory | 1.00 | 2014-06-05 13:10:49.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57270 | Medical history immune malignancy name text | MedHistImmMalignancyNameTxt | The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history | The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history | Name of syndrome: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:07:25.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58430 | Atopy allergic disorder condition diagnosis other text | AtopyAllDisordrCondDiagOthTxt | The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorders | The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorder | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:51:03.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 500 |
Free-Form Entry |
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| C57367 | Irritable Bowel Syndrome predominant stool pattern subtype type | IBSPredStoolPatSubTyp | The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subject | The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subjec | Irritable bowel syndrome subtypes by predominant stool pattern | IBS with Constipation (IBS-C);IBS with Diarrhea (IBS-D);Mixed IBS (IBS-M);Unsubtyped IBS | Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movements, and loose or watery stools (Type 6 or 7) with less than 25% of bowel movements;Loose or watery stools (Type 6 or 7) with more than 25% of bowel movements, and hard lumpy stools (Type 1 or 2) with less than 25% of bowel movements;Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movement, plus loose or watery stool (Type 6 or 7) with more than 25% of bowel movements;Insufficient abnormality of stool consistency to meet criteria for IBS-C, IBS-D, or IBS-M | Alphanumeric |
You must not be taking laxatives or antidiarrheal medicines that will change your bowel habits. |
Adult | Exploratory | 1.00 | 2018-01-05 13:00:05.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57607 | Gut condition medication work well indicator | GutCondMedWorkWellInd | The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well | The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well | Medications work well | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:33:16.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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