CDE Detailed Report

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

Displaying 51 - 55 of 55
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
C58325 Past current rheumatological illness type PastCurrRheumatolIllnessTyp Any type of past and current rheumatological illnesses that the subject/participant has ever been diagnosed with Any type of past and current rheumatological illnesses that the subject/participant has ever been diagnosed wit Rheumatological Ehlers Danlos Syndrome;Fibromyalgia or myofascial pain syndrome;Gout;Lyme disease;Multiple broken bones in the past;Neck arthritis/disc disease;Osteoarthritis;Other autoimmune disease;Polymyalgia rheumatica/temporal arteritis;Rheumatic fever;Rheumatoid arthritis;Sarcoidosis;Sjogren's syndrome;Spine arthritis/disc disease;Systemic lupus erythematosis;Temporo-mandibular joint disorder (TMJ) Ehlers Danlos Syndrome;Fibromyalgia or myofascial pain syndrome;Gout;Lyme disease;Multiple broken bones in the past;Neck arthritis/disc disease;Osteoarthritis;Other autoimmune disease;Polymyalgia rheumatica/temporal arteritis;Rheumatic fever;Rheumatoid arthritis;Sarcoidosis;Sjogren's syndrome;Spine arthritis/disc disease;Systemic lupus erythematosis;Temporo-mandibular joint disorder (TMJ) Alphanumeric Adult;Pediatric Core 1.00 2018-02-07 14:31:05.0 Past and Current Illnesses General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C58172 Condition illness indicator age onset value ConditionIllnessIndAgeOnseVal The value of the age of onset of indicated condition or illness as part of the past and current illness assessment The value of the age of onset of indicated condition or illness as part of the past and current illness assessment Age of Onset Numeric Values

Enter age of onset of subject/participant illness or condition.

Adult;Pediatric Core 1.00 2018-02-05 13:09:31.0 Past and Current Illnesses General Health History Participant History and Family History

Free-Form Entry

year
C58350 Past current miscellaneous illness type PastCurrMiscConditionsTyp Any type of past and current miscellaneous illnesses that the subject/participant has ever been diagnosed with Any type of past and current miscellaneous illnesses that the subject/participant has ever been diagnosed wit Miscellaneous Anaphylaxis;Environmental hypersensitivity;HIV infection;Immune deficiency (other than HIV);Multiple chemical sensitivities (MCS);Oral herpes (cold sores);Organ transplant Anaphylaxis;Environmental hypersensitivity;HIV infection;Immune deficiency (other than HIV);Multiple chemical sensitivities (MCS);Oral herpes (cold sores);Organ transplant Alphanumeric Adult;Pediatric Core 1.00 2018-02-08 09:59:30.0 Past and Current Illnesses General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C58297 Past current chest illness type PastCurrChestIllnessTyp Any type of past and current chest illnesses that the subject/participant has ever been diagnosed with Any type of past and current chest illnesses that the subject/participant has ever been diagnosed wit Chest Asthma;Chronic bronchitis, emphysema (COPD);Other chronic lung condition;Pneumonia (bacteria, virus);Tuberculosis Asthma;Chronic bronchitis, emphysema (COPD);Other chronic lung condition;Pneumonia (bacteria, virus);Tuberculosis Alphanumeric Adult;Pediatric Core 1.00 2018-02-07 11:28:54.0 Past and Current Illnesses General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

C58365 Organ type text OrganTypTxt Specifies type of organ transplanted in subject/participant Specifies type of organ transplanted in subject/participan Specify organ: Alphanumeric Adult;Pediatric Core 1.00 2018-02-08 10:15:53.0 Past and Current Illnesses General Health History Participant History and Family History 255

Free-Form Entry

CSV