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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Chiari I Malformation
Sub-Domain: Epidemiology/Environmental History
CRF: Allergy
Item count: 12 (12 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C21674
Allergy medication antibiotic name
AllergyMedAntiNam
Name to indicate the antibiotic causing the allergy
Antibiotic name/type
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
 
4000
Free-Form Entry
       
C21673
Allergy medication antibiotic reaction type
AllergyMedAntiRTyp
Type related to allergic reaction to antibiotic medication
Antibiotic Allergy Reaction Type
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C21675
Allergy medication name
AllergyMedNam
Name related to the medication causing allergic reaction
Medication name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
       
C21676
Allergy medication reaction type
AllergyMedReactTyp
Type of allergic reaction to medication
Medication Allergy Reaction type
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C21677
Allergy food type text
AllergyFoodTypTxt
Free-text field to specify the type of food causing an allergic reaction
Food type
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
       
C21678
Allergy food reaction type
AllergyFoodRnTyp
Type of reaction caused by food allergy
Food Allergy Reaction Type
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Anaphylaxis;Rash;Itching;Hives;Swelling;Difficulty breathing;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C21679
Allergy reaction plastic tape indicator
AllergyReactPlTpInd
Indicator related to allergic reaction to plastic tape.
Plastic tape
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21680
Allergy reaction latex indicator
AllergyReacLatxInd
Indicator related to allergic reaction to latex.
Latex
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21681
Allergy reaction acrylic indicator
AllergyReacAcylInd
Indicator related to allergic reaction to acrylic.
Acrylic
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21683
Allergy reaction other source indicator
AllergyRnOthSrcInd
Indicator related to other source of allergic reaction
Other
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21682
Allergy reaction other source text
AllergyReacOtherSrcTxt
Free-text field to specify other source of allergy.
Specify
  
Alphanumeric
If yes, specify
No references available
Adult;Pediatric
Exploratory
1.0
5/25/2016
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
       
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Allergy
Epidemiology/Environmental History
Participant History and Family History
Data collected date and time
 
Free-Form Entry
       
07-22-2019
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