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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: General Health History
CRF: Past History (on intake)
Item count: 30 (30 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
C19500
Assessment performed date
AssessmentPerformedDate
The date of assessment of the examination being performed.
Date of Intake
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/18/2014
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Free-Form Entry
       
C19806
Medical history endocrine diabetes indicator
MedHistEndcrnDiabetInd
Indicator of diabetes
Diabetes
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/5/2015
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C17460
Cancer history indicator
CancerHistInd
Indicator as to whether the participant/subject has or had cancer
Cancer
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C05454
Hypertension indicator
HypertensInd
Indicator of hypertension. In adults, hypertension is defined as a systolic pressure >= 140 and a diastolic >= 90. In children, it is defined as systolic blood pressure >95th percentile for age.
Hypertension
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
Hypertension indicator
 
Single Pre-Defined Value Selected
       
C13758
Imaging diagnosis stroke transient ischemic attack indicator
ImgDiagStrokeTIAInd
Indicator of the diagnosis of stroke/transient ischemic attack (TIA) for imaging positive
Stroke/TIA
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
Imaging diagnosis of stroke/TIA indicator
 
Single Pre-Defined Value Selected
       
C21869
Medical history coronary artery disease indicator
MedHistCorArtDisInd
The indicator related to personal medical history of coronary artery disease.
Coronary Artery Disease
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C12875
Echocardiogram mitral valve prolapse indicator
EchcrdgrmMitrlValvProlapseInd
Assessment with echocardiography of the absence or presence of prolapse of the mitral valve, often with regurgitation, associated with myxomatous proliferation of the leaflets of the mitral valve.
Mitral Valve Prolapse
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
Echocardiogram mitral valve prolapse indicator
 
Single Pre-Defined Value Selected
       
C21870
Medical history Lyme disease indicator
MedHistLymDisInd
The indicator related to personal medical history of Lyme disease.
Lyme Disease
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C18150
Thyroid disease indicator
ThyrdDiseasInd
Indicator for thyroid disease
Thyroid Disease
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C19779
Medical history asthma pulmonary assessment indicator
MedHistAsthmaPulAssesInd
Indicator of history of asthma
Asthma
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/5/2015
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21871
Medical history chronic obstructive pulmonary disease indicator
MedHistChrObstPulDisInd
The indicator related to personal medical history of chronic obstructive pulmonary disease (COPD).
COPD
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C19761
Medical history glaucoma diagnosis indicator
MedHistGlcmaDiagInd
Indicator of history of Glaucoma
Glaucoma
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/5/2015
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21872
Medical history visual impairment indicator
MedHistVisImpairmntInd
The indicator related to personal medical history of visual impairment or legally blind.
Visual Impairment/Legally Blind
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21873
Medical history hearing deficit indicator
MedHistHeaDefInd
The indicator related to personal medical history of hearing deficit or use of hearing aid.
Hearing deficit/use of hearing aid
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21874
Medical history paraplegia quadriplegia indicator
MedHistParQuadInd
The indicator related to personal medical history of paraplegia/quadriplegia.
Paraplegia/Quadriplegia
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C18793
Medical history condition other text
MedHistCondOTH
The free-text field related to 'Medical history condition type' specifying other text. Pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record.
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C21875
Surgical history cardiac bypass stent indicator
SurgHistCarBypSteInd
The indicator related to surgical history of cardiac bypass/stent.
Cardiac Bypass/Stent
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21876
Surgical history pacemaker indicator
SurgHistPacId
The indicator related to surgical history of a pacemaker.
Pacemaker
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21877
Surgical history defibrillator indicator
SurgHistDefInd
The indicator related to surgical history of using a defibrillator.
Defibrillator
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21879
Surgical history prosthetic implantation indicator
SurgHistProsImpInd
The indicator related to surgical history of prosthetic implantation.
Prosthetic Implantation
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21880
Surgical history valve replacement indicator
SurgHistValRepInd
The indicator related to surgical history of valve replacement
Valve Replacement
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21882
Surgical history cataract removal indicator
SurgHistCatRemInd
The indicator related to surgical history of cataract removal.
Cataract Removal
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21883
Surgical history other text
SurgHistOthrTxt
The free-text field related to other past surgery.
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Free-Form Entry
       
C21884
Pain lower back indicator
PainLowrBackInd
The indicator relating to lower back pain.
Lower back pain?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21885
Pain general leg indicator
PainGenLegInd
The indicator relating to general leg pain.
Leg pain, in general?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C21886
Injury Head Indicator
InjHeadInd
The indicator relating to traumatic head injury.
Head injury?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2016
Aliases for variable name not defined
Past History (on intake)
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
07-20-2019
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