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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: Mitochondrial Disease
Sub-Domain: General Health History
CRF: Diabetes-Related Medical History
Item count: 75 (75 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
C20241
Diabetes diagnosis indicator
DiabetesDiagnosisInd
The indicator of whether the participant/subject has been diagnosed with diabetes.
Have you/your child been diagnosed with diabetes?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C10539
Diabetes first diagnosis age value
DiabetFrstDiagnosisAgeVal
Value representing the age, in years, at which the participant/subject was first diagnosed with diabetes mellitus
How old were you/your child at diagnosis?
  
Numeric Values
For participants/subjects younger than 21 years, indicate both years and months. For those 21 and older, indicate years only.
No references available
Adult;Pediatric
Supplemental
3.0
7/11/2013
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
Diabetes first diagnosis age value
 
Free-Form Entry
  
year
    
C18241
Diagnosis age type
DiagnosAgeTyp
Type of age of the participant/subject when initially diagnosed with disease/disorder
How old were you/your child at diagnosis?
years;Months;
years;Months;
Alphanumeric
For participants/subjects younger than 21 years, indicate both years and months. For those 21 and older, indicate years only.
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20242
Diabetes clinical symptom presentation diagnosis type
DiabClinSympPresentDiagTyp
Clinical symptoms participant/ subject showed at presentation when diagnosed with diabetes.
Clinical symptoms:
Excessive thirst or urination;Weight loss;Diabetic ketoacidosis;
Excessive thirst or urination;Weight loss (or failure to gain weight in children and adolescents);Diabetic ketoacidosis;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C20243
Diabetes laboratory diagnosis type
DiabLabDiagnosisTyp
Laboratory indications present at diagnosis of diabetes
Laboratory diagnosis:
Elevated fasting blood sugar;Elevated random blood sugar;Abnormal glucose tolerance testing;Elevated hemoglobin A1c;Glucose in the urine;Any positive anti-pancreatic auto-antibody laboratory tests;
Elevated fasting blood sugar;Elevated random blood sugar;Abnormal glucose tolerance testing;Elevated hemoglobin A1c;Glucose in the urine;Any positive anti-pancreatic auto-antibody laboratory tests;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C20244
Diabetes insulin receive diagnosis indicator
DiabInsulinReceiveDiagnosisInd
The indicator of whether the participant/subject received insulin at the time the diabetes was diagnosed
Did you/your child receive insulin at the time of diagnosis?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20245
Full term birth indicator
FullTermBirthInd
Indicator of whether the participant/subject was born at full term.
Were you/your child born at term?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If no, answer 3a.
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20246
Birth premature week early count
BirthPrematureWeekEarlyCt
The count of weeks early that the participant/subject was born prematurely.
How many weeks early were you/your child born?
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Free-Form Entry
  
week
    
C00311
Birth weight value
BirthWgtVal
Birth weight according to the participant's/subject's medical report or reported by the parent or legal guardian
What was your/your child's birth weight?
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
PERS_MEAS_BIR_WT_VAL
Diabetes-Related Medical History
General Health History
Participant History and Family History
Birth weight value
 
Free-Form Entry
0
9000
gram
  
3201400;2179689
 
C01581
Weight unit of measure
WgtUoM
Unit of measure for the weight numerical value
What was you/your child's birth weight?
Pounds;oz;Kilograms;
Pounds;ounce;Kilograms;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
caBIG: PRSN_WT_UOM_UCUM_CD
Diabetes-Related Medical History
General Health History
Participant History and Family History
Weight unit of measure
 
Single Pre-Defined Value Selected
     
2630200
 
C20250
Diabetes family history medical condition indicator
DiabFamHistMediclConditnInd
Indicator of whether a close family member of the participant/subject has had a history of diabetes
Do you/your child have any family members (mother, father, sibling, or grandparent only) with history of diabetes?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If no, skip to question 6. If yes, select the relation of the family member and approximate age of onset.
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
     
3165788
 
C20249
Family history diabetes relative type
FamHistDiabetesReltvTy
Relationship to the participant/subject of the family member with diabetes
If yes, select the relation of the family member and the approximate age of onset.
Mother;Father;Grandparent;Sibling;
Mother;Father;Grandparent;Sibling;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
     
3165810
 
C16159
Family history relative age at onset value
FmlyHistRltveAgeOnsetVal
Age the participant's/subject's relative experienced the onset of the disease or disorder
Age of onset
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
Family history relative age at onset value
 
Free-Form Entry
  
year
    
C19670
Family history diagnosis age indicator
FmlyHistDiagnsisAgeInd
Indicator for whether the participant/subject knows the age of the relative when diagnosed
Age of onset:
Not known;
Not known;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20251
Family history kidney disease severe parent type
FamHistKidneyDisSeverParentTyp
The type of the participant's/subject's parent with a history of kidney disease that required dialysis or kidney transplant.
Indicate whether you/your child's mother or father has a history of the following: Kidney disease that required dialysis or kidney transplant.
Mother;Father;Both;Neither;Unknown;
Mother;Father;Both;Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20252
Family history heart problem parent type
FamHistHeartProblemParentTyp
The type of the participant's/subject's parent with a history of heart attacks, heart failure or other heart problems
Indicate whether you/your child's mother or father has a history of the following: Heart attacks, heart failure or other heart problems
Mother;Father;Both;Neither;Unknown;
Mother;Father;Both;Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20253
Family history stroke parent type
FamHistStrokeParentTyp
The type of the participant's/subject's parent with a history of stroke
Indicate whether you/your child's mother or father has a history of the following: Stroke
Mother;Father;Both;Neither;Unknown;
Mother;Father;Both;Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20254
Family history high cholesterol parent type
FamHistHiCholesterolParentTyp
The type of the participant's/subject's parent with a history of high cholesterol
Indicate whether you/your child's mother or father has a history of the following: High cholesterol
Mother;Father;Both;Neither;Unknown;
Mother;Father;Both;Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20255
Family history hypertension parent type
FamHistHypertensionParentTyp
The type of the participant's/subject's parent with a history of hypertension
Indicate whether you/your child's mother or father has a history of the following: Hypertension
Mother;Father;Both;Neither;Unknown;
Mother;Father;Both;Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C16160
Tobacco smoked 100 cigarettes indicator
Tobco100CigarettesInd
Indicator for whether participant/subject has smoked at least 100 cigarettes in entire life.
Have you/your child smoked at least 100 cigarettes in his/her life?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
Tobacco smoked 100 cigarettes indicator
 
Single Pre-Defined Value Selected
       
C00709
Tobacco cigarettes smoked daily average number
TobcoCigaretSmokedDlyAvgNum
Average number of cigarettes the participant/subject smokes daily (On the days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?)
If YES (you/your child has smoked at least 100 cigarettes), about how many cigarettes are smoked currently in a typical week?
Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about 1/2 pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 1/2 packs);More than 35 cigarettes per day (about 2 packs or more);Unknown;
Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about ½ pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 ½ packs);More than 35 cigarettes per day (about 2 packs or more);Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/18/2013
SCI CDEs: NOCIGRTS
Diabetes-Related Medical History
General Health History
Participant History and Family History
Tobacco cigarettes smoked daily average count
 
Single Pre-Defined Value Selected
     
3170853
 
C20256
Physical activity 20 minute day during week count
PhysActiv20MinsDyDurWkCt
The count of days in a typical week on which the participant/subject spends at least 20 minutes doing physical activities or exercise
In a typical week, how many days do you/your child spend at least 20 minutes doing any physical activity or exercises such as running, working out, aerobics, sports, PE in school, or walking for exercise?
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Free-Form Entry
0
7
day
    
C20257
Medication reduce blood sugar prior diagnosis indicator
MedsReduceBldSugarPriorDiagInd
The indicator of whether the participant/subject had been on medication to reduce blood sugar levels prior to diagnosis of the condition/disorder
Were you/your child on medicines to lower blood sugar prior to diagnosis of diabetes?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If yes, answer 1a.
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20258
Medication reduce blood sugar prior diagnosis name
MedReduceBldSugarPriorDiagName
The name of the medication to reduce blood sugar levels taken by the particpant/subject prior to diagnosis of the condition/disorder
Select the medication:
Metformin;Other;
Metformin;Other;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20259
Diabetic ketoacidosis emergency post diagnosis diabetes indicator
DKAEmrgncyPostDiagnosDiabetInd
The indicator of whether the participant/subject has experienced a diabetic ketoacidosis (DKA) episode requiring emergency or urgent treatment, in the time since their diagnosis of diabetes
Since diagnosis have you/your child ever experienced diabetic ketoacidosis (high blood sugar plus ketones, also known as DKA) diagnosed by a doctor for which he/she went to either the hospital, emergency room, or another healthcare facility?
Yes;No;
Yes;No;
Alphanumeric
If yes, answer 1a-1b. If no, skip to question 2.
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C20263
Diabetic ketoacidosis emergency post diagnosis diabetes count
DKAEmrgncyPostDiagnosDiabetCt
The count of diabetic ketoacidosis (DKA) episodes requiring emergency or urgent treatment experienced by the participant/subject in the time since their diagnosis of diabetes
If yes, # of events
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/12/2015
Aliases for variable name not defined
Diabetes-Related Medical History
General Health History
Participant History and Family History
  
Free-Form Entry
       
07-21-2019
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