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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: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: General Health History
CRF: Reproductive and Hormonal History
Item count: 34 (34 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
C16170
Menstrual period occurrence indicator
MenstrualPrdOcurInd
Indicates whether participant/subject has ever had a menstrual period.
Have you ever had a menstrual period?
Yes;No;
Yes;No;
Alphanumeric
If no, section is complete. Do not proceed to further questions.
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Menstrual period occurrence indicator
 
Single Pre-Defined Value Selected
       
C16176
Hormone therapy indicator
HormoneTherapyInd
Indicates whether participant/subject has taken hormonal therapy
Are you currently on, or have you been on within the past year, sex hormone-related therapy? (Includes, but not limited to, hormonal contraceptives, including hormone-releasing contraceptive
devices; hormone replacement therapy, eg, estrogens, progestins; testosterone)
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Hormone therapy indicator
 
Single Pre-Defined Value Selected
       
C57238
Hormonal therapy medication device name
HormTherpyMedDevName
The name of the medication or device being used for hormonal therapy.
Medication/device name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C57239
Hormonal therapy medication device dose frequency text
HormTherMedDevDoseFreqTxt
Text indicating the dose of the medication or frequency of the device being used for hormonal therapy.
Dose/frequency (if applicable)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
       
C16164
Hormonal therapy start date
HormonalTherapyStartDate
The date and time (if applicable and known) the participant/subject started hormonal therapy
Start date
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Hormonal therapy start date
 
Free-Form Entry
       
C16165
Hormonal therapy stop date
HormonalTherapyStopDate
The date and time (if applicable and known) the participant/subject stopped hormonal therapy
End date
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Hormonal therapy stop date
 
Free-Form Entry
       
C16172
Pregnant current indicator
PregCurntInd
Whether the female participant/subject is currently pregnant
Pregnant?
Yes;No;Don't know;
Yes;No;Don't know;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Pregnant current indicator
 
Single Pre-Defined Value Selected
       
C16173
Pregnancy estimated delivery date and time
PregEstDeliveryDateTime
The date and time (if applicable) the participant/subject is estimated to deliver the pregnancy
If yes, estimated due date:
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Pregnancy estimated delivery date
 
Free-Form Entry
       
C57240
Pregnant in past year indicator
PregPastYrInd
The indicator relating to whether the subject was pregnant within the past year.
If no, pregnant within past year?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57241
Nursing indicator
NursingInd
The indicator relating to whether the subject is nursing.
Nursing?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57242
Menstrual period regularity type
MenstPdRegTyp
The type of menstrual period regularity the subject has been experiencing, if applicable.
Menstrual periods
Regular;Irregular;Not applicable;
Regular;Irregular;Not applicable;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C16174
Menopause indicator
MenopauseInd
Indicates whether participant/subject is currently menopausal.
Do you believe you are currently experiencing menopause (perimenopausal)?
Yes;No;Don't know;
Yes;No;Don't know;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Menopause indicator
 
Single Pre-Defined Value Selected
       
C16175
Menstrual period last date
MenstrualPeriodLastDate
Date of the participant's/subject's last menstrual period
If Yes, indicate the approximate date of your last menstrual period
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Menstruation last occurrence date
 
Free-Form Entry
       
C16177
Post-menopausal indicator
PostMnpslInd
Indicates whether participant/subject is post-menopausal
Are you post-menopausal?
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
Reproductive and Hormonal History
General Health History
Participant History and Family History
Post-menopausal indicator
 
Single Pre-Defined Value Selected
       
C16178
Post-menopausal cause type
PostMnpslCauseTyp
Cause or reason for the post-menopausal period in the female participant/subject
If Yes, indicate cause
Natural;Surgical (complete hysterectomy- ovaries and uterus removed);Medications or chemotherapy;
Natural;Surgical (complete hysterectomy- ovaries and uterus removed);Medications or chemotherapy;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Post-menopausal cause type
 
Multiple Pre-Defined Values Selected
       
C16179
Post-menopausal surgery date
PostMnpslSurgDate
The date and time (if applicable and known) of the surgery that induced the post-menopausal period
Date last ovary removed
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
Post-menopausal surgery date
 
Free-Form Entry
       
C57243
Polycystic ovary syndrome indicator
PolyOvarySyndInd
The indicator related to whether the subject has polycystic ovary syndrome.
Polycystic ovary syndrome
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57244
Polycystic ovary syndrome diagnosis age value
PolyOvarySyndDiagnosAgeVal
The value representing the age the subject was when she was diagnosed with polycystic ovary syndrome.
If yes, age at diagnosis
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
C57245
Hyperthyroidism indicator
HyperthyInd
The indicator relating to whether the subject has hyperthyroidism.
Hyperthyroidism
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57246
Hyperthyroidism diagnosis age value
HyperthyDiagnosAgeVal
The value representing the age the subject was when he/she was diagnosed with hyperthyroidism.
If yes, age at diagnosis
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
C57247
Hypothyroidism indicator
HypothyInd
The indicator relating to whether the subject has hypothyroidism.
Hypothyroidism
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57248
Hypothyroidism diagnosis age value
HypothyDiagnosAgeVal
The value representing age the subject was when he/she was diagnosed with hypothyroidism.
If yes, age at diagnosis
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
C57249
Cushings syndrome indicator
CushSyndInd
The indicator relating to whether the subject has Cushing's syndrome.
Cushing's sydrome indicator
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57250
Cushings syndrome diagnosis age value
CushSyndDiagnosAgeVal
The value representing the age the subject was when he/she was diagnosed with Cushing's syndrome.
If yes, age at diagnosis
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
C57251
Adrenal insufficiency indicator
AdrInsufInd
The indicator relating to whether the subject has adrenal insuffciency.
Adrenal insufficiency
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C57252
Adrenal insufficiency diagnosis age value
AdrInsufDiagnosAgeVal
The value representing the age the subject was when he/she was diagnosed with adrenal insufficiency.
If yes, age at diagnosis
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/4/2018
Aliases for variable name not defined
Reproductive and Hormonal History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
12-14-2018
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