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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: Family Health History
Item count: 41 (41 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
C19256
Study protocol name
StudyProtocolName
Name of study protocol
Study Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/5/2014
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C17402
Site name
SiteName
The name of the site for the study
Site Name:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/5/2014
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58086
Family health problems history relative type
FamHlthProblmHistRelatvTyp
Field where participant/subject can indicate which family member(s) has a history of the listed health problem conditions.
Blood relative
Mother;Father;Brothers;Sisters;Son;Daughter;
Mother;Father;Brothers;Sisters;Son;Daughter;
Alphanumeric
Indicate any of the following health problems have occurred to any blood relatives, including partient's parents, siblings (full and half), and children. Write Y for Yes, N for No, and D.K. for Don’t' Know.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/25/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C18027
Comment text
CmmntTxt
Provide any additional information that pertains to the question.
Comments
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C58087
Family health problems blood disorders history type
FamHlthPrblmBloodDisordHistTyp
Any type of blood disorder(s) health problems that the subject’s/participant’s family relative has ever been diagnosed with.
Blood Disorders
Anemia requiring treatment/transfusions (iron deficiency, sickle cell, thalassemia);Bleeding disorder or blood clots in legs or lungs;Leukemia or lymphoma;
Anemia requiring treatment/transfusions (iron deficiency, sickle cell, thalassemia);Bleeding disorder or blood clots in legs or lungs;Leukemia or lymphoma;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C58088
Blood disorders anemia type text
BloodDisordAnemiaTypTxt
Text of anemia type blood disorder that the subject’s/participant’s family relative has ever been diagnosed with.
Anemia requiring treatment/transfusions, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58105
Blood disorders bleeding disorder type text
BloodDisordBleedngDisordTypTxt
Text of bleedintg disorder type blood disorder that the subject’s/participant’s family relative has ever been diagnosed with.
Bleeding disorder or blood clots, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58089
Family health problems cardiovascular history type
FamHlthPrblmCardiovascHistTyp
Any type of cardiovascular health problems that the subject’s/participant’s family relative has ever been diagnosed with.
Cardiovascular
High blood pressure (hypertension);Very low blood pressure, orthostatic hypotension;High total or LDL (''bad'') cholesterol, or triglycerides;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Cardiomyopathy, myocarditis, heart value disease, heart failure, other;Heart arrhythmia, atrial fibrillation, fainting, pacemaker;Raynaud's phenomenon/syndrome;
High blood pressure (hypertension);Very low blood pressure, orthostatic hypotension;High total or LDL (''bad'') cholesterol, or triglycerides;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Cardiomyopathy, myocarditis, heart value disease, heart failure, other;Heart arrhythmia, atrial fibrillation, fainting, pacemaker;Raynaud's phenomenon/syndrome;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C58090
Cardiovascular low blood pressure type text
CardiovascLowBloodPressTypTxt
Text of cardiovascular low blood pressure type that the subject’s/participant’s family relative has ever been diagnosed with.
Very low blodd pressure, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58106
Cardiovascular cholesterol type text
CardiovascCholesterolTypTxt
Text of cardiovascular cholesterol type that the subject’s/participant’s family relative has ever been diagnosed with.
High total or LDL cholesterol or tryglycerides, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58107
Cardiovascular heart disease type text
CardiovascHeartDiseaseTypTxt
Text of cardiovascular heart disease type that the subject’s/participant’s family relative has ever been diagnosed with.
Heart disease, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58108
Cardiovascular myopathy disease type text
CardiovascMyopthyDiseaseTypTxt
Text of cardiovascular myopathy disease type that the subject’s/participant’s family relative has ever been diagnosed with.
Cardiomyopathy, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58109
Cardiovascular arrhythmia disease type text
CardiovascArrhythDiseaseTypTxt
Text of cardiovascular arrhythmia disease type that the subject’s/participant’s family relative has ever been diagnosed with.
Heart arrhythmia, atrial fibrillation, fainting, pacemaker, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58091
Family health problems chest history type
FamHlthPrblmChestHistTyp
Any type of chest health problems that the subject’s/participant’s family relative has ever been diagnosed with.
Chest
Lung or breathing problems (asthma, COPD, other);
Lung or breathing problems (asthma, COPD, other);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C58092
Chest lung breathing problem type text
ChestLungBreathPrblmTypTxt
Text of type of lung or breathing problems that the subject’s/participant’s family relative has ever been diagnosed with.
Lung or breathing problems, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58093
Family health problems endocrine metabolic history type
FamHlthPrblmEndocrMetabHistTyp
Any type of endocrine/metabolic health problem that the subject’s/participant’s family relative has ever been diagnosed with.
Endocrine/Metabolic
Thyroid disease: Hypothyroid (underactive thyroid, like Hashimoto's), overactive thyroid, thyroid nodules, thyroid cancer, other;Diabetes (indicate if type I, type II);Metabolic syndrome or pre-diabetes;Pituitary, adrenal, or other endocrine disorder;Obesity;
Thyroid disease: Hypothyroid (underactive thyroid, like Hashimoto's), overactive thyroid, thyroid nodules, thyroid cancer, other;Diabetes (indicate if type I, type II);Metabolic syndrome or pre-diabetes;Pituitary, adrenal, or other endocrine disorder;Obesity;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C58094
Endocrine metabolic thyroid disease type text
EnocrnMetabThyroidDisTypTxt
Text of endocrine/metabolic thyroid disease type of that the subject’s/participant’s family relative has ever been diagnosed with.
Thyroid disease, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58110
Endocrine metabolic diabetes type text
EnocrnMetabDiabetesTypTxt
Text of endocrine/metabolic diabetes type of that the subject’s/participant’s family relative has ever been diagnosed with.
Diabetes type, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58111
Endocrine metabolic endocrine disorder type text
EnocrnMetabEndocrnDisordTypTxt
Text of endocrine/metabolic endocrine disorder type of that the subject’s/participant’s family relative has ever been diagnosed with.
Other endocrine disorder, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58095
Family health problems gastrointestinal history type
FamHlthPrblmGIHistTyp
Any type of gastrointestinal health problem that the subject’s/participant’s family relative has ever been diagnosed with.
Gastrointestinal
Stomach problems (e.g., gastro-esophageal reflux disorder (GERD/heartburn, ulcers, celiac disease, or other);Intestine problems (e.g., colon polyps, colon cancer, ulcerative colitis, Crohns disease, other);
Stomach problems (e.g., gastro-esophageal reflux disorder (GERD/heartburn, ulcers, celiac disease, or other);Intestine problems (e.g., colon polyps, colon cancer, ulcerative colitis, Crohns disease, other);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C58096
Gastrointestinal stomach problems type text
GIStomachPrlblmTypTxt
Text of type of gastrointestinal stomach problems that the subject’s/participant’s family relative has ever been diagnosed with.
Stomach problems type, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58113
Gastrointestinal intestine problems type text
GIIntestinePrlblmTypTxt
Text of type of gastrointestinal intestine problems that the subject’s/participant’s family relative has ever been diagnosed with.
Intestine problems, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58097
Family health problems neurological history type
FamHlthPrblmNeurologiclHistTyp
Any type of neurological health problems that the subject’s/participant’s family relative has ever been diagnosed with.
Neurological
Seizures, convulsions, epilepsy, pseudoseizures;Parkinson's disease;Alzheimer's disease or other dementia(s);Multiple sclerosis;Stroke or TIA (mini-stroke);Primary sleep disorders: obstructive or central sleep apnea, narcolepsy, restless legs syndrome, other;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis);
Seizures, convulsions, epilepsy, pseudoseizures;Parkinson's disease;Alzheimer's disease or other dementia(s);Multiple sclerosis;Stroke or TIA (mini-stroke);Primary sleep disorders: obstructive or central sleep apnea, narcolepsy, restless legs syndrome, other;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C58098
Neurological seizure type text
NeurologiclSeizureTypTxt
Text of type of neurological seizures that the subject’s/participant’s family relative has ever been diagnosed with.
Seizures, Specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C58114
Neurological Alzheimer disease type text
NeurologiclAlzheimerDisTypTxt
Text of type of neurological Alzheimer disease that the subject’s/participant’s family relative has ever been diagnosed with.
Specify type and age of onset:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/26/2018
Aliases for variable name not defined
Family Health History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
01-16-2019
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