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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: Parkinson's Disease
Sub-Domain: History of Disease/Injury Event
CRF: Medical History of Parkinson's Disease
Item count: 14 (14 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
C00314
Medical history taken date and time
MedclHistTakenDateTime
Date (and time, if applicable and known) the participant/subject's medical history was taken
Date Medical History Taken
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
PT_REL_MED_HIST_DT
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Medical history taken date and time
 
Free-Form Entry
     
2179659
 
C18029
Other abnormality posture text
OthrAbnrmlyPostureTxt
Symptoms experienced by the participant/subject related to another abnormality of posture or gait.
Initial Motor Symptoms, i.e., as described by the patient (please check all that apply)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C08006
Symptoms first appeared date and time
SymptmFirstAppearDateTime
Date (and time if applicable and known) the symptoms for the disease or disorder first appeared as confirmed by the participant's/subject's medical history obtained by a physician
Year of First Symptoms as confirmed by history obtained by the physician?
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Symptoms first appeared date and time
 
Free-Form Entry
       
C08007
Diagnosis first given date and time
DiagnosFirstGivnDateTime
Date (and time if applicable and known) the participant/subject was initially diagnosed with the disease or disorder
Year of Initial Diagnosis?
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Diagnosis first given date and time
 
Free-Form Entry
       
C08008
Diagnostic feature criterion type
DiagnosFeatureCriterionTyp
Type of diagnostic feature or criterion assessed in the participant/subject.
Diagnostic Features Criteria as evident on clinical assessment of the patient
4-6 Hz Rest Tremor;Bradykinesia;Rigidity;Asymmetric Onset;Substantial Response to Dopaminergic Therapy;
4-6 Hz Rest Tremor;Bradykinesia;Rigidity;Asymmetric Onset;Substantial Response to Dopaminergic Therapy;
Alphanumeric
For each PD diagnostic feature or criterion, indicate whether it is Present/ Absent/ Unknown
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Diagnostic feature or criterion type
 
Single Pre-Defined Value Selected
       
C08009
Diagnostic feature criterion presence indicator
DiagnosFtrCriterionPresenceTyp
Indicator of whether the diagnostic feature or criterion is observed during clinical assessment of the participant/subject
Diagnostic Features/Criteria (as evident on clinical assessment of the patient)
Present;Absent;Unknown;
Present;Absent;Unknown;
Alphanumeric
Should be answered for each PD diagnostic feature or criterion
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Diagnostic feature or criterion presence indicator
 
Single Pre-Defined Value Selected
       
C08010
Diagnosis certainty percentage range
DiagnosCertaintyPercentgRange
Range of the clinician's certainty of the medical diagnosis of the disease or disorder.
Degree of Certainty of Diagnosis of PD
90-100% certain;50-89% certain;10-49% certain;0-9% certain;
90-100% certain;50-89% certain;10-49% certain;0-9% certain;
Alphanumeric
Choose one
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Diagnosis certainty percentage range
 
Single Pre-Defined Value Selected
       
C08011
Diagnostic alternative reason
DiagnosAltrntiveRsn
Reason for other important diagnostic alternative(s) to Parkinson's disease.
Other important diagnostic alternatives give reason
  
Alphanumeric
Answer only if applicable. Not a required field
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Diagnostic alternative to text
255
Free-Form Entry
       
C19529
Ambulatory axial difficulty abnormal posture gait other text
AmbAsDiffAbnormPostGaitOth
The free-text field related to ambulatory/axial difficulties-other abnormality of posture or gait specifying other text.
Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify)
  
Alphanumeric
Choose all that apply
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C08012
Motor symptom Parkinsonian initial type
MtrSymptmParkinsonianInitlTyp
Type(s) of initial motor symptoms of Parkinson's disease described by the participant/subject.
Initial Motor Symptoms, i.e., as described by the patient (please check all that apply)
Tremor;Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia;Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance;Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Other abnormality of posture or gait;
Tremor (including internal tremor);Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia (specify symptoms);Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance (excluding falls);Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify);
Alphanumeric
Choose all that apply
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Motor symptom Parkinsonian initial type
 
Multiple Pre-Defined Values Selected
       
C08013
Dystonia symptom text
DystoniaSymptomTxt
Symptoms experienced by the participant/subject related to dystonia.
Initial Motor Symptoms, i.e., as described by the patient (please check all that apply)
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Dystonia symptom text
255
Free-Form Entry
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
Side of Body of Initial Symptoms
  
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Laterality type
 
Single Pre-Defined Value Selected
       
C08015
Motor symptom parkinsonian develop type
MtrSymptmParkinsonianDvlpTyp
Type(s) of motor symptoms of Parkinson's disease which developed over the course of Illness
Motor Symptoms Developing Over the Course of Illness (please check all that apply)
Tremor;Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia;Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance;Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Stooped posture;Ambulatory/Axial Difficulties-Other abnormality of posture or gait;
Tremor (including internal tremor);Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia;Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance (excluding falls);Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Stooped posture;Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify);
Alphanumeric
Choose all that apply
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Motor symptom Parkinsonian developed type
 
Multiple Pre-Defined Values Selected
       
C05404
Symptom onset date and time
SymptmOnsetDateTime
Date (and time, if applicable and known) reported for onset of participant's/subject's symptoms
Approximate date of onset
  
Date or Date & Time
Provide approximate date for all Motor Symptoms Developing Over the Course of Illness. If date is unknown, leave date blank and check Unknown on the form. In the study database a convention should be developed for entering unknown or partial dates.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Medical History of Parkinson's Disease
History of Disease/Injury Event
Disease/Injury Related Events
Symptom onset date and time
 
Free-Form Entry
       
07-22-2019
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