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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: General Health History
CRF: Participant and Family Psychological History
Item count: 13 (13 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
C17402
Site name
SiteName
The name of the site for the study
Site Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Participant and Family Psychological 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
1.0
6/5/2014
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C52414
Psychiatric disorder diagnosis type
PsychDisDiagnosTyp
The type of diagnosis the participant/family member was diagnoses with
Psychiatric Disorder Diagnosis
Mood Disorder/Depression/Bipolar;Anxiety Disorder;Somatoform Disorder;PTSD;Alcohol Abuse;Drug Abuse;Personality Disorder;Psychotic Disorder/Schizophrenia;Unknown;
Mood Disorder/Depression/Bipolar;Anxiety Disorder;Somatoform Disorder;PTSD;Alcohol Abuse;Drug Abuse;Personality Disorder;Psychotic Disorder/Schizophrenia;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52415
ADD ADHD indicator
ADDADHDInd
The indicator relating to whether or not the participant or the participant's family have ADD or ADHD
ADD/ADHD
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52416
ADD ADHD medication perscription indicator
ADDADHDMedPerscInd
The indicator relating to whether or not the participant or the participant's family has been perscribed ADD or ADHD medication
Are you currently perscribed ADD/ADHD medication?
Yes;No;
Yes;No;
Alphanumeric
See Medication CRF for more information
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22673
Medical history autism indicator
MedHistAutInd
Indicator of whether participant/subject has Autism
Autism/Asperger's
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/27/2016
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22674
Medical history obsessive compulsive disorder indicator
MedHistOCDInd
Indicator of whether participant/subject has Obsessive Compulsive Disorder (OCD)
OCD
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/27/2016
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52417
Learning disorder indicator
LearnDisorderInd
The indicator relating to whether or not the participant or the participant's family have a learning disorder.
Learning disorder
Yes;No;
Yes;No;
Alphanumeric
e.g., Dyslexia, Language Processing Disorder, Visual Perceptual/Visual Motor Deficit)
Does not include ADD/ADHD.
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C00713
Drug or substance current illicit use indicator
DrgSubstCurrntIllicitUseInd
Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts
Substance Abuse
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
Drug or substance current illicit use indicator
 
Single Pre-Defined Value Selected
     
3171724
 
C52418
Sleep disorder indicator
SleepDisorderInd
The indicator relating to whether or not the participant or the participant's family have a sleep disorder.
Sleep disorder
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52413
Typical sleep hour number
TypicalSleepHrNum
The typical number of hours of sleep that the subject gets every night
Typical Number of Hours of Sleep
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/22/2016
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Free-Form Entry
0
24
Hour
    
C52419
Eating disorder indicator
EatingDisorderInd
The indicator relating to whether or not the participant or the participant's family have an eating disorder.
Eating disorder
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52421
Seizure disorder indicator
SeizureDisorderInd
The indicator relating to whether or not the participant has a seizure disorder
Seizure Disorder
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Participant and Family Psychological History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
12-19-2018
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