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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: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: Family and Environment
CRF: Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Item count: 18 (18 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
C52626
Data sheet reference code
DataSheetRefCode
Reference code for the data sheet being recorded
Card No.
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
50
Free-Form Entry
       
C21117
Subject name
SubjectName
Name of subject/participant.
Name of Subject whose relatives are being evaluated
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
ID Number of Subject whose relatives are being evaluated
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
255
Free-Form Entry
       
C52627
Study identification code
StudyIdentificationCode
Code used to identify the study for which data are being collected
Study No.
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
50
Free-Form Entry
       
C52629
Interviewer identification code
IntrviewrIdentificatnCode
Code identifying the interviewer who collected the data being recorded
Rater No.
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
50
Free-Form Entry
       
C52630
Interviewee name
IntervieweeName
Name of the person interviewed for data collection
Name of Informant
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
255
Free-Form Entry
       
C52644
Family History Research Diagnostic Criteria (FH-RDC) - Informant participant relationship type
FHRDCInfmntPtcpntRelatshpTyp
The relationship of the informant to participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC).
Relationship of Informant to Index Subject
1;2;3;4;5;6;7;
Self;Spouse;Mother;Father;Sibling;Child;Other (consensus);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52631
Family History Research Diagnostic Criteria (FH-RDC) - Relative description relationship code
FHRDCRelatvDescripRelatCode
Code for the relationship of the relative being described to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC)
Relationship code of relative being described
7;
All Second Degree Relatives;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52892
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type
FHRDCRelatnshpTyp
The type of relationship the subject/participant's relative(s) being described has/have with the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
 
Paternal grandfather;Paternal grandmother;Paternal aunt;Paternal uncle;Paternal cousin;Maternal grandfather;Maternal grandmother;Maternal aunt;Maternal uncle;Maternal cousin;Niece;Nephew;Granddaughter;Grandson;
Paternal grandfather;Paternal grandmother;Paternal aunt;Paternal uncle;Paternal cousin;Maternal grandfather;Maternal grandmother;Maternal aunt;Maternal uncle;Maternal cousin;Niece;Nephew;Granddaughter;Grandson;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52937
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type total count
FHRDCRelatnshpTypTotalCt
The count of all individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
Total No.
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52939
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type living total count
FHRDCRelatnshpTypLvngTtlCt
The count of all living individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Living
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52940
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type dead total count
FHRDCRelatnshpTypDeadTtlCt
The count of all deceased individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Dead
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52942
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suicide total count
FHRDCRelatnshpTypSuicdTtlCt
The count of all deceased individuals having the specified relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Suicide(s)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52943
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill total count
FHRDCRelatnshpTypPsyciIllTtlCt
The count of all individuals having the specified relationship to the subject/participant with any psychiatric illness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Psychiatrically Ill Total
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52947
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill possible alcoholism count
FHRDCRltTypPsyIlPosAlclsmTtlCt
The count of all individuals having the specified relationship to the subject/participant with possible alcoholism, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Psychiatrically Ill Poss AD
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52945
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill possible affective disorder count
FHRDCRltTypPsyIlPosAffDsrTtlCt
The count of all individuals having the specified relationship to the subject/participant with a possible affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet
No. Psychiatrically Ill Poss Alc.
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52928
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suitable psychiatric interview count
FHRDCRltnTypStblPsychiIntrvwCt
Count of relatives of the selected type of relationship to the subject/participant who are suitable to participate in a psychiatric interview, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheets
No. Suitable for Psych. Interview
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52886
Family History Research Diagnostic Criteria (FH-RDC) - Comment narrative text
FHRDCCommentNarratvTxt
The free-text field for recording comments and narrative for the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC)
Comments
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/27/2017
Aliases for variable name not defined
Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Family and Environment
Outcomes and End Points
 
4000
Free-Form Entry
       
12-11-2018
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