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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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Item count: 50 (50 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 (FH-RDC) Summary Data Sheet for First 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 (FH-RDC) Summary Data Sheet for First 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 (FH-RDC) Summary Data Sheet for First 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 (FH-RDC) Summary Data Sheet for First 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 (FH-RDC) Summary Data Sheet for First 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 (FH-RDC) Summary Data Sheet for First 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 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 (FH-RDC) Summary Data Sheet for First 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
6;
All First 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 (FH-RDC) Summary Data Sheet for First 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
Mother Father Siblings Children
Mother;Father;Sibling;Children;
Mother;Father;Sibling;Children;
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52895
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary age living range
FHRDCRltnshpTypSumAgeLvngRng
The range of age(s) of living individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Age (range) if living
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
 
10
Free-Form Entry
       
C52896
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary age death range
FHRDCRltnshpTypSumAgeDethRng
The range of age(s) at death for deceased individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Age (range) at death
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
 
10
Free-Form Entry
       
C52888
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type natural death count
FHRDCRltnshpTypNatrlDethCt
Count of deceased relatives of the selected type of relationship to the subject/participant who died of natural causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number natural death
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52897
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type accidental death count
FHRDCRltnshpTypAccdtlDethCt
Count of deceased relatives of the selected type of relationship to the subject/participant who died of accidental causes, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number accidental death
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52898
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suicide count
FHRDCRltnshpTypSuicdCt
Count of deceased relatives of the selected type of relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number completed suicide
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52899
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type attempt suicide ever count
FHRDCRltnshpTypAtmptSuicdEvrCt
Count of relatives of the selected type of relationship to the subject/participant who ever attempted suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number who made suicide attempt(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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52900
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type social incapacitation ever count
FHRDCRltnshpTypSoclIncapEverCt
Count of relatives of the selected type of relationship to the subject/participant who ever experienced a period of social incapacitation, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number with period of social incapacitation
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52901
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type hospitalization psychiatric reason ever count
FHRDCRltshpTypHospPsycRsnEvrCt
Count of relatives of the selected type of relationship to the subject/participant who were ever hospitalized for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number hospitalized for psychiatric reasons
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52902
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type somatic treatment psychiatric reason ever count
FHRDCRltnTypSomTxPyciRsnEvrCt
Count of relatives of the selected type of relationship to the subject/participant who ever underwent somatic treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number of somatic treatment for psychiatric reasons
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52903
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychological treatment psychiatric reason ever count
FHRDCRltnTypPycoTxPyciRsnEvrCt
Count of relatives of the selected type of relationship to the subject/participant who ever underwent psychological treatment for psychiatric reasons, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number of psycho. treatment for psychiatric reasons
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52904
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type summary 1st psychiatric illness age range
FHRDCRltnTypSm1stPsciIlnsAgRng
The range of age(s) at first psychiatric illness for individuals of the type of relationship to the subject/participant that is being summarized, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Age (range) of first psychiatric illness
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
 
10
Free-Form Entry
       
C52906
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizophrenia diagnosis count
FHRDCRltnTypChrnSchizDiagnosCt
Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with chronic schizophrenia, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number Chronic Schizophrenia
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52907
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting schizo-affective manic diagnosis count
FHRDCRltnTypRmSchzAffMcDiagCt
Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the manic type of remitting schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number Remitting Schizo-affective, Manic Type
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52908
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizo-affective manic diagnosis count
FHRDCRltnTypChrSchzAffMcDiagCt
Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the manic type of chronic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number Chronic Schizo-affective, Manic Type
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52909
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type remitting schizo-affective depressed diagnosis count
FHRDCRltnTypRmSchzAffDepDiagCt
Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the depressed type of remitting schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number Remitting Schizo-affective, Depressed Type
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
C52910
Family History Research Diagnostic Criteria (FH-RDC) - Relationship type chronic schizo-affective depressed diagnosis count
FHRDCRltnTypChrSchzAffDpDiagCt
Count of relatives of the selected type of relationship to the subject/participant who were diagnosed with the depressed type of chronic schizo-affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet for First Degree Relatives
Number Chronic Schizo-affective, Depressed Type
  
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 (FH-RDC) Summary Data Sheet for First Degree Relatives
Family and Environment
Outcomes and End Points
  
Free-Form Entry
       
12-11-2018
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