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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: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Sub-Domain: General Health History
CRF: Risk Factors
Item count: 26 (26 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
C52529
Family history unruptured intracranial aneurysm subarachnoid hemorrhage indicator
FamHisUIASAHInd
Indicator for whether the participant/subject has a family history of unruptured intracranial aneurysm or subarachnoid hemorrhage.
Is there a family history of unruptured intracranial aneurysm (UIA) or subarachnoid hemorrhage (SAH)?
Yes;No;
Yes;No;
Alphanumeric
Familial history of 2 or more first degree relatives with unruptured intracranial aneurysms or with history of subarachnoid hemorrhage due to an intracranial aneurysm
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/18/2015
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52531
Family history subarachnoid hemorrhage family member type
FamHisSAHFamMemberTyp
Specify which family member has a history of subarachnoid hemorrhage.
Specify family member with history of SAH
Mother;Father;Daughter;Son;Sister;Brother;Other;
Mother;Father;Daughter;Son;Sister;Brother;Other;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/20/2017
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C52532
Family history subarachnoid hemorrhage family member other type
FamHisSAHFamMemberOthTyp
Specify whether the family member with a history of subarachnoid hemorrhage is male or female.
Other
Male;Female;
Male;Female;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/20/2017
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C52533
History previous subarachnoid hemorrhage unruptured intracranial aneurysm indicator
HisPrevSAHUIAInd
Indicator for whether the participant/subject has a history of subarachnoid hemorrhage due to unruptured intracranial aneurysm.
Do you have a history of a previous SAH due to UIA
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/18/2015
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C05454
Hypertension indicator
HypertensInd
Indicator of hypertension. In adults, hypertension is defined as a systolic pressure >= 140 and a diastolic >= 90. In children, it is defined as systolic blood pressure >95th percentile for age.
Do you have a history of hypertension?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
In adults, hypertension is defined as a systolic pressure = 140 and a diastolic pressure = 90. In children, it is defined as systolic blood pressure > 95th percentile for age.
No references available
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Hypertension indicator
 
Single Pre-Defined Value Selected
       
C52534
Autosomal dominant polycystic kidney disease indicator
ADPKDInd
Whether or not the participant/subject has autosomal-dominant polycystic kidney disease.
Do you have a history of autosomal-dominant polycystic idney diease
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/22/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52535
Ethnicity pertinent intracranial aneurysm type
EthnPertinentUIAtype
Ethnicity type pertinent to unruptured intracranial aneurysms the participant/subject most closely identifies with
Ethnicity pertinent to intracranial aneurysm:
Japanese;Finnish;Eastern Asian;European;Persian;Arabic;Southeast Asian;South Asian;Pacific Islander;American Indian;
Japanese;Finnish;Eastern Asian;European;Persian;Arabic (ara);Southeast Asian;South Asian (Indian subcontinent) (for OMB purposes, this value is considered to be part of Asian);Pacific Islander (for OMB purposes, this value is considered to be part of Native Hawaiian or Other Pacific Islander);American Indian;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
     
2192217
 
C01565
Blood pressure systolic measurement
BldPressrSystMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
Systolic/diastolic (mmHg)
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/25/2013
SCI CDEs: BPSYS
Risk Factors
General Health History
Participant History and Family History
Blood pressure systolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004289
 
C01507
Blood pressure diastolic measurement
BldPressrDiastlMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
Systolic/diastolic (mmHg)
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/25/2013
SCI CDEs: BPDIAS
Risk Factors
General Health History
Participant History and Family History
Blood pressure diastolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004291
 
C11131
Body mass index value
BMIVal
Value of the participant/subject's body mass index, calculated from height and weight.
BMI
  
Numeric Values
Body mass index (kg/m2)
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Body mass index value
 
Free-Form Entry
0
99
     
C00710
Tobacco current use indicator
TobcoUseCurntInd
Indicator for whether the participant/subject regularly uses tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) at the present time.
Current tobacco use?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Tobacco current use indicator
 
Single Pre-Defined Value Selected
     
3170060
 
C00711
Tobacco prior use indicator
TobcoPriorUseInd
Indicator of the participant's/subject's past regular tobacco (e.g., cigarettes, cigars, chewing tobacco or pipe) use prior to the past 12 months
Past tobacco use?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Tobacco prior use indicator
 
Single Pre-Defined Value Selected
     
3170080
 
C00703
Tobacco use started age value
TobcoUseStrtAgeVal
Age in years when participant/subject started using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe)
Age started tobacco use
  
Numeric Values
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.

The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected.
No references available
Adult;Pediatric
Core
3.0
7/18/2013
AGE_BEG_SMK_YR
Risk Factors
General Health History
Participant History and Family History
Tobacco use started age value
 
Free-Form Entry
0
120
year
  
2178045
 
C00701
Tobacco use stopped age value
TobcoUseStopAgeVal
Age in years when participant/subject stopped using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe)
Age stopped tobacco use
  
Numeric Values
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.

The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected.
No references available
Adult;Pediatric
Core
3.0
7/18/2013
AGE_DX_SMK_YR
Risk Factors
General Health History
Participant History and Family History
Tobacco use stopped age value
 
Free-Form Entry
0
120
year
  
2524471
 
C00719
Tobacco product used type
TobcoProdctUsedTyp
Type of tobacco product (e.g., cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject
Type(s) of tobacco used
Filtered cigarettes;Non-filtered cigarettes;Low tar cigarettes;Cigars;Pipes;Chewing tobacco;Other, specify;
Filtered cigarettes;Non-filtered cigarettes;Low tar cigarettes;Cigars;Pipes;Chewing tobacco;Other, specify;
Alphanumeric
Choose all that apply. History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Tobacco product used type
 
Multiple Pre-Defined Values Selected
     
3179449v1
 
C18770
Tobacco product used other text
TobcoProdctUsedOTH
The free-text field related to 'Tobacco product used type' specifying other text. Type of tobacco product (e.g. cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject
Other, specify
  
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
 
4000
Free-Form Entry
     
3170860
 
C00709
Tobacco cigarettes smoked daily average number
TobcoCigaretSmokedDlyAvgNum
Average number of cigarettes the participant/subject smokes daily (On the days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?)
Average number of cigarettes smoked per day
Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about 1/2 pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 1/2 packs);More than 35 cigarettes per day (about 2 packs or more);Unknown;
Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about ½ pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 ½ packs);More than 35 cigarettes per day (about 2 packs or more);Unknown;
Alphanumeric
Choose Skip if cigarettes an answer in previous question. History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
PhenX Toolkit: https://www.phenxtoolkit.org/index.php - Protocol 1: Tobacco - 30-Day Quantity and Frequency (Adolescent Protocol) #030801
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/18/2013
SCI CDEs: NOCIGRTS
Risk Factors
General Health History
Participant History and Family History
Tobacco cigarettes smoked daily average count
 
Single Pre-Defined Value Selected
     
3170853
 
C06108
Tobacco smoke pack-year value
TobccoSmkePckYrVal
If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years]
For former or current cigarette smokers only, the number of pack-years of smoking
  
Numeric Values
[(average number of cigarettes smokes daily)/20] x (number of years smoked)
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/17/2013
SMKPCKYR
Risk Factors
General Health History
Participant History and Family History
Tobacco smoking pack-years number
 
Free-Form Entry
  
pack-years
    
C00705
Alcohol current use indicator
AlcCurntUseInd
Indicator of whether the participant/subject consumed at least one alcoholic drink within the past 12 months
Current drinker?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
In the U.S., a single drink serving contains about 14 grams of ethanol or "pure" alcohol. Although the drinks below are different sizes, each one contains the same amount of pure alcohol and counts as a single drink: 12 oz. of beer (about %% alcohol) = 8-9 oz. of malt liquor (about 7% alcohol) = 5 oz. of wine (about 12% alcohol) = 1.5 oz. of hard liquor (about 40% alcohol)
No references available
Adult;Pediatric
Supplemental
3.0
7/18/2013
ALCHL_CUR_USE_YNU
Risk Factors
General Health History
Participant History and Family History
Alcohol current use indicator
 
Single Pre-Defined Value Selected
     
3171540
 
C00706
Alcohol prior use indicator
AlcPriorUseInd
Indicator of the participant's/subject's alcohol consumption prior to the past 12 months
Past drinker
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Consumed at least one drink prior to the past year. History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Risk Factors
General Health History
Participant History and Family History
Alcohol prior use indicator
 
Single Pre-Defined Value Selected
     
3171578
 
C00702
Alcohol use started age value
AlcUseStrtAgeVal
Age in years when participant/subject started ingesting alcoholic beverages, including social drinking
Age started drinking
  
Numeric Values
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.

The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected.
No references available
Adult;Pediatric
Supplemental
3.0
7/18/2013
ALC_USE_START_AGE_YR
Risk Factors
General Health History
Participant History and Family History
Alcohol use started age value
 
Free-Form Entry
0
120
year
  
2008447
 
C00700
Alcohol use stopped age value
AlcUseStopAgeVal
Age in years when participant/subject stopped ingesting alcoholic beverages, including social drinking
Age quit drinking
  
Numeric Values
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.

The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected.
No references available
Adult;Pediatric
Supplemental
3.0
7/18/2013
ALC_USE_STOP_AGE_YR
Risk Factors
General Health History
Participant History and Family History
Alcohol use stopped age value
 
Free-Form Entry
0
120
year
  
2008448
 
C00730
Alcohol use frequency
AlcUseFreq
The frequency of consumption of alcohol by the participant.
How often do you have a drink containing alcohol?
Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never;
Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never;
Alphanumeric
Choose one. History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/
Adult;Pediatric
Supplemental
3.0
7/18/2013
ALCHL_USE_FRQ
Risk Factors
General Health History
Participant History and Family History
Alcohol use frequency
 
Single Pre-Defined Value Selected
     
3171627
 
C00704
Alcohol drinking day average drinks consumed range
AlcDrinkingDayAvgDrinks
The counted number of drinks containing alcohol consumed by the participant/subject on a typical day when he/she is drinking. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol.
How many alcoholic drinks do you have on a typical day when you are drinking
1 or 2;3 or 4;5 or 6;7, 8, or 9;10 or more;Unknown;
1 or 2;3 or 4;5 or 6;7, 8, or 9;10 or more;Unknown;
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/18/2013
ALCHL_USE_COUNT_DY
Risk Factors
General Health History
Participant History and Family History
Alcohol drinking day average drinks consumed range
 
Single Pre-Defined Value Selected
     
3171647
 
C00707
Alcohol consume six or more drinks frequency
AlcConsume6MoreDrinkFreq
The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol.
How often do you have six or more drinks on one occasion?
Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown;
Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown;
Alphanumeric
History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/18/2013
ALCHL_FIVE_MOR_FRQ
Risk Factors
General Health History
Participant History and Family History
Alcohol consume six or more drinks frequency
 
Single Pre-Defined Value Selected
     
3171659
 
C00708
Alcohol use related to hospitalization indicator
AlcUseRelatedHospInd
Indicator of whether the participant/subject has been hospitalized for an alcohol-related problem (i.e., esophageal varices, delirium tremens (DTs), cirrhosis and others)
Have you ever been hospitalized for an alcohol-related problem
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. History can be obtained from participant/ subject, family member, friend, or chart/ medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/18/2013
ALCHL_HIST_HOSP_YNU
Risk Factors
General Health History
Participant History and Family History
Alcohol use related to hospitalization indicator
 
Single Pre-Defined Value Selected
     
3171677
 
07-15-2019
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