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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: History of Disease/Injury Event
CRF: Aneurysm History
Item count: 29 (29 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
C52538
History subarachnoid hemorrhage indicator
HisSAHInd
Indicator for whether the participant/subject has a history of subarachnoid hemorrhage
Do you have a history of subarachnoid hemorrhage (SAH)
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52539
Family history subarachnoid hemorrhage indicator
FamHisSAHInd
Indicator for whether the participant/subject has a family history of subarachnoid hemorrhage
Do you have a family history of SAH?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52540
Family history subarachnoid hemorrhage indeterminate indicator
FamHisSAHIndeterInd
Indicator for whether the family history for subarachnoid hemorrhage is indeterminate
Is your family history of SAH indeterminate?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52541
Subarachnoid hemorrhage associated disorders indicator
SAHAssocDisorderInd
Indicator for whether the partici[ant/subject has associated disorders with SAH
Do you have associated disorders with SAH?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52542
Family history brain aneurysm indicator
FamHistBrainAneurInd
Indicator for whether the participant/subject has a family history of brain aneurysms
Do you have a family history of brain aneurysms?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52543
Brain aneurysm unruptured indicator
BrainAneurUnruptInd
Indicator for whether the participant/subject has an unruptured brain aneurysm
Do you have an unruptured brain aneurysm?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52544
Brain aneurysm unruptured number
BrainAneurUnruptNum
Number of unruptured brain aneurysms the participant/usbject has
Number of unruptured brain aneurysm(s)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C52545
Brain aneurysm unruptured anatomic site
BrainAneurUnrupAnatSite
Location of unruptured brain aneurysm(s)
Location of unruptured brain aneurysm(s)
A-comm;Left ACA;Right ACA;Left MCA;Right MCA;Left PCA;Right PCA;Left vertebral artery;Right vertebral artery;Left intradural internal cerebral artery;Right intradural internal cerebral artery;Basilar artery;Other, specify;
A-comm;Left ACA;Right ACA;Left MCA;Right MCA;Left PCA;Right PCA;Left vertebral artery;Right vertebral artery;Left intradural internal cerebral artery;Right intradural internal cerebral artery;Basilar artery;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C52546
Brain aneurysm anatomic site other text
BrainAneurUnrupAnatSiteOTH
Free-text field to specify location of unruptured brain aneurysm(s)
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C52547
Brain aneurysm unruptured measurement
BrainAneurUnrupMeas
The size (diameter in mm) of the unruptured brain aneurysm(s)
Size of unruptured brain aneurysm(s)
  
Numeric Values
Diameter in mm
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C52548
Brain aneurysm unruptured days since count
BrainAneurUnrupDaysSinceCt
The number of days since having the unruptured brain aneurysm(s)
Number of days since having an unruptured brain aneurysm
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C52549
Hypertensive episode indicator
HypertenEpisodeInd
Indicator for whether the participant/subject has experienced a hypertensive episode
Have you experienced a hypertensive episode?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/18/2015
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C52551
Birth control use type
BirthControlTyp
Describes whether the participant/subject currently or previously uses birth control
Birth control use
Current user;Former user;Never used;Unknown;
Current user;Former user;Never used;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
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
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Supplemental
3.0
7/18/2013
AGE_BEG_SMK_YR
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Supplemental
3.0
7/18/2013
AGE_DX_SMK_YR
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
 
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
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
3.0
7/18/2013
SCI CDEs: NOCIGRTS
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
Tobacco cigarettes smoked daily average count
 
Single Pre-Defined Value Selected
     
3170853
 
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
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
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
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
3.0
7/18/2013
ALCHL_USE_COUNT_DY
Aneurysm History
History of Disease/Injury Event
Disease/Injury Related Events
Alcohol drinking day average drinks consumed range
 
Single Pre-Defined Value Selected
     
3171647
 
07-20-2019
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