CDE Detailed Report
Subdomain Name: History of Disease/Injury Event
CRF: Medical History of Parkinson's Disease
Displaying 1 - 11 of 11
CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
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C08007 | Diagnosis first given date and time | DiagnosFirstGivnDateTime | Date (and time if applicable and known) the participant/subject was initially diagnosed with the disease or disorder | Date (and time if applicable and known) the participant/subject was initially diagnosed with the disease or disorder | Month/Year of Initial Diagnosis | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult | Core | 3.00 | 2013-07-24 11:38:01.2 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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C08008 | Diagnostic feature criterion type | DiagnosFeatureCriterionTyp | Type of diagnostic feature or criterion assessed in the participant/subject. | Type of diagnostic feature or criterion assessed in the participant/subject. | Diagnostic Features/Criteria (as evident on clinical assessment of the patient) | 4-6 Hz Rest Tremor;Bradykinesia;Rigidity;Asymmetric Onset;Substantial Response to Dopaminergic Therapy | 4-6 Hz Rest Tremor;Bradykinesia;Rigidity;Asymmetric Onset;Substantial Response to Dopaminergic Therapy | Alphanumeric |
For each PD diagnostic feature or criterion, indicate whether it is Present/ Absent/ Unknown |
No references available | Adult | Core | 3.10 | 2022-06-01 10:47:00.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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C08009 | Diagnostic feature criterion presence status | DiagnosFtrCriterionPresnceStat | Status of diagnostic feature or criterion observed during clinical assessment of the participant/subject | Indicator of whether the diagnostic feature or criterion is observed during clinical assessment of the participant/subject | Diagnostic Features/Criteria (as evident on clinical assessment of the patient) | Present;Absent;Unknown | Present;Absent;Unknown | Alphanumeric |
Should be answered for each PD diagnostic feature or criterion |
No references available | Adult | Core | 5.00 | 2022-06-01 10:51:40.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C08012 | Motor symptom Parkinsonian initial type | MtSxPDIntlTyp | Type(s) of initial motor symptoms of Parkinson's disease described by the participant/subject. | Type(s) of initial motor symptoms of Parkinson's disease described by the participant/subject. | Initial motor symptoms, i.e., as described by the patient (please check all that apply) | Tremor;Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia (specify symptoms);Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance;Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify) | Tremor (including internal tremor);Stiffness;Change in facial expression;Disturbances of dexterity;Micrographia;Weakness;Dystonia (specify symptoms);Ambulatory/Axial Difficulties-Freezing;Ambulatory/Axial Difficulties-Lack of arm swing;Ambulatory/Axial Difficulties-Leg dragging;Ambulatory/Axial Difficulties-Shuffling of gait;Ambulatory/Axial Difficulties-Postural imbalance (excluding falls);Ambulatory/Axial Difficulties-Falls;Ambulatory/Axial Difficulties-Slowness of gait;Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify) | Alphanumeric |
Choose all that apply |
No references available | Adult | Core | 4.00 | 2022-06-01 11:07:29.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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C08013 | Dystonia symptom text | DystoniaSymptomTxt | The free-text field to specify symptoms experienced by the participant/subject related to dystonia | The free-text field to specify symptoms experienced by the participant/subject related to dystoni | Dystonia (specify symptoms) | Alphanumeric |
No instructions available |
No references available | Adult | Supplemental | 3.10 | 2022-06-01 11:09:50.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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C19529 | Motor symptom parkinsonian initial type ambulatory axial difficulty abnormal posture gait other text | MtSxPDIntlTypAmbAxDfAbPstGtOTH | The free-text field related to 'Motor symptom parkinsonian initial type', specifying ambulatory/axial difficulties-other abnormality of posture or gait other text. Type(s) of initial motor symptoms of Parkinson's disease described by the participant/subject. | The free-text field related to 'Motor symptom parkinsonian initial type', specifying ambulatory/axial difficulties-other abnormality of posture or gait other tex | Ambulatory/Axial Difficulties-Other abnormality of posture or gait (other, specify) | Alphanumeric |
Choose all that apply |
No references available | Adult | Supplemental | 4.10 | 2022-06-01 11:03:13.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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C59020 | Diagnosis certainty category | DiagnosCertaintyCat | Category of the clinician's certainty of the medical diagnosis of the disease or disorder | Category of the clinician's certainty of the medical diagnosis of the disease or disorde | Degree of Certainty of Diagnosis of PD | Clinically established;Clinically probable | Clinically established;Clinically probable | Alphanumeric |
No instructions available |
Postuma RB, Berg D, Stern M, Poewe W, Olanow CW, Oertel W, Obeso J, Marek K, Litvan I, Lang AE, Halliday G, Goetz CG, Gasser T, Dubois B, Chan P, Bloem BR, Adler CH, Deuschl G. MDS clinical diagnostic criteria for Parkinson's disease. Mov Disord. 2015 Oct;30(12):1591-601. | Adult | Core | 1.00 | 2022-06-01 11:17:48.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C00023 | Hand preference type | HandPrefTyp | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel | Dominant hand | Left hand;Right hand;Both hands | Left hand;Right hand;Both hands | Alphanumeric |
Choose one - the hand which the participant/subject uses predominantly, not necessarily the hand the participant/subject writes with exclusively |
No references available | Adult | Core | 3.00 | 2013-07-25 08:54:08.2 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
2180147 | |||||||
C00314 | Medical history taken date and time | MedclHistTakenDateTime | Date (and time, if applicable and known) the participant's medical history was taken | Date (and time, if applicable and known) the participant 's medical history was taken | Date Medical History Taken | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult | Core | 3.20 | 2024-02-29 15:42:39.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
2179659 | |||||||||
C02411 | Laterality type | LatTyp | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Side of Body of Initial Symptoms | Bilateral;Left;Right;Unknown;Midline | Bilateral;Left;Right;Unknown;Midline | Alphanumeric |
Choose one |
No references available | Adult | Core | 3.00 | 2013-08-28 16:08:00.453 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C08006 | Symptoms first appear date and time | SymptmFirstAppearDateTime | Date (and time if applicable and known) the symptoms for the disease or disorder first appeared as confirmed by the participant's/subject's medical history obtained by a physician | Date (and time if applicable and known) the symptoms for the disease or disorder first appeared as confirmed by the participant's/subject's medical history obtained by a physician | Month/Year of first symptoms as confirmed by history obtained by the physician | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult | Core | 3.10 | 2022-06-01 10:41:43.0 | Medical History of Parkinson's Disease | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |