CDE Detailed Report
Disease: Parkinson's Disease
Sub-Domain: General Health History
CRF: Family History
Displaying 1 - 9 of 9
Sub-Domain: General Health History
CRF: Family History
Displaying 1 - 9 of 9
| 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 / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C08002 | Family history relative type biological sample identifier number | FamHistReltvTypBioSampIDNum | Identification (ID) number assigned to family member's biological sample in repository | Identification (ID) number assigned to family member's biological sample in repository | Yes, subject ID | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | Family History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C08003 | Family relative type parkinson's disease parkinsonism member number | FamReltvTypPDParksnsmMembrNum | Number of family members with Parkinson's disease (PD) or Parkinsonism for the relative type | Number of family members with Parkinson's disease (PD) or Parkinsonism for the relative type | Number with PD or Parkinsonism | Numeric Values | No references available | Adult | Core | 3.00 | 2013-07-22 09:34:41.527 | Family History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C08004 | Relative type other neurological disorder member number | ReltvTypOthrNeuroDisordrMemNum | Number of family members with neurological disorders for the relative type | Number of family members with neurological disorders for the relative type | Number with other Neurological Disorder | Numeric Values | No references available | Adult | Core | 3.00 | 2013-07-22 09:34:41.527 | Family History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C08005 | Relative type parkinson's disease parkinsonism other neurological disorder member number | RltvTypPDPrksmOtrNroDsdrMemNum | Number of family members with Parkinson's disease (PD) or Parkinsonism and other neurological disorder(s) for the relative type | Number of family members with Parkinson's disease (PD) or Parkinsonism and other neurological disorder(s) for the relative type | Number with PD/Parkinsonism and Other Neurological Disorder | Numeric Values | No references available | Adult | Core | 3.00 | 2013-07-22 09:34:41.527 | Family History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C17405 | Family history relative type neurological disorder not Parkinsonian number | FamHiRelTypNeurDisNotPNum | Number of family members and ancestors, for the specified relative type, with a neurological disorder(s) other than Parkinson's Disease | Number of family members and ancestors, for the specified relative type, with a neurological disorder(s) other than Parkinson's Disease | Numeric Values | No references available | Adult | Core | 3.00 | 2013-07-22 09:34:41.527 | Family History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C18679 | Family history medical condition relative other text | FamHistMedclCondReltvOTH | The free-text field related to 'Family history medical condition relative type' specifying other text. Relationship of the family member or ancestor with the medical condition or health related event to the participant/subject | The free-text field related to 'Family history medical condition relative type' specifying other text. Relationship of the family member or ancestor with the medical condition or health related event to the participant/subject | Other, specify | Alphanumeric | No references available | Adult;Pediatric | Core | 1.00 | 2014-05-27 13:34:46.0 | Family History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
3165810 | |||||||||
| C00722 | Family history medical condition relative type | FamHistMedclCondReltvTy | Relationship of the family member or ancestor with the medical condition or health related event to the participant/subject | Relationship of the family member or ancestor with the medical condition or health related event to the participant/subject | Relative | Mother;Father;Full sibling;Half sibling;Child;Maternal grandmother;Paternal grandmother;Maternal grandfather;Paternal grandfather;Maternal aunt;Paternal aunt;Maternal uncle;Paternal uncle;Maternal niece/nephew;Paternal niece/nephew;Grandchild;Other, specify;Maternal cousin;Paternal cousin;Great-grandchild | Mother;Father;Full sibling;Half sibling;Child;Maternal grandmother;Paternal grandmother;Maternal grandfather;Paternal grandfather;Maternal aunt;Paternal aunt;Maternal uncle;Paternal uncle;Maternal niece/nephew;Paternal niece/nephew;Grandchild;Other, specify;Maternal cousin;Paternal cousin;Great-grandchild | Alphanumeric | No references available | Adult;Pediatric | Core | 3.00 | 2013-07-24 11:38:01.2 | Family History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
3165810 | ||||||||
| C08000 | Family history relative type total member number | FmlyHistRelTypeTotalMembrNum | Number of total family relatives with a specific type of prior medical history. | Number of total family relatives with a specific type of prior medical history. | Number of Family Members | Numeric Values | No references available | Adult | Core | 3.00 | 2013-07-22 16:57:17.79 | Family History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 100 | |||||||||
| C08001 | Family history relative type biological sample in repository indicator | FmlyHistRelTypBioSampleRepInd | Indicator of whether the participant's/subject's family member has donated biological sample(s) to a repository | Indicator of whether the participant's/subject's family member has donated biological sample(s) to a repository | Samples in Repository for Family Member(s) | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | Family History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
