CDE Detailed Report

Disease: content
Sub-Domain: General Health History
CRF: welcome

Displaying 1 - 9 of 9
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
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

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

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

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

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

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

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
CSV