CDE Detailed Report | NINDS Common Data Elements

Disease: Neuromuscular Diseases
Subdomain Name: General Health History
CRF: Medical 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 / Guidance)	Subdomain Name	Domain Name	Size	Input Restrictions	External Id caDSR
C00313	Medical history condition SNOMED CT code	MedclHistCondSNOMEDCTCode	Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject	Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject	SNOMED CT code			Alphanumeric	Code each of the medical history conditions using SNOMED CT	SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html)	Adult;Pediatric	Core	3.00	2013-07-25 08:54:08.2	Medical History	General Health History	Participant History and Family History	255	Free-Form Entry
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;Pediatric	Supplemental	3.20	2024-02-29 15:42:39.0	Medical History	General Health History	Participant History and Family History		Free-Form Entry	2179659
C00315	Medical history global assessment indicator	MedclHistGlobalAssmtInd	Indicator of whether the participant has a history of any medical problems/conditions	Indicator of whether the participant has a history of any medical problems/conditions	Does the participant/subject have a history of any medical problems/conditions in the following body systems?	Yes;No	Yes;No	Alphanumeric	If No, leave rest of form blank.	No references available	Adult;Pediatric	Supplemental	3.10	2024-02-29 15:42:39.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected	3145578
C00316	Medical history condition end date and time	MedclHistCondEndDateTime	Date (and time, if applicable and known) for the end of an event in the participant's medical history	Date (and time, if applicable and known) for the end of an event in the participant's medical history	End Date			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;Pediatric	Supplemental	3.10	2024-02-29 15:42:44.0	Medical History	General Health History	Participant History and Family History		Free-Form Entry	3145557
C00317	Medical history condition start date and time	MedclHistCondStrtDateTime	Date (and time, if applicable and known) for the start of an event in the participant's medical history	Date (and time, if applicable and known) for the start of an event in the participant's medical history	Start Date			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;Pediatric	Supplemental	3.10	2024-02-29 15:42:43.0	Medical History	General Health History	Participant History and Family History		Free-Form Entry	2543596
C00319	Medical history condition ongoing indicator	MedclHistCondOngoingInd	Indicator of whether a medical condition/disease experienced by the participant is ongoing	Indicator of whether a medical condition/disease experienced by the participant is ongoing	Ongoing?	Yes;No	Yes;No	Alphanumeric	Check Yes or No to indicate if the medical condition/disease is still present.	No references available	Adult;Pediatric	Supplemental	4.00	2024-02-29 15:42:44.0	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected	2736881
C00322	Medical history condition text	MedclHistCondTxt	Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history	Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history	Medical History Term			Alphanumeric	Record one medical history term per line. See the data dictionary for additional information on coding the condition using SNOMED CT.	SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html)	Adult;Pediatric	Core	3.00	2013-07-25 08:54:08.2	Medical History	General Health History	Participant History and Family History	4000	Free-Form Entry	2003874
C18666	Body system category other text	BodySysCatOTH	The free-text field related to 'Body system category', specifying other text. Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured	The free-text field related to 'Body system category', specifying other text. Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured	Other, specify			Alphanumeric	Record the appropriate body system for each line of medical history.	Review of Symptoms from Centers for Medicare and Medicaid Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf	Adult;Pediatric	Supplemental	1.10	2023-11-07 08:40:35.0	Medical History	General Health History	Participant History and Family History	4000	Free-Form Entry	2002895
C00312	Body system category	BodySysCat	Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems	Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body system	Body System	Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Genitourinary;Hematologic/Lymphatic;Integumentary (skin and/or breast);Musculoskeletal;Neurological;Psychiatric;Respiratory	Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Genitourinary;Hematologic/Lymphatic;Integumentary (skin and/or breast);Musculoskeletal;Neurological;Psychiatric;Respiratory	Alphanumeric	Record the appropriate body system for each line of medical history.	Review of Symptoms from Centers for Medicare and Medicaid Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf	Adult;Pediatric	Supplemental	3.00	2013-07-25 08:54:08.2	Medical History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected	2002895