CDE Detailed Report
Disease: Spinal Muscular Atrophy
Subdomain Name: History of Disease/Injury Event
CRF: Medical History of SMA - SMA
Displaying 1 - 9 of 9
Subdomain Name: History of Disease/Injury Event
CRF: Medical History of SMA - SMA
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 | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C12635 | Spinal muscular atrophy symptom joint type anatomic site | SMASymptmJntTypAntmicSite | Anatomic site of the selected type of joint-related spinal muscular atrophy (SMA) symptom or sign exhibited by the participant/subject | Anatomic site of the selected type of joint-related spinal muscular atrophy (SMA) symptom or sign exhibited by the participant/subject | If Yes, indicate location | Elbows;Wrists;Fingers;Hips;Knees;Ankles;Toes | Elbows;Wrists;Fingers;Hips;Knees;Ankles;Toes | Alphanumeric |
Answer for' Joint contractures', 'Joint Hyperlaxity', and 'Joint dislocation' |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C12636 | Spinal muscular atrophy symptom hip dislocate side indicator | SMASymptmHipDislocSideInd | Indicator of the side of the body on which the participant/subject has a dislocated hip | Indicator of the side of the body on which the participant/subject has a dislocated hip | If Hip dislocation | Right;Left;Bilateral | Right;Left;Bilateral (both sides) | Alphanumeric |
Only answered if "Hips" was answered for "Joint dislocation" |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C12637 | Spinal muscular atrophy symptom club foot side indicator | SMASymptmClubFootSideInd | Indicator of the side of the body on which the participant/subject has a club foot | Indicator of the side of the body on which the participant/subject has a club foot | If yes, indicate location | Right;Left;Bilateral | Right;Left;Bilateral (both feet) | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| 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 of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
2179659 | |||||||||
| C10500 | Symptom onset age value | SymptomOnsetAgeVal | Age when symptoms first experienced | Age when symptoms first experienced | If yes, indicate age when first noticed | Numeric Values |
Answer should be recorded in years. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. Answered for all joint conditions and signs, except for Club Foot. If age is unknown, record as Age Unknown for Weakness, Breathing problems, Failure to thrive, Feeding/ swallowing problems, Constipation, Spine abnormality, Eye abnormality, Cognitive abnormality, and Speech delay |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C12618 | Age first suspected something different range | Age1stSuspectDifferentRng | Age range of participant/subject when it was first suspected that something might be "different" | Range of participant/subject's age at which it was first suspected that something might be different with her or him | At what age was it first suspected that something might be different? | Fetal;At birth;1-2 months;3-6 months;7-12 months;13-24 months;25-36 months;37 months - 10 years;11 - 20 years;21-30 years | Fetal;At birth;1-2 months;3-6 months;7-12 months;13-24 months;25-36 months;37 months - 10 years;11 - 20 years;21-30 years | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C12632 | Spinal muscular atrophy symptom type | SMASymptmTyp | Type of all spinal muscular atrophy (SMA) symptoms or signs exhibited by the participant/subject | Type of all spinal muscular atrophy (SMA) symptoms or signs exhibited by the participant/subject | Signs and Symptoms | Abnormal position of hands/feet;Joint contractures;Joint hyperlaxity;Joint dislocation;Club foot;Weakness;Breathing problems;Failure to Thrive;Feeding/swallowing problems;Constipation;Spine abnormality;Eye abnormality;Cognitive abnormality;Speech delay | Abnormal position of hands/feet;Joint contractures;Joint hyperlaxity;Joint dislocation;Club foot;Weakness;Breathing problems;Failure to Thrive;Feeding/swallowing problems;Constipation;Spine abnormality;Eye abnormality;Cognitive abnormality;Speech delay | Alphanumeric |
Record whether the participant/subject exhibited each sign |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C12633 | Spinal muscular atrophy symptom indicator | SMASymptmInd | Indicator whether the participant/subject exhibits the selected spinal muscular atrophy (SMA) symptom or sign | Indicator whether the participant/subject exhibits the selected spinal muscular atrophy (SMA) symptom or sign | NULL | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Answer for each first sign of SMA |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C12634 | Spinal muscular atrophy symptom joint type | SMASymptmJntTyp | Type of joint-related spinal muscular atrophy (SMA) symptom or sign exhibited by the participant/subject | Type of joint-related spinal muscular atrophy (SMA) symptom or sign exhibited by the participant/subject | NULL | Joint contractures;Joint hyperlaxity;Joint dislocation | Joint contractures;Joint hyperlaxity;Joint dislocation | Alphanumeric |
For each joint condition that affects the participant/subject record the anatomic site and laterality |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Medical History of SMA - SMA | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
