CDE Detailed Report
Disease: Stroke
Subdomain Name: General Health History
CRF: Medical History
Displaying 1 - 50 of 70
Subdomain Name: General Health History
CRF: Medical History
Displaying 1 - 50 of 70
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59009 | Pregnancy current status | PregCurntStatus | Status of the participant/subject's pregnancy currently | Status of the participant/subject's pregnancy currentl | IF YES, specify current state | Pre-partum 1st trimester;Pre-partum 2nd trimester;Pre-partum 3rd trimester;Active labor | Conception- 3 months;4-6 months;7-9 months;Active labor | Alphanumeric |
Answer only if female participant/subject is pregnant. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2021-08-18 08:57:33.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C59010 | Postpartum period current status | PstpartmPeriodCurntStatus | Status of the participant/subject in the postpartum period currently | Status of the participant/subject in the postpartum period currentl | IF YES, specify current state | Postpartum > 1 week;Postpartum first 24 hrs;Postpartum first week | Postpartum > 1 week;Postpartum first 24 hrs;Postpartum first week | Alphanumeric |
Answer only if female participant/subject is in postpartum state. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2021-08-18 09:07:46.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58930 | Hypertension treatment type | HypertensionTreatmentTyp | Type of treatment the participant/subject is receiving or has received for hypertension | Type of treatment the participant/subject is receiving or has received for hypertension | Treatment for hypertension | Lifestyle modification only;Oral medication;None;Unknown | Lifestyle modification only;Oral medication;None;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2020-07-14 15:20:32.0 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C52598 | Medical history ischemic stroke recency rate | MedHistIschemicStrokeRecenRt | The element related to the recency of ischemic strokes the participant/subject has had | The element related to the recency of ischemic strokes the participant/subject has had | Most recent ischemic stroke | < 3 mos ago;>= 3 mos ago;Unknown | < 3 mos ago;>= 3 mos ago;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 13:49:14.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52620 | Medical history atrial fibrillation other cause text | MedHistAtrlFibOthCauseTxt | The free-text field related to other cause of atrial fibrillation | The free-text field related to other cause of atrial fibrillation | If YES, specify other cause | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 08:23:58.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C52701 | Bleeding disorder type text | BleedDisorderTypeTxt | Free-text field related to the type of bleeding disorder | Free-text field related to the type of bleeding disorder | If YES, specify type | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C17475 | Cardiovascular history cardiac surgery type | CardioHistCardSurgTyp | Type of cardiac surgery or mechanical intervention the participant/subject underwent | Type of cardiac surgery or mechanical intervention the participant/subject underwent | Indicate type(s) | Coronary artery bypass graft;Cardiac valve surgery, including non-open surgery;Pacemaker;Implantable cardiac defibrillator;Other, specify | Coronary artery bypass graft (CABG);Cardiac valve surgery, including non-open surgery (i.e. percutaneous valvuloplasty);Pacemaker;Implantable cardiac defibrillator;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58931 | Menopause treatment type | MenopauseTreatmtTyp | Type of treatment the participant/subject is receiving or has received for menopause | Type of treatment the participant/subject is receiving or has received for menopause | Treatment for menopause | Hormone therapy;Other, specify;Unknown | Hormone therapy;Other, specify;Unknown | Alphanumeric |
No instructions available |
No references available | Adult | Exploratory | 1.00 | 2020-07-14 15:24:25.0 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C52599 | Medical history hemorrhagic stroke type | MedHistHemorrStrokeTyp | The element related to the type of hemorrhagic stroke the participant/subject has had | The element related to the type of hemorrhagic stroke the participant/subject has had | If YES, indicate type(s) | Intracerebral hemorrhage (ICH);Subarachnoid hemorrhage (SAH);Hemorrhage unspecified;Unknown | Intracerebral hemorrhage (ICH);Subarachnoid hemorrhage (SAH);Hemorrhage unspecified;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:10:41.0 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C06246 | Medical history condition type | MedHistCondTyp | Type of pre-specified medical condition/disease asked about when collecting the medical history from the participant or found documented in the medical record | Type of pre-specified medical condition/disease asked about when collecting the medical history from the participant/subject or found documented in the medical record | Has a doctor or other medical professional ever told you that you have or have had the following? | Other cardiac disorders, specify;Hypertension;Orthostatic hypotension;Myocardial infarction;Stroke;Other, specify:;Hemorrhagic stroke;Unruptured aneurysm;Dural sinus thrombosis/cerebral venous thrombosis;Ischemic Stroke;Transient Ischemic Attack (TIA);Arteriovenous malformation;Cavernous malformation;Transient monocular blindness;Migraines;Carotid stenosis;Carotid endarterectomy;Carotid artery stenting;Seizure episode;Meningitis;Dementia;Depressive disorder diagnosis;Current clinical anxiety;Atrial fibrillation/flutter;Coronary artery disease;Diabetes mellitus;Cancer;Bleeding disorder;Sleep apnea;Hemorrhoids;Moyamoya Syndrome;Neurofibromatosis type 1 (NF1);Inborn errors of metabolism;Mitochondrial disease;Hereditary hemorrhagic telangiectasia (HHT);Ehlers-Danlos Syndrome Type IV;Marfan Syndrome;Fibromuscular dysplasia;Central nervous system infection;Head trauma;Neck trauma;Rheumatic heart disease;Angina;Valvular heart disease;Coronary stent or PTCA;Congestive heart failure;Congenital heart disease;Cardiac catheterization;Peripheral arterial disease;Hypertriglyceridemia;Infection within two weeks;Sickle cell anemia;Hypercoagulable disorder;Lupus;Other connective tissue disease;Renal (kidney) failure;Nephrotic syndrome;Chronic liver failure;Iron deficiency/anemia;Inflammatory bowel disease;Down Syndrome;Sturge-Weber Syndrome;Coarctation of the aorta;Alpha 1-antitrypsin deficiency;Pheochromocytoma;Anxiety/panic disorder diagnosis;Aortic aneurysm;Artificial valve;Cardiac surgery;Epilepsy/Seizure disorder;Current clinical depression;High blood cholesterol/ Hypercholesterolemia;Indwelling catheter;Periodontal disease;Psychotic disorder | Other cardiac disorders, specify;Hypertension;Orthostatic hypotension;Myocardial infarction;Stroke;Other, specify:;Hemorrhagic stroke;Unruptured aneurysm;Dural sinus thrombosis/cerebral venous thrombosis;Ischemic Stroke;Transient Ischemic Attack (TIA);Arteriovenous malformation (AVM);Cavernous malformation;Transient monocular blindness;Migraines;Carotid stenosis;Carotid endarterectomy (CEA);Carotid artery stenting (CAS);Seizure episode;Meningitis;Dementia;Depressive disorder diagnosis;Current clinical anxiety;Atrial fibrillation/flutter;Coronary artery disease;Diabetes mellitus;Cancer;Bleeding disorder;Sleep apnea;Hemorrhoids;Moyamoya Syndrome;Neurofibromatosis type 1 (NF1);Inborn errors of metabolism;Mitochondrial disease;Hereditary hemorrhagic telangiectasia (HHT);Ehlers-Danlos Syndrome Type IV;Marfan Syndrome;Fibromuscular dysplasia;Central nervous system infection;Head trauma;Neck trauma;Rheumatic heart disease;Angina;Valvular heart disease;Coronary stent or PTCA;Congestive heart failure;Congenital heart disease;Cardiac catheterization;Peripheral arterial disease;Hypertriglyceridemia;Infection within two weeks;Sickle cell anemia;Hypercoagulable disorder;Lupus;Other connective tissue disease;Renal (kidney) failure;Nephrotic syndrome;Chronic liver failure;Iron deficiency/anemia;Inflammatory bowel disease;Down Syndrome;Sturge-Weber Syndrome;Coarctation of the aorta;Alpha 1-antitrypsin deficiency;Pheochromocytoma;Anxiety/panic disorder diagnosis;Aortic aneurysm;Artificial valve;Cardiac surgery;Epilepsy/Seizure disorder;Current clinical depression;High blood cholesterol/ Hypercholesterolemia;Indwelling catheter;Periodontal disease;Psychotic disorder | Alphanumeric |
This CDE should be collected along with the "Medical history condition diagnosis indicator". The medical history condition types are classified as follows: Supplemental - Highly Recommended: Stroke; Ischemic stroke; Hemorrhagic stroke Supplemental: Transient ischemic attack (TIA); Transient monocular blindness; Unruptured aneurysm; Dural sinus thrombosis/cerebral venous thrombosis; Arteriovenous malformation (AVM); Cavernous malformation; Migraine(s); Carotid stenosis; Carotid endarterectomy; Carotid artery stenting; Seizure episode; Epilepsy/Seizure disorder; Central nervous system infection; Meningitis; Dementia; Current clinical depression; Depressive disorder diagnosis; Current clinical anxiety; Anxiety/panic disorder diagnosis; Psychotic disorder; Head trauma; Neck trauma; Atrial fibrillation (AF)/flutter; Rheumatic heart disease; Coronary artery disease; Myocardial infarction; Angina; Valvular heart disease; Cardiac surgery; Artificial valve; Coronary stent or PTCA; Congestive heart failure; Congenital heart disease; Cardiac catheterization; Other cardiac disorders, specify; Peripheral arterial disease; Aortic aneurysm; Hypertension; Orthostatic hypotension; Diabetes melllitus; High blood cholesterol/ Hypercholesterolemia; Hypertriglyceridemia; Cancer; Sickle cell anemia; Hypercoagulable disorder; Bleeding disorder; Lupus; Other connective tissue disease; Sleep apnea; Renal (kidney) failure; Nephrotic syndrome; Indwelling catheter; Chronic liver failure; Iron deficiency/Anemia; Inflammatory bowel disease; Hemorrhoids; Moyamoya Syndrome; Down syndrome; Neurofibromatosis type I (NFI); Sturge-Weber syndrome; Inborn error metabolism; Mitochondrial disease; Hereditary hemorrhagic telangiectasia; Ehlers-Danlos Syndrome Type IV; Marfan syndrome; Fibromuscular dysplasia; Coarctation of the aorta; Alpha1-antitrypsin deficiency; Pheochromocytoma; Other, specify Exploratory: Infection within two weeks; Periodontal disease |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-02-29 15:42:40.0 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C52621 | Medical history artificial valve type | MedHistArtificialVlvTyp | The element related to the type of artificial valve | The element related to the type of artificial valve | If YES, indicate type | Biological/tissue valve;Mechanical/non-tissue valve;Valvuloplast;Unknown type of valve | Biological/tissue valve;Mechanical/non-tissue valve;Valvuloplast;Unknown type of valve | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2017-01-27 08:34:45.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52702 | Connective tissue disease other type text | ConnTissDisTypTxt | The free-text field related to other type of connective tissue disease | The free-text field related to other type of connective tissue disease | If YES, specify type | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2016-10-19 12:03:19.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C17480 | Diabetes mellitus complications type | EndocrineHistDiabMellCompliTyp | Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Complications of diabetes | Nephropathy;Neuropathy;Retinopathy;Other, specify;None | Nephropathy;Neuropathy;Retinopathy;Other, specify;None | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58932 | Menopause treatment type other text | MenopauseTreatmtOTH | The free-text field related to 'Menopause treatment type', specifying other text | The free-text field related to 'Menopause treatment type', specifying other tex | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult | Exploratory | 1.00 | 2020-07-14 15:29:14.0 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C52600 | Medical history transient ischemic attack range | MedHistTIARng | The element related to the number of transient ischemic attacks (TIAs) the participant/subject has had | The element related to the number of transient ischemic attacks (TIAs) the participant/subject has had | Number of TIAs | 1;2-10;> 10;Unknown | 1;2-10;> 10;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:29:36.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10539 | Diabetes first diagnosis age value | DiabetFrstDiagnosisAgeVal | Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus | Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus | Age diabetes first diagnosed | Numeric Values |
years |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:41:16.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C52622 | Medical history cardiac catheterization recency rate | MedHistCardCathRecenRt | The element related to the recency of cardiac catheterization the participant/subject has had | The element related to the recency of cardiac catheterization the participant/subject has had | If YES, indicate recency | <= 2 weeks;> 2 weeks ago;Unknown;30 days or more | <= 2 weeks;> 2 weeks ago;Unknown;30 days or more | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2017-01-26 13:49:14.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52703 | Sleep apnea type text | SleepApneaTypTxt | The free-text field related to the type of sleep apnea | The free-text field related to the type of sleep apnea | If YES, specify type | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C17488 | Psychiatric history psychotic diagnosis type | PsychHistPsychoticDiagnosTyp | Type of psychotic disorder the participant/subject has been diagnosed with, if any | Type of psychotic disorder the participant/subject has been diagnosed with, if any | If YES, indicate type(s) | Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;Other, specify;Psychotic disorder, not otherwise specified;Unknown | Schizophrenia;Bipolar disorder;Depression with psychotic features;Dementia with psychotic ideation;Other, specify;Psychotic disorder, not otherwise specified;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58933 | Acquired heart disease indicator | AcquiredHeartDiseaseInd | The indicator related to whether the participant/subject has acquired heart disease | The indicator related to whether the participant/subject has acquired heart disease | Acquired heart disease | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Pediatric | Supplemental | 1.00 | 2020-07-14 15:32:05.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52601 | Medical history transient ischemic attack recency rate | MedHistTIARecenRt | The element related to the recency of transient ischemic attacks (TIAs) the participant/subject has had | The element related to the recency of transient ischemic attacks (TIAs) the participant/subject has had | Most recent TIA | < 24 hours ago;24h - 7d ago;7d - 3 mos ago;> 3 mos ago;Unknown | < 24 hours ago;24h - 7d ago;7d - 3 mos ago;> 3 mos ago;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:29:36.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10541 | Diabetes treatment type | DiabetTreatTyp | Type of treatment the participant/subject is receiving or has received for diabetes mellitus | Type of treatment the participant/subject is receiving or has received for diabetes mellitus | Treatment for diabetes | Diet;Oral medication;Insulin;None;Unknown | Diet;Oral medication;Insulin;None;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C52623 | Aortic thoracic aneurysm specify text | AorticThorAneurSpTxt | The free-text field related to the type of aortic or thoracic aneurysm | The free-text field related to the type of aortic or thoracic aneurysm | If YES, specify type | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 13:49:14.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C52706 | Mitochondrial encephalomyopathy lactic acidosis stroke like episodes indicator | MELASInd | The indicator related to whether the participant/subject has or had mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) | The indicator related to whether the participant/subject has or had mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) | If YES, do you have/have you had mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes - MELAS |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-24 11:38:01.2 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C18793 | Medical history condition other text | MedHistCondOTH | The free-text field related to 'Medical history condition type', specifying other text. Pre-specified medical condition/disease asked about when collecting the medical history from the participant or found documented in the medical record | The free-text field related to 'Medical history condition type', specifying other text. Pre-specified medical condition/disease asked about when collecting the medical history from the participant or found documented in the medical record | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:42:42.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58934 | Chickenpox past twelve month indicator | ChickenpoxPastTwelveMonthInd | The indicator related to whether the participant/subject has had chickenpox in the past 12 months | The indicator related to whether the participant/subject has had chickenpox in the past 12 months | Chickenpox in past 12 months | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Pediatric | Exploratory | 1.00 | 2020-07-14 15:32:05.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52602 | Medical history migraine aura indicator | MedHistMigrAuraInd | The indicator related to the participant/subject having migraine(s) with aura | The indicator related to the participant/subject having migraine(s) with aura | If YES, migraine(s) with aura | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:49:56.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10543 | Cancer head or neck radiation treatment indicator | CancerHeadNeckRadiatTreatInd | Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiation | Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiatio | Did you receive head or neck radiation to treat the cancer? | Yes;Unknown;No | Yes;Unknown;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52624 | Hypertension first diagnosed age value | HypertensFirstDiagAgeVal | Free-text field related to the age hypertension was first diagnosed | Free-text field related to the age hypertension was first diagnosed | If YES, age hypertension first diagnosed | Alphanumeric |
years |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C52709 | Menopause begin age value | MenopauseBeginAgeVal | The age at which menopause began for the participant/subject | The age at which menopause began for the participant/subject | At what age did you start menopause? | Numeric Values |
If applicable |
No references available | Adult | Exploratory | 3.00 | 2013-06-11 00:00:00.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C19057 | Diabetes mellitus complications other text | EndocrineHistDiabMellCompliOTH | The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C58935 | Facial segmental hemangioma PHACE syndrome indicator | FaclSgmntlHmngmPHACESyndrmInd | The indicator related to whether the participant/subject has facial segmental hemangioma/PHACE syndrome | The indicator related to whether the participant/subject has facial segmental hemangioma/PHACE syndrome | Facial Segmental Hemangioma/PHACE syndrome | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Pediatric | Exploratory | 1.00 | 2020-07-14 15:32:05.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52603 | Medical history migraine active last year indicator | MedHistMigrActivLstYrInd | The indicator related to the participant/subject having had an active migraine within the last year | The indicator related to the participant/subject having had an active migraine within the last year | If YES, active migraine within last year? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2017-01-26 14:49:56.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C15624 | Pregnancy indicator | PregInd | Indicates if the participant/subject is currently pregnant | Indicates if the participant/subject is currently pregnant | Is the participant/subject pregnant? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52693 | High cholesterol treatment type | HighCholesTreatTyp | Type of treatment for high blood cholesterol | Type of treatment for high blood cholesterol | If YES, indicate treatment(s) | Diet;None;Statins;Other medicines;Unknown | Diet;None;Statins;Other medicines;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58354 | Other cancer type text | OthrCancerTypTxt | Text of type of other cancer(s) that the subject/participant has ever been diagnosed with | Text of type of other cancer(s) that the subject/participant has ever been diagnosed wit | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2018-02-08 10:03:58.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C19058 | Psychiatric history psychotic diagnosis other text | PsychHistPsychoticDiagnosOTH | The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any | The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C52604 | Medical history carotid endarterectomy anatomic site | MedHistCarotEndarcAnatSite | The element related to the location of a carotid endarterectomy the participant/subject has had | The element related to the location of a carotid endarterectomy the participant/subject has had | If YES, indicate location | Left side;Right side;Both;Unknown | Left side;Right side;Both;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:49:56.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C15629 | Postpartum indicator | PstpartmInd | Whether the participant/subject is currently in her postpartum phase, after pregnancy phase, of pregnancy | Whether the participant/subject is currently in her postpartum phase, after pregnancy phase, of pregnanc | Is the participant/subject post-partum? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Up to 12 weeks |
Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52695 | Cancer diagnosis type | CancerDiagTyp | The element related to the type of cancer diagnosis the participant/subject has or had | The element related to the type of cancer diagnosis the participant/subject has or had | Type(s) of cancer | Brain;Breast;Colorectal;Endometrial;Esophagus;Prostate;Renal;Skin;Other specify;Lung | Brain;Breast;Colorectal;Endometrial;Esophagus;Prostate;Renal;Skin;Other specify;Lung | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58926 | Medical history hemorrhagic stroke range | MedHistHemStrokeRng | The element related to the number of hemorrhagic strokes the participant/subject has had | The element related to the number of hemorrhagic strokes the participant/subject has had | Number of hemorrhagic strokes | 1;>= 2;Unknown | 1;>= 2;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2017-01-26 13:49:14.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19078 | Cardiovascular history cardiac surgery other text | CardioHistCardSurgOTH | The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent | The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C52605 | Medical history carotid artery stenting anatomic site | MedHistCarotArtStentAnatSite | The element related to the location of carotid artery stenting the participant/subject has had | The element related to the location of carotid artery stenting the participant/subject has had | If YES, indicate location | Left side;Right side;Both;Unknown | Left side;Right side;Both;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-01-26 14:49:56.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C15630 | Postpartum day week value | PstpartmDayWkVal | Number of days/weeks the participant/subject has been postpartum | Number of days/weeks the participant/subject has been postpartum | Number of weeks since delivery | Numeric Values |
Up to 12 weeks |
Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a thrombotic event after the 6-week postpartum period. New Engl J Med. 2014;370(14):1307-1315. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C52696 | Infection within two weeks type | InfectionWthnTwoWksTyp | The element related to the type of infection(s) within the last two weeks the participant/subject has had | The element related to the type of infection(s) within the last two weeks the participant/subject has had | If YES, indicate type(s) | Otitis media;Respiratory infection;Urinary tract infection;Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify:;Influenza;Zoster/Shingles | Otitis media;Respiratory infection;Urinary tract infection (UTI);Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify:;Influenza;Zoster/Shingles | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58927 | Medical history hemorrhagic stroke recency rate | MedHistHemStrokeRecenRt | The element related to the recency of hemorrhagic strokes the participant/subject has had | The element related to the recency of hemorrhagic strokes the participant/subject has had | Most recent hemorrhagic stroke | < 3 mos ago;>= 3 mos ago;Unknown | < 3 mos ago;>= 3 mos ago;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2020-07-14 15:13:17.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19174 | Other cardiac disorder type | OthrCardiacDisorderTyp | Type of other cardiac disorder | Type of other cardiac disorder | Other cardiac disorders, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2014-05-30 14:25:23.0 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C52617 | Head trauma result type | HdTrmResTyp | The element related to the result of head trauma | The element related to the result of head trauma | If YES, indicate if head trauma resulted in any of the following | Loss of consciousness > 30 minutes;Post traumatic amnesia > 24 hours;Abnormal brain imaging findings;None of the above;Unknown | Loss of consciousness > 30 minutes;Post traumatic amnesia > 24 hours;Abnormal brain imaging findings;None of the above;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C52697 | Infection within two weeks other text | InfectionWthnTwoWksOTH | The free-text field related to the type of infection(s) within the last two weeks the participant/subject has had | The free-text field related to the type of infection(s) within the last two weeks the participant/subject has had | Other infection, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16012 | Medical history condition diagnosis indicator | MedclHistCondDiagnsInd | Indicator of whether the participant has been diagnosed with the medical condition/disease | Indicator of whether the participant has been diagnosed with the medical condition/disease | Has a doctor or other medical professional ever told you that you have or have had the following? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:42:42.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
