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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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 |
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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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| C22679 | Medical history first depressive episode diagnosis age value | MedHistFrstDepEpDiagAgeVal | Value of a participant's/subject's age when first depressive episode was diagnosed | Value of a participant's/subject's age when first depressive episode was diagnosed | If YES, age experienced first depressive episode/diagnosed with depression | Numeric Values |
years |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2016-07-27 11:43:54.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C58928 | Medical history carotid endarterectomy recent date | MedHistCarotEndarcRecentDate | Date of most recent carotid endarterectomy performed on the participant/subject | Date of most recent carotid endarterectomy performed on the participant/subject | Date of most recent carotid endarterectomy (M M/D D/Y Y Y Y) | 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, year, month and day). |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2020-07-14 15:16:51.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C52618 | Medical history neck trauma recency rate | MedHistNeckTraumaRecenRt | The element related to the recency of neck trauma | The element related to the recency of neck trauma | If YES, indicate recency | < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks ago;Unknown | < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks 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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| C16174 | Menopause indicator | MenopauseInd | Indicates whether participant is currently menopausal | Indicates whether participant/subject is currently menopausa | Are you in menopause? | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult | Exploratory | 3.00 | 2013-06-11 00:00:00.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52699 | Sickle cell anemia blood transfusion treatment indicator | SickleCellAnemBloodTransfInd | The indicator related to whether blood transfusions are used for treatment for sickle cell anemia | The indicator related to whether blood transfusions are used for treatment for sickle cell anemia | If YES, are blood transfusions used for treatment? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C52597 | Medical history ischemic stroke range | MedHistIschemicStrokeRng | The element related to the number of ischemic strokes the participant/subject has had | The element related to the number of ischemic strokes the participant/subject has had | Number of ischemic strokes | 1;>= 2;Unknown | 1;>= 2;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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| C58929 | Medical history carotid artery stenting recent date | MedHistCarotArtStentRecentDate | Date of most recent carotid artery stenting performed on the participant/subject | Date of most recent carotid artery stenting performed on the participant/subject | Date of most recent carotid artery stenting (M M/D D/Y Y Y Y) | 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, year, month and day). |
No references available | Adult;Pediatric | Exploratory | 1.00 | 2020-07-14 15:18:41.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C52619 | Medical history atrial fibrillation other cause indicator | MedHistAtrlFibOthCauseInd | The indicator related to other cause of atrial fibrillation | The indicator related to other cause of atrial fibrillation | Other cause of AF | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric |
AF: atrial fibrillation |
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 |
Single Pre-Defined Value Selected |
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| C17473 | Cardiovascular history cardiac surgery date | CardioHistCardSurgDate | Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject | Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject | Date of most recent cardiac surgery | 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). |
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 |
Free-Form Entry |
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| C52700 | Hypercoagulable disorder type text | HypercoagDisrdrTypeTxt | The free-text field related to the type of hypercoagulable disorder | The free-text field related to the type of hypercoagulable disorder | If YES, specify type | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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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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| 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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| 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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| 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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| 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 |
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