CDE Detailed Report
Subdomain Name: General Health History
CRF: welcome
Displaying 1 - 8 of 8
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 |
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C08018 | Surgery age value | SurgAgeVal | Age of the participant/subject at the time of the selected surgical procedure | Age of the participant/subject at the time of the selected surgical procedure | Age (approximate) | Numeric Values | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Surgical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | |||||||||
C18363 | Past surgical history identification number | PastSurgHistIdNum | The number on a list to identify past surgical history | The number on a list to identify past surgical histor | Surgery # | Numeric Values | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Surgical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C18765 | Surgical or therapeutic procedure other text | SurgTherapProcedurOTH | The free-text field related to 'Surgical or therapeutic procedure type' specifying other text. Type of surgical or therapeutic procedure received by the participant/subject | The free-text field related to 'Surgical or therapeutic procedure type' specifying other text. Type of surgical or therapeutic procedure received by the participant/subject | Other, specify | Alphanumeric | International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Surgical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C21668 | ICD-10-CM code | SurgTherapuProcICD10CMCode | Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure | Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure | Procedure | MB;C;T;S;G;Other, specify | Muscle biopsy;Contracture Release;Tracheostomy;Scoliosis;Gastrostomy;Other specify | Alphanumeric |
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-10-CM. |
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016 | Adult;Pediatric | Supplemental | 1.00 | 2013-08-28 16:08:00.453 | Surgical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C21669 | Surgical therapeutic procedure ICD-10-CM other text | SurgTherapuProcICD10CMOthTxt | The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure | The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure | Other, specify | Alphanumeric |
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-9-CM. |
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Surgical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C05105 | Surgical or therapeutic procedure end date and time | SurgTherapuProcEndDateTime | Date on which the surgical or therapeutic procedure ended | Date on which the surgical or therapeutic procedure ended | Discharge Date | Date or Date & Time |
Record the start date or admission date for the surgical procedure. If the start date is not known the approximate age of the participant/subject at the time of the surgery can be recorded. 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.). If age at admission is used instead of date, age can be captured in years or months. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 21:00:23.88 | Surgical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C05106 | Surgical therapeutic procedure start date and time | SurgTherapuProcStartDateTime | Date (and time, if applicable and known) on which the surgical or therapeutic procedure started | Date (and time, if applicable and known) on which the surgical or therapeutic procedure started | Date of Procedure | Date or Date & Time |
Record the start date or admission date for the surgical procedure. If the start date is not known the approximate age of the participant/subject at the time of the surgery can be recorded. 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.). If age at admission is used instead of date, age can be captured in years or months. |
No references available | Adult;Pediatric | Supplemental | 3.20 | 2022-08-18 17:27:56.0 | Surgical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C05108 | Surgical or therapeutic procedure type | SurgTherapProcedurTyp | Type of surgical or therapeutic procedure received by the participant/subject | Type of surgical or therapeutic procedure received by the participant/subject | Procedure | Appendicectomy;Cholecystectomy;Colostomy;Ileostomy;Feeding tube placement;Fundoplication;Scoliosis surgery;Tendon release;Tympanostomy tubes;Tracheostomy;Airway surgery;Other surgery, specify;Unknown;Diagnostic;Anterior temporal lobectomy (ATL);Anterior temporal lobectomy plus (ATL+);Amygdalohippocampectomy;Lesionectomy;Lesionectomy plus (Lesionectomy +);Extratemporal resection (Topectomy);Multi-lobar resection;Hemispherectomy;Vagus nerve stimulation (VNS) surgery;Corpus callosotomy;Multiple subpial transection;Radiosurgery;Therapeutic brain stimulation;Other, specify;Appendicostomy;Appendectomy;Neurological surgery;Bony orthopedic surgery | Appendicectomy;Cholecystectomy;Colostomy;Ileostomy;Feeding tube placement;Fundoplication;Scoliosis surgery;Tendon release;Tympanostomy tubes;Tracheostomy;Airway surgery;Other surgery, specify;Unknown;Diagnostic surgery;Anterior temporal lobectomy (ATL);Anterior temporal lobectomy plus (ATL+);Amygdalohippocampectomy;Lesionectomy;Lesionectomy plus (Lesionectomy +);Extratemporal resection (Topectomy);Multi-lobar resection;Hemispherectomy;Vagus nerve stimulation (VNS) surgery;Corpus callosotomy;Multiple subpial transection;Radiosurgery;Therapeutic brain stimulation;Other, specify;Appendicostomy (antegrade colonic anema);Appendectomy;Neurological surgery;Bony orthopedic surgery | Alphanumeric | International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Surgical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |